HHS Regulatory/Policy Requirements Integration

Governmental Policy and Regulatory Requirements Management

The effective management of policy and regulatory requirements for enterprise healthcare/HHS projects requires in-depth knowledge of best practices governing policy/regulatory requirements interpretation, as well as expertise in the requirements management skills of requirements organization and traceability. 

Charles Goolsby has extensive experience in designing and implementing policy/regulatory compliance requirements integration best practices for enterprise HHS modernization initiatives.

Charles provides the following services:

• Effective organization of your policy/regulatory content
• Manage your repository of Federal and State Policies/Regs.
• Translation of regulatory content into solution requirements
• Accurate development of regulatory content traceability
• Reporting of regulatory compliance federal audit evidence 

Charles' policy and regulatory knowledge areas include the following:

Health and Human Services

• 42 CFR Subpart C – Mechanized Claims Processing (MMIS)
• 42 CFR § 435.603 – Modified adjusted gross income (MAGI)
• 45 CFR Part 156 – PPACA (HIX) Health Insurance Standards
• 42 CFR 455: Subpart B – Disclosure of Provider Information 
• 42 CFR 455: Subpart E – Provider Screening and Enrollment
• 45 CFR 160.103 4 – Electronic Protected Health Information
• 42 CFR § 424.5065 – National Provider Identifier (NPI)
• 7 CFR Subchapter C – Food Stamps and Food Distribution 
• 45 CFR Part 260 – Temporary Assistance for Needy Families 

Federal Aviation Administration (FAA) Safety Assurance System (SAS)

• 14 CFR part 121/135 – Air Carrier Operating Certificates
• 14 CFR part 145 – Repair Station adherence to FAA standards

Charles has extensive experience in translating governmental policies, regulations, and sub-regulatory guidance into clear business requirements, business rules, and functional requirements that are actionable (usable) by software developers and testing teams.

Charles has also built software solutions that are designed specifically to manage the integration of regulatory requirements into enterprise software solutions. He has also configured major commercial requirements management tools such as Jama to allow business analyst teams to build traceability with regulatory requirements.

Skills in governmental policy analysis, interpretation, and technical implementation are a continual focus area. Charles is a 'quick study' of complex business domains, including in regard to federal and state health and human services policy, regulatory and sub-regulatory guidance and requirements.

See the following links for additional information:

• CMS MMIS Solution Certification
• Requirements Traceability