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.

PM.PR1.2

Provider Management Checklist (MMIS Module)

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

PM.PR1.2

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 screenshots showing how a provider application makes its way through the system. The state could show an application screen, and a screenshot of the corresponding data collected in the database, etc. For R3, evidence should date to go-live. For R2 (if not a desk review) and R3, the state should be prepared to give a demonstration.

Checklist Item Source

IBP

Checklist Item Criteria

The system routes provider applications, and collects and processes provider enrollment and status information.

Certification with ReadyCert

ReadyCert saves time and effort when producing the required evidence and reports for compliance with PM.PR1.2. Does your company's solution or medicaid enterprise system comply with ... "The system routes provider applications, and collects and processes provider enrollment and status information." ... 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.

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