The Division of Information Systems (DIS) collaborates closely with the IT Portfolio Management & Training team to oversee and manage Medicaid-funded systems and applications. These systems are essential for the efficient administration of the Medicaid program. DIS' mission is to ensure that the other six divisions within the agency have their IT needs met. Key stakeholders include DMS, the Centers for Medicare and Medicaid Services (CMS), the Cabinet for Health and Family Services (CHFS), Kentucky residents, and healthcare providers.
DIS consists of three branches.
Systems Management Branch
This branch is responsible for the management of the vendor-contracted IT solutions that support the overall Medicaid Program. These systems include;
- Medicaid Management Information System (MMIS)
- Pharmacy Benefit Manager (PBM)
- Utilization Management (UM)
- Electronic Visit Verification PCS/HHCS (EVV)
- Kentucky Health Information Exchange (KHIE)
- Enterprise Electronic Health Records (EHR)
*Medicaid is currently in the process of replacing the current MMIS system with a new, cloud-based platform known as Medicaid Claims Administration and Financial Solution. Read more about that project.
Systems Operations Branch
This branch is responsible for the operational oversight of Commonwealth-owned IT solutions that support the overall Medicaid program. These systems include;
- Kentucky Medicaid Partner Portal Application (MPPA)
- Integrated Eligibility and Enrollment Solution (IEES)
- Medicaid Waiver Management Application (MWMA)
- Kentucky Level of Care Solution (KLOCS)
- Critical Incident Reporting System (CIRS)
- Data Management Branch
This branch is responsible for providing support to DMS as a whole for data, information, and analytics needs. The branch also serves as the liaison between DMS and the Office of Data Analytics and manages;
- Analytics
- Interim Analytic Solution (IAS)
- Data Governance