TITLE 1: GOVERNMENT
DIVISION 2: EXECUTIVE BRANCH
§ 20205. Maintenance of Records. The Commonwealth Medicaid Agency shall maintain or supervises the maintenance of records necessary for the proper and efficient operation of the plan, including records regarding applications, determination of eligibility, the provision of medical assistance, medical claims, and administrative costs, and statistical, fiscal and other records and data necessary for reporting, accountability, and Medicaid Enterprise Systems data, and retains these records for the period required by law and Centers for Medicare and Medicaid Services. The Commonwealth Medicaid Agency shall plan, design, implement, and operate Medicaid Enterprise Systems to establish and manage: (a) the processing of eligibility and provider claims, and meet federal reporting requirements; (b) a claims and clinical data repository to analyze the cost and quality of care and population health in comparison with other payers, self-insured, uninsured, and Medicare beneficiaries; (c) an online systems capability to enable Medicaid beneficiaries to access their health care information from all providers, implement health information exchange by providers, and establish a Medicaid clinical data warehouse to enable clinical care and care management, evaluate the quality of healthcare provider services, and enable comparative clinical, quality, and population health studies of Medicaid populations with privately insured, self-insured, uninsured, and Medicare beneficiaries. Source: PL 21-28, § 2 (May 22, 2020). Commission Comment: The Commission numbered this section pursuant to 1 CMC § 3806(a).