Interoperability

What is Interoperability?

Interoperability refers to the ability of two or more systems or components to exchange information and to use the information to make better decisions. The term is often used in a technical engineering sense and also in a broader sense, taking into account social, political, and organizational factors that impact performance.

Too many barriers stand in the way of clients getting the services they need. “Interoperability”—a national effort of technological and programmatic coordination—is poised to eliminate many of those barriers. Today, the emergence of “interoperable technology” offers an unprecedented opportunity to connect systems across traditional boundaries in exciting and rewarding ways. This interconnectivity represents the cutting edge for development of new service models and approaches to maximize positive outcomes for children, families and communities.

This web site consists of news containing the latest information about data sharing and interoperability at the Administration for Children and Families (ACF); interoperability initiative resources; information about the National Information Exchange Model (NIEM) and the Human Services (HS) domain, and a repository of HS domain Information Exchange Packet Documentation (IEPD) files.

News

NIEM Human Services Domain Workgroup

NIEM Human Services (HS) Domain Workgroup was established in early 2015 to provide a combination of programmatic, policy, business, and technical expertise in creating standardized data exchanges for the HS domain by adopting the National Information Exchange Model (NIEM). The collaborative workgroup, overseen and coordinated by the Administration for Children and Families, consists of federal, state, local and non-profit organization representatives. Examples of topics that were shared in the workgroup include but are not limited to: HS domain data model approach; privacy/confidentiality in date exchange; data harmonization; use of UML tool to build IEPD; Federal Health Information Model (FHIM) and harmonization with HL7; federal and state data exchange projects.

Interested in joining the workgroup? Contact the ACF interoperability team at interoperability@acf.hhs.gov.

NIEM Human Services Domain IEPD Repository is Online

The following completed IEPDs have been added to the Human Services Domain Information Exchange Packet Documentation (IEPD) repository:

  • ICWA e-Notice IEPD
  • Model Tribal System IEPD
  • National Youth in Transition Database (NYTD) IEPD
  • NEICE IEPD
  • North Carolina Families Accessing Services through Technology (NC FAST) IEPD
  • Public Assistance Reporting Information System (PARIS) IEPD

Feel free to visit the IEPD repository to learn more.

U.S. Departments of Health and Human Services (HHS) and Agriculture (USDA) Work with States and Federal partners to Implement the Affordable Care Act

The July 20, 2015 Tri-Agency Letter on Detail of Cost Allocation Waiver provides specific exception to the cost allocation requirements set forth in OMB Circular A-87 (Section C.3), which requires benefitting programs to share the costs associated with building state-based information technology systems. The initial exception allowed Federally-funded human services programs to benefit from investments in the design and development of state eligibility-determination systems for state-operated Exchanges, Medicaid and the Children's Health Insurance Program (CHIP) through December 31, 2015. This letter provides a one-time extension for an additional 3 years, through December 31, 2018, and provides additional guidance on how states may take advantage of the exception and the extended timeframe to leverage these investments to better serve consumers’ multiple programs and needs. View other Medicaid/CHIP policy guidance.

NIEM 3.1 is Now Available

The final operational release of NIEM version 3.1 has been published and is now available. NIEM 3.1 is a minor release that has incorporated additional user needs identified since NIEM 3.0 was released in November 2013. In this version, Human Services has added content to the model for the first time. Also, as part of NIEM 3.1, Human Services, formerly as a community of interest (COI), has been adjusted to be a formal NIEM domain.

Cost Allocation Methodology Toolkit (Version 3) is Now Available 

The Cost Allocation Methodology (CAM) Toolkit is a cost allocation modelling tool available to Federal, State, and local agencies. The purpose of the Toolkit is to model a simple, consistent and objective cost allocation methodology that serves as a “safe harbor” for States that must perform equitable cost allocation of software development costs to federal and state benefiting programs under an approved Advance Planning Document (APD). Current version #3 of the Toolkit natively supports Microsoft Office Excel 2010 and provides usability improvements.

Medicaid Announces 3-Year Extension of the A-87 Exception and Intent to Make Permanent 90 Percent Federal Funding of Medicaid Eligibility and Enrollment Systems

Medicaid announced on October 28th, that it will provide a three-year extension of the A-87 waiver authority to allow states to complete their work on eligibility and enrollment systems integration through December 2018.  States should plan that normal cost allocation will resume after this date.  Medicaid will be issuing a joint guidance letter with the Administration for Children and Families and the Department of Agriculture’s Food and Nutrition Service formalizing the extended use of the A-87 waiver authority, including updated application procedures for States seeking to use this flexibility.  In addition, Medicaid announced its intention to issue new regulations that will codify the availability of the 90/10 federal matching funds for Medicaid eligibility and enrollment systems on a permanent basis.  View the Medicaid announcement.

 

Interoperability Initiative Resources

National Human Services Interoperability Architecture (NHSIA)

The National Human Services Interoperability Architecture (NHSIA) proposes a framework to facilitate information sharing, improve service delivery, prevent fraud, and provide better outcomes for children and families. For further information, contact the ACF interoperability team at interoperability@acf.hhs.gov.

Interoperability Toolkit

A compendium of interoperability documents is designed to help state human services agencies connect with their health counterparts and maximize Affordable Care Act benefits.

Program Instruction ACF-OA-PI-13-01

ACF-OA-PI-13-01 describes the waiver process for the use of federal funding to acquire proprietary program-specific applications using Commercial Off-the-Shelf (COTS) software products in human services programs. 

ACF Confidentiality Toolkit - August 19, 2014

ACF announces publication of the ACF Confidentiality Toolkit.

