FX History
The Agency is adapting to the changing landscape of health care administration and increased use of the Centers for Medicare and Medicaid Services (CMS) Medicaid Information Technology Architecture (MITA) to improve the administration and operation of the Florida Medicaid Enterprise.
The Florida Medicaid Management Information System (FMMIS) has historically been the central system within the Florida Medicaid Enterprise; functioning as the single, integrated system for claims processing and information retrieval. As the Medicaid program has grown more complex, the systems needed to support the Florida Medicaid Enterprise have grown in number and complexity.
The Medicaid Enterprise System (MES) Procurement Project was re-named Florida Health Care Connections (FX) in the Summer of 2018. FX is a multi-year transformation to modernize the current Medicaid technology using a modular approach, while simultaneously improving overall Agency functionality and building better connections to other data sources and programs.
As part of this transformation, the Agency submits an Advance Planning Document (APD) to CMS, which provides the data required to determine if Federal Financial Participation (FFP) is authorized – with the appropriate match rate – for the acquisition of automated data processing equipment and services. The timeline below provides information about the APDs the Agency has submitted to CMS and their respective response.
October 2024 – Implementation APD Update (IAPDU)
Summary:
- Federal Fiscal Year (FFY) 2025 and FFY 2026 budget request
- FX contract amendments for revised scope and budget
- Office space and staffing update
- New FMMIS Transition Integration Project
- New Medicaid Program Integrity Claims Sampling Project
- Revised FX project schedules
- Revised outcomes and metrics for projects and contracts
Total (net) Request:
FFY 2025 – decrease of ($42,992,480) – new total budget = $118,597,611
FFY 2026 – new request totaling $181,480,288
State Fiscal Year (SFY):
SFYs 2025, 2026
FFYs 2025, 2026
IAPDU
[
2.6 MB
]
CMS Approval
[
507.2 kB
]
June 2024 – Implementation APD Update (IAPDU)
Summary:
- Revised FX Strategic Roadmap
- Procurement and contract updates
- FX organizational structure update
- FX Governance structure update
Total (net) Request: No Change
State Fiscal Year (SFY):
SFYs 2024, 2025
FFYs covered are 2024 and 2025
IAPDU
[
3 MB
]
CMS Approval
[
467.4 kB
]
February 2024 – Implementation APD Update (IAPDU)
Summary:
- Update regarding the FX Core Systems Module pause.
- Revised Federal Fiscal Years 2024 and 2025 budget.
- Module project updates and vendor contract updates.
- Revised FX Roadmap.
Total (net) Request:
Federal Fiscal Year (FFY) 2024 – decrease of ($22,114,963) – new total budget = $155,287,776
FFY 2025 – increase of $31,204,266 – new total budget = $161,590,092
State Fiscal Year (SFY):
SFYs 2024, 2025
FFYs covered are 2024 and 2025
IAPDU
[
2.4 MB
]
CMS Approval
[
419.3 kB
]
March 2023 – Implementation APD Update (IAPDU)
Summary:
- Update regarding the FX Program’s procurement and contracting activities
- Revised roadmap and schedule (including an increased Design, Development, and Implementation period for the Enterprise Data Warehouse vendor)
- Revised budget request.
- Updated organizational chart of dedicated state resources
- Requests approval to procure a Medicaid Enterprise System Business Architecture and Streamlined Modular Certification vendor and an Enterprise Penetration Testing vendor
Total (net) Request:
Federal Fiscal Year (FFY) 2023 – decrease of ($1,888,196) – new total budget = $128,061,547
FFY 2024 – increase of $11,902,012 – new total budget = $177,402,740
FFY 2025 = new request totaling $130,385,826
State Fiscal Year (SFY):
SFYs 2023, 2024, 2025
FFYs covered are 2023, 2024, and 2025
IAPDU
[
1.1 MB
]
CMS Approval
[
248.4 kB
]
June 2022 – Implementation APD Update (IAPDU)
Summary:
- The update contains a request for prior approval of continued and new efforts in our transition program over the next two years and enhanced FFP as noted in the IAPDU.
