Business Architecture
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FRONT MATTER FM 1 – TABLE OF CONTENTS Front Matter Front Matter– Table of Contents Table of Contents FRONT MATTER TABLE OF CONTENTS ....................................................................................................... FM1 ABSTRACT .......................................................................................................................... FM2 MITA AT A GLANCE ............................................................................................................ FM3 Introduction .................................................................................................................... 4 Front Matter .................................................................................................................... 5 Part I Business Architecture .......................................................................................... 6 Part II Information Architecture ..................................................................................... 9 Part III Technical Architecture ....................................................................................... 11 State Self-Assessment ................................................................................................... 13 ACRONYMS AND TERMS ................................................................................................... FM4 OVERVIEW OF THE MITA INITIATIVE ................................................................................ FM5 Introduction .................................................................................................................... 4 Medicaid Enterprise ....................................................................................................... 4 MITA Explained ............................................................................................................... 7 Medicaid Enterprise Mission and Goals ....................................................................... 8 MITA Mission, Goals, and Objectives ........................................................................... 9 Federal Initiatives, Programs, and Legislation ............................................................. 10 Guiding Principles .......................................................................................................... 10 Key Technical Architecture Features ............................................................................ 13 Challenges MITA Addresses ......................................................................................... 16 Benefits to Stakeholders ............................................................................................... 17 Using MITA ..................................................................................................................... 19 Evolution of the MITA Initiative ..................................................................................... 21 INTRODUCTION TO THE MITA FRAMEWORK .................................................................. FM6 Introduction .................................................................................................................... 3 MITA Framework ............................................................................................................ 7 MITA Framework Components ...................................................................................... 8 Architectural Components Relationships .................................................................... 16 Reading the MITA Framework ....................................................................................... 19 Front Matter FM 1 – Page 2 February 2012 Version 3.0 Front Matter Front Matter– Table of Contents PART I — BUSINESS ARCHITECTURE BUSINESS ARCHITECTURE PREFACE ............................................................................. PR BUSINESS ARCHITECTURE INTRODUCTION ................................................................... CH1 Introduction .................................................................................................................... 3 BA Seven Standards and Conditions............................................................................ 6 Business Architecture Components ............................................................................. 7 Business Architecture Component Relationships ....................................................... 14 Connection Between Architectures .............................................................................. 15 Using the Business Architecture .................................................................................. 17 Next Steps in Developing the Business Architecture .................................................. 18 CONCEPT OF OPERATIONS .............................................................................................. CH2 Introduction .................................................................................................................... 3 Concept of Operations ................................................................................................... 3 Concept of Operations within the MITA Framework .................................................... 4 Medicaid and MITA Visions ........................................................................................... 5 Stakeholder Roles Transformed.................................................................................... 11 Information and Communications Transformed .......................................................... 14 Primary Enablers of the Transformation ...................................................................... 18 State Medicaid Agency Operations Evolve .................................................................. 22 Using the COO ............................................................................................................... 27 MATURITY MODEL.............................................................................................................. CH3 Introduction .................................................................................................................... 3 Maturity Model Explained .............................................................................................. 4 MITA Maturity Model Explained ..................................................................................... 5 MMM Levels of Maturity Defined ................................................................................... 6 Using the MMM in the MITA Framework ....................................................................... 15 BUSINESS PROCESS MODEL ........................................................................................... CH4 Introduction .................................................................................................................... 3 Business Process Model ............................................................................................... 3 MITA Business Process Model ...................................................................................... 4 Medicaid Enterprise ....................................................................................................... 5 MITA Business Process ................................................................................................. 18 Transformation of Business Processes ....................................................................... 21 BUSINESS CAPABILITY MATRIX ....................................................................................... CH5 Introduction .................................................................................................................... 3 Business Capability ....................................................................................................... 4 Business Capability Matrix ............................................................................................ 11 Front Matter FM 1 – Page 3 February 2012 Version 3.0 Front Matter Front Matter– Table of Contents Performance Monitoring ................................................................................................ 12 Business Capability Matrix Evolution ........................................................................... 14 Business Capability Matrix and State Self-Assessment .............................................. 15 APPENDIX A — CONCEPT OF OPERATIONS DETAILS ................................................... A APPENDIX B — MATURITY MODEL DETAILS .................................................................. B APPENDIX C — BUSINESS PROCESS MODEL DETAILS ................................................ C APPENDIX D — BUSINESS CAPABILITY MATRIX DETAILS ............................................ D APPENDIX E — CROSSWALK DETAILS ........................................................................... E PART II — INFORMATION ARCHITECTURE INFORMATION ARCHITECTURE PREFACE ...................................................................... PR INFORMATION ARCHITECTURE INTRODUCTION ............................................................ CH1 Introduction .................................................................................................................... 3 Information Architecture Seven Standards and Conditions ....................................... 6 Information Architecture Components ........................................................................