The Administration for Children and Families (ACF) developed this ACF Confidentiality Toolkit to help jurisdictions successfully navigate the delicate balance between privacy and security with the delivery of efficient and effective services. The ACF Confidentiality Toolkit analyzes, explains and aids states and local jurisdictions in the navigation of a number of federal laws that impact the implementation of human services. Embedded throughout are sample documents from across the country from which jurisdictions using the Toolkit can borrow freely.

Guidance on Funding and Cost Allocation

The guidance on funding and cost allocation is a list of resources related to cost allocation in health and human services systems.

The Affordable Care Act and Child Support

A presentation for the 2013 NCSEA Policy Forum in Washington, DC on the opportunities available to states developing eligibility and enrollment systems under the Affordable Care Act exception to OMB cost-allocation requirements. View the presentation.

Cost Allocation Methodology Toolkit

The Cost Allocation Methodology (CAM) Toolkit is a cost allocation modelling tool available to Federal, State, and local agencies. The purpose of the Toolkit is to model a simple, consistent and objective cost allocation methodology that serves as a “safe harbor” for States that must perform equitable cost allocation of software development costs to federal and state benefiting programs under an approved Advance Planning Document (APD). Current version #3 of the Toolkit natively supports Microsoft Office Excel 2010 and provides usability improvements.

State Systems Interoperability and Integration Project Grants - July 09, 2014

The Office of Management and Budget (OMB) Partnership Fund for Program Integrity Innovation provided the Department of Health and Human Services/Administration for Children and Families (HHS/ACF) funding for the State Systems Interoperability and Integration Projects (S2I2).  These planning grants funded 12-month-long projects in seven states to explore and plan improved interoperability and integration in eligibility and enrollment, case management, and other related functions to help streamline administration processes and strengthen program integrity in federal assistance programs across health and human services information technology systems. Grants were awarded to the states of California, Colorado, Illinois, Indiana, Maryland, New York, and Oklahoma.

  • California promoted the understanding of interoperability statewide and developed an integrated Governance Model

  • Colorado built a Client Information Sharing System that facilitates collaboration and data sharing across their Department of Human Services and six other domains.

  • Illinois developed a sustainable Governance Model for the Healthcare and Human Services Framework.

  • Indiana worked to automate and improve the state’s Vital Events Registry information, collection, and data sharing.

  • Maryland defined interoperability and its impact on client outcomes at the practice level “Life of the Case” Workflow Analysis Model, and Return on Investment Models and Calculator.

  • New York developed the Children’s Passport, an online reporting portal that captures data from multiple data sources.

  • Oklahoma built a roadmap that will help redesign the Eligibility and Enrollment system, integrate Service-Oriented Architecture, and expand the Enterprise Service Bus.

 

NIEM Human Services Domain Resources

National Information Exchange Model (NIEM)

NIEM – the National Information Exchange Model – is a community-driven, government-wide, standards-based approach to exchanging information. Today's challenges and opportunities cut across various sectors and organizations, often requiring collaboration between governments and industry. NIEM ensures that information is well-understood and carries the same consistent meaning across various communities, allowing interoperability to occur. NIEM brings together diverse communities that collectively leverage tools, processes, and technologies to increase efficiencies and improve decision-making.

NIEM Human Services Domain

The NIEM Human Services (HS) domain was officially established by the Department of Health and Human Services (DHHS) and recognized by the NIEM Executive Steering Council in March 2012. Effective information sharing is critical to the success of a coordinated HS system. The NIEM HS domain supports information sharing and promotes interoperability between and across social service providers at the federal, state, local, and tribal levels. Standardized data and information exchanges help fulfill these human services goals: improved service delivery for clients; reduced errors and improved program integrity; and improved administrative efficiency. The NIEM HS domain leverages the NIEM tools and processes which serve as reusable resources for new exchange development efforts so that content can be modeled in an agile and interoperable manner. Presently, the Administration of Children and Families (ACF) of DHHS serves as the NIEM HS Domain Steward.

NIEM Human Services Domain Charter

The NIEM Human Services Domain Charter is a brief document that summaries the essential information for a project team, including: NIEM overview; ACF role as the NIEM HS Domain Steward; NIEM HS domain purpose, functions, goals, and expected outcomes; NIEM HS domain governance; NIEM HS domain performance measure. The objective of the charter is to assist ACF and the human services field in the operations of the domain.

NIEM Human Services Domain Operations and Maintenance Plan

The NIEM Human Services Domain Operations and Maintenance (O&M) Plan describes the processes and procedures for managing and executing domain activities. Additionally, the plan addresses the infrastructure and tools that are used to support these activities. The intended audience for this document is the NIEM HS domain’s stakeholders and governance groups as defined in the NIEM Human Services Domain Charter. The potential audience includes program managers and government sponsors from human services agencies, as well as any participants wanting to leverage the NIEM HS Domain. The O&M plan should be referenced alongside the charter.

NIEM Information Exchange Package Documentation for Human Services

Sharing data within the HS community is crucial to the success of their programs. There are numerous opportunities to share data: from eligibility, to payments, to program performance. To begin exchanging information, information exchange partners must first develop a data exchange. An Information Exchange Package Documentation (IEPD) is the final product of the NIEM data exchange development process, also known as the IEPD lifecycle. Both business and technical artifacts that define the information exchange taking place between the partners are to be included in an IEPD. Go to the HS domain IEPD repository to learn more.

Completed IEPDs
In-Process IEPDs

For more information, contact the ACF interoperability team at interoperability@acf.hhs.gov.

Last Reviewed: April 18, 2016
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