To: Joint Conference Committee (JCC) Members
From: Bhumil Shah, CIO, CCHP IT (Information Technology)
Date: October 3, 2025
Subject: IT Report
Purpose
To provide the Joint Conference Committee with a high-level overview of activities within the IT Department, progress, priorities, and challenges.
Department Description
IT Department supports all CCHP's technology needs - from infrastructure and software systems to analytics, artificial intelligence, information security, and technology procurement.
Key Accomplishments and Highlights
* We have completed most of the IT system configuration to prepare for D-SNP. Testing is in progress, with testing for Member Services, Case Management and Utilization Management complete.
* We completed the implementation of Transportation Vendor service for CCHP members that streamlines member transportation request with a dedicated call center
* We hosted 10+ Epic staff to review our Credentialing and Privileging process and develop a roadmap for system implementation
* We have developed dashboards to identify potential anomalies in billing for further investigation
Current Priorities and In-Progress Work
* A team of approximately 10 staff are currently implementing the Medicare Advantage module of Epic Electronic Medical Record for D-SNP.
* Our data analysts are working with the actuaries and finance staff on expenses optimization analysis given the HR1 and State budget challenges.
* We are reviewing AI solutions to reduce manual workflows for faxed referrals and improve membership experience.
Challenges
We are experiencing contracting delays that are delaying the integration of 3rd party systems into Epic needed for D-SNP ID Cards, member material and supplemental benefits.
Looking Ahead
In the next quarter, we plan to complete the unit and integrated testing of the D-SNP build including support enrollment, process claims, model of care and regulatory compliance and user training. Additionally, we have developed a post g...
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