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Medicaid Enterprise Systems (MES) Modernization

Medicaid Enterprise Systems (MES) Modernization

Faced with fiscal constraints, evolving state and federal regulations, and a complex vendor landscape, Medicaid agencies often need external support planning for the modernization of their Medicaid Enterprise Systems (MES). Trigyn’s experienced staff members help our clients navigate regulatory changes, modernize technology, and optimize business processes to drive quality program outcomes.

Our MES modernization and planning consulting team assists agencies across the country in many areas, including:

  • Strategic planning ― Helping states develop MES modernization roadmaps to improve programmatic outcomes.
  • Key Performance Indicators (KPIs) and Objectives and Key Results (OKR) development ― Assisting clients with the development of meaningful metrics to improve business results and achieve objectives.
  • Requirements analysis and development ― Conducting background research into current industry trends and developing technical and business requirements aligned with MITA, CMS guidance, and state and federal requirements to help inform Requests for Proposal (RFP), Request for Quotation (RFQ), and Request for Information (RFI) development, client and stakeholder visioning sessions, and requirement organization and structure.
  • Procurement and system selection support ― Optimizing system selection with planning, stakeholder engagement and management, research, scope development, RFP/RFQ, vendor pre-proposal and oral presentation, scoring rubrics, vendor solution validation, selection, and contract negotiation.