Child
Welfare Regional Training Session 2006
State of
Case Study Exercises
Case Study Scenario
One of the SACWIS system
requirements is to have a bi-directional interface between the SACWIS system
and the state’s Title XIX system.
Per ACF AT-OSS-05:
The interface between the Title XIX system and
the SACWIS must
(1) Provide
for the exchange of information needed by the State Medicaid eligibility system to calculate and track
Medicaid eligibility for children in foster care,
(2) Allow
for the automatic exchange of common and/or relevant data between the two systems (to prevent
duplicate data entry), and
(3) Capture
the data necessary to report AFCARS foster care element #63 (this element indicates whether the child is
eligible for, or receiving assistance under
Title XIX).
Children receiving IV-E
foster care are categorically eligible for Medicaid if they are citizens of the
NSACWIS Status
The NSACWIS system does not
have a functioning interface with Title XIX, IV-A, or IV-D. A IV-E eligibility determination function is
built into the NSACWIS system.
Constraints
Business:
q
The child
welfare (business) unit, the Division of Family Services, in Nirvana state is
part of a larger Nirvana Department of Social Services (NDSS).
q
The IT
department doing software development and maintenance for your SACWIS system is
also housed at NDSS in a division called the Division of Information Systems
(DIS), which houses IT staff supporting all software applications used by the
NDSS including SACWIS.
q
Hardware and
telecommunications support are provided Nirvana Information Technology
Department (NITD), the state’s central technology department which is
responsible for all technology acquisition and for hardware,
telecommunications, security, and standards.
q
The eligibility
determination function for Medicaid (and other benefit programs) is also within
NDSS, in a separate division called the Division of Benefit Programs.
q
In Nirvana, the
Title XIX cognizant state agency is the Department of Medical Assistance
Services (DMAS) which is responsible for providers, payments, card
distribution, and the MMIS system, which it contracts out to a third-party
provider, Rich and Healthy, Inc.
q
An interagency
agreement exists between NDMAS and NDSS which outlines their multifold
relationship including the exchange of data, the provision of medical services
for children in foster care, and the NDSS responsibility for determining
eligibility for Medicaid on behalf of DMAS.
Technical:
q
The SACWIS
system is a combination of client-server and web-based technologies as Nirvana
is incrementally migrating its application to the web.
q
The NSACWIS system
uses a Sequel back-end and operates on a secure, state network which connects
all 40 state-owned and operated local social services sites.
q
Microsoft
Dot.Net is used for the web-based components of the NSACWIS application.
q
The system used
to determine eligibility for Medicaid and other programs operates on an old
legacy system.
q
The MMIS system
uses JAVA and an Oracle back-end.
q
An existing
“bridge” between the NDSS eligibility system and the DMAS MMIS system exchanges
data on those found eligible for Medicaid.
Instructions
Objective:
q
Develop and
verify user requirements for the NSACWIS Title XIX interface.
Exercise #1:
q
Please identify five potential stakeholders (or
stakeholder groups) from whom we need to gather stakeholder needs.
q
Please identify
five to ten needs and their associated stakeholder(s) for this interface.
q
Synthesize
stakeholder needs.
q
Prioritize top
five stakeholder needs.
Exercise #2:
q
Write high level
user requirements for the top five stakeholder needs.
q
Run the high
level requirements through the evaluation criteria and modify, as necessary.
q
Write detailed
requirements (specifications) for two of the high level requirements.
q
Verify the two
detailed requirements using the evaluation criteria.