- New requests for the FX transition program included in the IAPDU are:
- FXPA office space
- Additional State Staff
- IS/IP Module Systems Integration (MI)
- Pharmacy Benefits Management
- Organizational Change Management
- Testing Center of Excellence
- Third Party Liability Module
Total (net) Request: $316,365,264
State Fiscal Years: The approval covers activities from June 6, 2022 until September 30, 2024 and will be contingent on State budget authority for each fiscal year in that timeframe.
IAPDU
[
1.4 MB
]
CMS Approval
[
285.2 kB
]
November 2021 – Annual APD Update (APDU)
Summary:
- Updates on Activities for:
- Professional Services Support
- FX Infrastructure
- FX FMMIS Resolution
- Remaining Functional Modules
Total (net) Request: No Change
State Fiscal Years: July 1, 2020 - June 30, 2021
Annual APDU
[
1.7 MB
]
CMS Approval
[
311.8 kB
]
July 2020 – Implementation APD (IAPD)
Summary:
- Planned Activities for:
- Professional Services Support
- FX Infrastructure
- FX FMMIS Resolution
- Remaining Functional Module
Total (net) Request: $186,489,881.00 total computable of the APD (federal and state shares) approval
State Fiscal Years: 2nd quarter 2020/2021 – 2nd quarter 2021/2022
IAPD
[
1.1 MB
]
CMS Approval
[
573.5 kB
]
April 2019 – Update Planning APD (PAPDU)
Summary:
- Updated planning activities
- Adjusted requested federal dollars
Total (net) Request: $64,154,867
State Fiscal Years: No change
PAPD Update
[
678 kB
]
CMS Approval
[
407.5 kB
]
December 2017 – Planning APD (PAPD)
Summary:
- Planning activities for modular transition for Phase II
- Building infrastructure solicitations, including System Integrator or Enterprise Data Warehouse
Total Request: $65,538,156
State Fiscal Years: 2017 – 2020
PAPD
[
9.8 MB
]
CMS Approval
[
1.3 MB
]
May 2017 – IAPD Update (IAPDU)
Summary:
- Procure the services of an Independent Verification and Validation (IV&V) Services
Total Request: $7,849,964
State Fiscal Years: 2017 – 2021
IAPD
[
1.1 MB
]
CMS Approval
[
975.4 kB
]
December 2016 – Implementation APD (IAPD)
Summary:
- Continue planning activities, including Independent Validation and Verification services vendor
- Procure the services of a Strategic Enterprise Advisory Services vendor to assist the Agency in implementing the Florida Procurement Strategy
- Florida Procurement Strategy embedded in the IAPD
Total Request: $34,049,860
State Fiscal Years: 2014 – 2022
IAPD
[
1.2 MB
]
CMS Approval
[
78.7 kB
]
June 2015 – Implementation APD (IAPD)
Summary:
- Progress of PAPDU activities
- Revised dates of milestones
- Solicitation plans for the MMIS (including a System Integrator), Fiscal Agent and DSS
CMS requested additional information and required the Agency to remove the system integrator services from the solicitation. The Agency decided to re-plan the procurement from the beginning to more aligned with CMS modularity requirements. CMS issued a disapproval of the IAPD.
Total Request: $34,049,860
State Fiscal Years: 2014 – 2022
IAPD
[
1.2 MB
]
CMS Request for Additional Information
[
238.3 kB
]
CMS Disapproval
[
388 kB
]
December 2014 – Update Planning APD (PAPDU)
Summary:
- Increase PMO tasks and costs
- Remove testing vendor from planning
- Add Subject Matter Expert contract
Total Request: $28,489,405
Increase: $11,707,878
State Fiscal Years: No change
APD Update
[
1.2 MB
]
CMS Approval
[
806.9 kB
]
December 2013 – Planning APD (PAPD)
Summary:
- Determine method of MMIS, Fiscal Agent and DSS turnover or replacement
- Consultant contract to assist the Agency in research and method of procurement
- Establish a Project Management Office (PMO)
- Procure an Independent Validation and Verification (IV&V) vendor
Total Request: $16,781,530
State Fiscal Years: 2014 – 2018
PAPD
[
803.1 kB
]
CMS Approval
[
112.5 kB
]
