The Centers for Medicare & Medicaid Services (CMS) introduced the Medicaid Information Technology Architecture (MITA) as a framework to assist states with improving the operation of their Medicaid programs. A State Self-Assessment (SS-A) documenting the State's maturity level for each defined business process is a prerequisite for requesting enhanced federal funds to improve the Medicaid enterprise.
The Conservation Easement Tax Credit Performance Audit seeks to determine whether there are effective internal controls in place at the Department of Revenue (DOR) and the Division of Real Estate (DRE) to ensure that conservation easement tax credits claimed and issued by taxpayers are valid. Recommendation 10 of the Performance Audit directs the DRE and DOR to evaluate options for protecting the State's investment in tax-credit-generating conservation easements when the conservation easement holder is no longer certified. The recommendation addresses the need to ensure the long-term value and benefit of the tax credit and notes that the State does not currently retain any long-term rights to ensure that conservation easements are maintained in perpetuity.
Our review of 35 states indicates that there is more activity now than ever before in the MMIS procurement and implementation space. MMIS solutions have evolved steadily since they were first mandated and funded in the 1970s. During the past four decades, Medicaid data, system processes and architecture, and transaction specifications have been standardized to allow for improved program management and broader health care IT interoperability. The State's current MMIS is over 20 years old, with components that are over 30 years old. The current MMIS needs to be replaced.
