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.


Intermediary and Interface Checklist

Technical Service Classification: Data Connectivity


Checklist Item Guidance

Enterprise: This applies to receiving information from sources such as a state�s integrated eligibility system or SSA��s State Data Exchange. Capabilities should include (1) the ability to produce comprehensive and detailed information that supports error correction and synchronization, (2) applying reconciliation changes to the master file, (3) producing a file of changed records, and (4) sending the file of changed records to the originating source. For R1, evidence could include acquisition documents, requirements, a ConOps that explains how this will be implemented, or other planning documents that demonstrate plans to incorporate this capability. For R2 and R3, evidence could include a diagram showing technical details of how eligibility information is managed (received, validated, transformed, and frequency of the data). Evidence should include screenshots of an error generated when data does not comply with the standard and an example of a file of changed records that were sent to the originating source, if possible. For R3, the 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 demonstrate this capability. Module: This applies only to modules that support the receiving and processing of this data.

Checklist Item Source


Checklist Item Criteria

The system receives and processes member eligibility information from external sources.

Certification with ReadyCert

ReadyCert saves time and effort when producing the required evidence and reports for compliance with TA.DC.1. Does your company's solution or medicaid enterprise system comply with ... "The system receives and processes member eligibility information from external sources." ... 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.

Compliance is
no longer about
the Status Quo
maturing your
And proving
beyond a
shadow of a
that you're

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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