Medicaid Information Technology Architecture (MITA)

Medicaid Information Technology Architecture (MITA) is a framework of business and technology processes and best practices that are designed to increase the success rate of Medicaid Management Information System (MMIS) replacement program initiatives.

MITA, which is currently version 3.0, presents over 1,000 pages of federal guidance from the Centers for Medicare and Medicaid Services.

MITA 3.0 provides a framework of architectural planning activities that allow State Medicaid Agencies (SMAs) to effectively implement business and technology process improvements across all Medicaid business processes and supporting technologies.

MITA 3.0 provides detailed guidance on how SMAs must structure their technology solutions, and guides the federal compliance audit process.

Key MITA 3.0 content areas include the following:

Business Architecture

• Concept of Operations
• Maturity Model
• Business Process Model
• Business Capability Matrix

Information Architecture

• Conceptual Data Model (CDM)
• The Logical Data Model (LDM)
• Information Capability Matrix (ICM)

Technical Architecture

Application Architecture

Technology Standards

Technical Capability Matrix

State Self-Assessment

The Seven Standards and Conditions

MITA 3.0 identifies 10 business process areas, and 80 specific business processes that the SMA's technology solutions must comply with to qualify them for Federal Financial Participation (FFP) for their MMIS effort.

CMS requires states to demonstrate their level of maturity in MITA process compliance efforts through the development of periodic State Self-Assessments (SSAs).

CMS also requires states to develop an MMIS enterprise-wide Concept of Operations (ConOps) that presents the State's vision for implementing and operating their MMIS enterprise solution.

CMS assessment of MITA compliance is also built into the CMS certification process for MMIS solutions.

Charles Goolsby has extensive experience in working with MITA 3.0. He has collaborated with State and MMIS vendor teams to develop the following MITA deliverable documents:

• State Self-Assessment (SSA)
• MITA Concept of Operations
• Requirements development and traceability for specific MITA Business Processes (e.g., Provider Enrollment and Provider Management)

See also:

• Details: The 10 MITA Business Areas & 80 MITA processes
• Technical Assessment of MMIS Replacement Solutions