Program Manager
CurrentThe Florida Agency for Health Care Administration (AHCA) is adapting to the changing landscape of healthcare administration and increased use of the Centers for Medicare and Medicaid Services (CMS) Medicaid Information Technology Architecture (MITA) to improve the administration and operation of the Florida Medicaid Enterprise. The current Florida Medicaid Enterprise is complex due to multiple discrete systems and interconnections with DCF (Dept. Children and Families) for application eligibility. The future of the Florida Medicaid Enterprise integrated service platform with Unified Operations Center (UOC), Provider Service module (PSM), Enterprise Data warehouse (EDW), Pharmacy Benefit Manager (PBM) and Claims, other services will allow the Agency to secure services that can interoperate and communicate effectively. The Florida Medicaid Management Information System (FMMIS) has historically been the central system within the Florida Medicaid Enterprise, functioning as a single, integrated system for claims processing and information retrieval. As the Medicaid program has grown more complex, the systems needed to support it have grown in number and complexity. The Medicaid Enterprise System (MES) Procurement Project was re-named Florida Health Care Connections (FX). FX is a multi-year and multi-vendor (Deloitte, Accenture, AHS, HHS, PCG, Gainwell, NTT data, etc.) transformation to modernize the current Medicaid technology using a modular approach, while simultaneously improving overall Agency functionality and building better connections to other data sources.