CMS Certification with ReadyCert

ReadyCert was built to drive Certification projects at lightning speed. ReadyCert treats your project RTM like a Certification checklist, and treats your Certification checklist like a project RTM. Using the familiar process of requirements fulfillment, ReadyCert empowers your Enterprise to recycle the work of Certification by transforming checklist items and solution requirements into relate-able data elements. When loaded in ReadyCert your system review criteria, fulfillment responses, evaluations and artifacts are quantified and tracked across projects and enterprises to provide deep intelligence and insight into your Compliance narrative.


Provider Management Checklist (MMIS Module)

CSF PR1: State enrolls and maintains adequate provider networks for the Medicaid Beneficiary population.


Checklist Item Guidance

For R1, evidence could include acquisition documents, user stories or epics, requirements specifications, a ConOps that explains how this functionality will be implemented, or other planning documents that demonstrate plans to incorporate this capability. For R2 and R3, evidence could include an analysis of performance measures using data from the system, screenshots of the output of provider network analysis, or test results from provider analysis and performance measures. For R3, evidence should show that this capability was functional at go-live. For R2 (if not a desk review) and R3, the state should be prepared to give a demonstration of this capability.

Checklist Item Source


Checklist Item Criteria

SMA supports provider outreach through evaluation of provider networks and tracking of performance measures to ensure correct mix of providers within state.

Certification with ReadyCert

ReadyCert saves time and effort when producing the required evidence and reports for compliance with PM.PR1.1. Does your company's solution or medicaid enterprise system comply with ... "SMA supports provider outreach through evaluation of provider networks and tracking of performance measures to ensure correct mix of providers within state." ... Prove it meaningfully with ReadyCert. Provide clear and concise linkage from the RFP, to the Test Case, to the utilization reports and a secure and convenient application specially engineered to make compliance work quick and easy.

ReadyCert is the Software as a Service (SaaS) answer to Compliance! Take the tour with one of our subject matter experts with you or your entire team. You'll learn how ReadyCert will save your team time and effort when performing compliance work by automating mundane tasks and streamlines reporting across projects, enterprises and frameworks. Our team will show you how ReadyCert improves consistency and eliminates duplicate work scenarios, how it tracks vendor information and how controls are mapped to your enterprise's business areas.

Fill out this form and/or give us a call! +1.850.201.7146

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