Introduction
Welcome to knowledgeWala.com, This tutorial contains information about currently running and completed project information for IBM Cúram Social Program Management worldwide.
KW Team tried to compose information with their level best but there may be some information missing or gap. Please add your valuable comments to enhance the quality and efficiency of this information. Please find the information below –
Arizona Department of Child Safety
“Mobile First” Innovations for 20-year-old SACWIS Improve Productivity, Efficiency of Caseworkers
The Arizona Department of Child Safety (DCS) took an innovative approach to digital transformation by deploying a “mobile first” strategy, allowing more than 1,400 caseworkers to adopt current mobile technology into their practice today and access real-time data and information in the field, despite the limitations of its SACWIS. By implementing Diona Visits and Diona Investigations, DCS achieved seven significant benefits:
- Increased Field Access to SACWIS to 100%
- Improved Caseworker Efficiency by 20%
- Increased Time Spent with Children and Families
- Enhanced Service Quality and Case Outcomes
- Improved Data Quality
- Saved $18.7 Million Annually in Departmental Costs (Projected)
Arkansas DHS: Medicaid & CHIP
This project provides information about Medicaid and the Children’s Health Insurance Program (CHIP), states’ health coverage programs for low-income children and adults. It includes topics such as enrollment, eligibility requirements, covered benefits, spending and federal matching amounts, managed care participation, home and community-based services, and Medicaid waivers. Information on Medicaid pharmacy policies and administration is provided in a separate data collection.
North Carolina Department of Health and Human Services
The NC FAST Program is designed to improve the way NC DHHS and the 100 county departments of social services conduct business. NC FAST introduces new technological tools and business processes that will enable staff to spend less time performing administrative tasks and more time assisting families.
Program Implemented:
- Food and Nutrition Services
- Medicaid / SCHIP
- Family and Children’s
- Medicaid / ACA MAGI
- Adult Medicaid
- Work First
- Special Assistance
- Refugee Assistance
- Child Care
- Energy Assistance
- Low Income Energy
- Assistance Program (LIEAP)
- Crisis Intervention Program
- In-Scope Programs
- Adult and Family Services
- Services
- Child Welfare
South Carolina Department Of Health And Human Services
The goals of the Member Management project are to improve citizen experience, shift eligibility staff
focus, redesign business processes and deliver enhanced services. SCDHHS intends to accomplish these
goals by investing in newer technology and re-engineering its eligibility processes, replacing the State’s
Medicaid Eligibility Determination Systems (MEDS) and implementing a modern approach to member
management in South Carolina.
Program Implemented:
- Food and Nutrition Services
- Medicaid / SCHIP
- Family and Children’s
- Medicaid / ACA MAGI
Minnesota Department of Human Services
Minnesota Medicaid
In order to qualify for Minnesota Medicaid, you must be a resident of the state of Minnesota, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be one of the following:
- Pregnant, or
- Be responsible for a child 18 years of age or younger, or
- Blind, or
- Have a disability or a family member in your household with a disability, or
- Be 65 years of age or older.
New York City Department of Social Services/Human Resources Administration
The New York City Human Resources Administration/Department of Social Services (HRA/DSS) is dedicated to fighting poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance.
As the largest local social services agency in the country, HRA helps over 3 million New Yorkers through the administration of more than 12 major public assistance programs, with more than 14,000 employees and an operating budget of $9.7 billion.
Family Support Services of North Florida
Family Support Services of North Florida (FSSNF) is the lead agency for foster care, adoption and family preservation in Duval and Nassau counties. Through community-based care, FSS provides services and programs to help prevent child abuse and neglect, to promote a healthy family environment and to care for our community’s children in foster care.
The non-profit organization was established in 2001 to provide child protective services in Duval County, and was expanded to also serve Nassau County in 2007.
Program Implemented:
- Adoption
- Foster Care
- Prevention
DC Health Benefit Exchange – Washington DC
The DC Health Benefit Exchange Authority (HBX) was established by the District of Columbia to develop and operate the ACA on-line health insurance marketplace called DC Health Link for residents and small businesses in the District. HBX is a private-public partnership established to foster competition and transparency in the private health insurance market, enabling individuals and small businesses to compare health insurance prices and benefits and to purchase affordable, quality health insurance. Although the last state to start building the IT system, DC was one of four state-based marketplaces to open for business on time on October 1, 2013. DC Health Link offers health insurance from 3 UnitedHealth Companies, 2 Aetna Companies, CareFirst BlueCrossBlueShield and Kaiser. Approximately 100,000 people have private health insurance through DC Health Link and this includes over 5000 District small businesses, approximately 11,000 designated Congressional staff and Members including District offices, and thousands of District residents. Since opening for business, we’ve cut the uninsured rate in half and now more than 96% of District residents having health coverage.
Program Implemented:
- Food and Nutrition Services
- Medicaid / SCHIP
- Family and Children’s
- Medicaid / ACA MAGI
Missouri’s Medicaid Eligibility Determination Software (DHS)
The Missouri Department of Social Services (DSS), MO HealthNet Division, administers the provision and payment of services for
Missouri’s MO HealthNet program. The DSS Family Support Division (FSD) determines MO HealthNet eligibility for individuals
and families. There are 144 FSD resource centers located throughout Missouri (an interactive map of the FSD resource centers can
be found at: http://dss.mo.gov/dss_map/).
