The Department of Community Health’s Office of Information Technology (IT) is composed of six business units:
- The Medicaid Management Information System (MMIS) unit supports the various systems used for processing, collecting, analyzing and reporting information needed for all Medicaid and PeachCare for Kids® claims payment functions. For the 2013 Fiscal Year, the MMIS processed more than 25 million claims worth nearly $9 billion from Georgia’s health care providers. The MMIS team also manages the initiation, planning, implementation, testing and go-live phases of several large federally mandated projects. These include transitioning to the Health Insurance Portability and Accountability Act (HIPAA) 5010 transaction standards, MMIS system modifications for code set conversion of the International Classification of Diseases (ICD-9) to version 10 (ICD-10) and the design, development and implementation of the new Georgia Integrated Eligibility System.
- The State Health Benefit Plan (SHBP) unit supports the Membership Enrollment Management System (MEMS), providing health insurance coverage to nearly 630,000 SHBP members and their dependents. The unit also provides technical support to SHBP Operations and Accounting.
- The Information Technology Infrastructure (ITI) unit supports End User Computing for the entire agency.
- Information Technology Security (ITS) unit oversees DCH systems to ensure compliance with all security standards. This includes HIPAA compliance to protect personal health information for more than 1.8 million Medicaid and PeachCare for Kids members.
- Information Technology Support Services (ITSS) unit supports a wide range of hardware- and software-related issues on staff computers. This unit also addresses network connectivity problems to help keep DCH employees connected.
- Decision Support Service (DSS) unit compiles reports of data related to Georgia Medicaid and the State Health Benefit Plan.