MO HealthNet represents a significant portion of Missouri’s overall state budget. Approximately 29 percent of Missouri’s total
budget was dedicated to MO HealthNet in State Fiscal Year (SFY) 2018. More than 49 percent of the state’s Medicaid funding
comes from federal funds. MO HealthNet spending varies with policy changes to enrollment, covered benefits, and eligibility
guidelines as well as with other factors such as consumers’ health status, unemployment rates, and medical price inflation. Such
factors are also likely to impact the overall state budget given the size of the MO HealthNet program.
Program Implemented:
- MO HealthNet for the Aged, Blind, or Disabled
- Medicare Cost Savings Programs
- MO HealthNet for Kids (Medicaid)
- MO HealthNet for Kids (CHIP)
- MO HealthNet for Families – Adults
- MO HealthNet for Pregnant Women
Nebraska Department of Health and Human Services
The Affordable Care Act (ACA) included numerous provisions with significant information systems impacts. One of the
requirements was to change how Medicaid Eligibility was determined and implement the changes effective 10/1/2014. As a result
of the lack of time available to implement a long-term solution, the Department of Health and Human Services implemented a
short-term solution in the current environment to meet initial due dates and requirements. This solution did not meet all Federal
technical requirements for enhanced Federal funding but was approved on the assumption that a long -term solution would be
procured. An RFP was developed and procurement has been completed with Wipro selected as the Systems Integrator for the
IBM/Curam software.
Program Implemented:
- Food and Nutrition Services
- Family and Children’s
- Medicaid / ACA MAGI
San Diego CA
https://www.sandiegocounty.gov/hhsa/programs/phs/
U.S. Virgin Islands
The U.S. Virgin Islands Department of Human Services (USVI DHS) needed a modern, ACA-compliant, high-quality, integrated benefits eligibility system as quickly as possible. Employees were using a “green screen,” mainframe, keystroke-driven system with separate databases, and benefit issuance needed more oversight. The USVI DHS worked closely with RedMane to design, develop, test and implement the U.S. Virgin Islands Benefits Eligibility System (VIBES).
VIBES was implemented using IBM’s Cúram platform and our proprietary Smart Transfer methodology. Using this approach, we applied configurations of the platform that we completed for other U.S. states. This knowledge base allowed the USVI to leverage federally funded development from other projects and greatly accelerated timing, while reducing costs. While the project was underway, the territory, under the guidance of Governor Kenneth Mapp, wanted to incorporate the Medicaid Expansion option of the ACA, and an enhancement to enable CHIP participation. VIBES includes both programs, further benefiting recipients.
Puerto Rico
Albany, New York
Clark County Dept of Social Service – Nevada
https://www.clarkcountynv.gov/residents/assistance_programs/index.php
Maryland’s Health Exchange
This project was scrapped due to conflict and technology issues.
DEPARTMENT OF HUMAN SERVICES – New Jersey
NJ CASS project started using IBM Cúram framework but scrapped after 6 year of development.
Other Countries Project List
Department for Work and Pensions (DWP) – UK
https://www.gov.uk/government/organisations/department-for-work-pensions
New Zealand Ministry of Social Development (MSD)
Information technology trends continue to rapidly push technological, societal, and business boundaries. We are focused on harnessing technology to drive innovative approaches and the delivery of future business strategies.
The majority of our modern business practices are underpinned by technology. We support over 200 systems which include the provision of payment and services to approximately 1.1 million clients via secure, robust and scalable systems, and a nationwide network.
The main systems include:
- SWIFTT (Social Welfare Information for Tomorrow Today) – our main benefit payment system which reports around 1.2 million transactions each day. It was implemented in 1991 and was re-platformed onto a modern operating environment in 2009.
- Cúram – our client management system which is provided by Cúram Software, an Irish company that specialises in Social Enterprise Management (SEM) software solutions. Cúram has been our strategic partner since 2006.
- CYRAS – the Child, Youth and Family case management system which holds information to support social workers.
- SAL (Student Applications and Loans) – the system (introduced in 2000) which enables students applying for Student Allowance to be assessed and paid.
Qatar’s Ministry of Labour and Social Affairs (MoLSA)
https://gulf-times.com/story/436281/GBM-Diona-team-up-to-launch-IT-system-for-labour-m
Ontario’s Ministry of Community and Social Services
GOVERNMENT OF SASKATCHEWAN
The Department of Veterans’ Affairs – Australia
Medicaid Enterprise System Solution/Module Contract Status Report
The Medicaid Enterprise System (MES) Contract Status Report contains Medicaid Management Information System (MMIS) and Eligibility and Enrollment (E&E) contract information broken out by Operations and Maintenance (O&M) and Design, Development and Implementation (DDI) activities. The State Officer point of contract information is presented for any additional questions. The MES report is updated quarterly.
https://www.medicaid.gov/medicaid/data-and-systems/mmis/contract-status-report/index.html
Scottish government social security IT contract
https://www.ibm.com/services/client-stories/social-security-scotland-aws
Ministry of Social and Family Development, Singapore
https://www.msf.gov.sg/Pages/default.aspx
Reconstruction of China’s Social
Insurance Service Delivery System
Since 1990s, China has made great progress in developing a modern social insurance system which is
currently the largest one in the world in terms of covered population. However, the service delivery
system provided by the Social Insurance Administration (SIA) system is still underdeveloped and facing a
variety of challenges to meet the increasing public needs in the rapid economic and social
transformation process. In 2013, the 3rd Plenary Session of the 18th CPC Central Committee made the
decision to construct a service-oriented government in which the reform of social security
administrative system was one of the most important tasks.
Please find more information using below link –
ftp://ps.software.ibm.com/software/download/CASS_Paper_Final.pdf