Work · State health and human services

One review process for every module of a state's HHS modernization.

Co-designed and ran the Architecture Review Board for the State of New Mexico's HHS 2020 / MMISR modernization, bringing Medicaid, behavioral health, and child welfare under one governance process that still serves as the model.

Client
State of New Mexico
Where
New Mexico
When
Feb 2017 – Apr 2019
Role
Architecture Review Board Lead; Functional and QA Architect, State of New Mexico

The problem

New Mexico's HHS 2020 program was replacing its Medicaid management information system as a set of modules from different vendors, under CMS conditions that demand modularity and interoperability. Medicaid, behavioral health, and child welfare each had their own CIO organization, their own standards, and their own view of what the enterprise architecture meant.

Without a shared review, every module would conform to its own vendor's architecture, and the integration problems would arrive at the end, when they are most expensive.

The decision

Working with CIO-level leadership, I co-designed the statewide Architecture Review Board: its charter, its intake process, and the criteria every design would be measured against. Then I ran it.

The board reviewed every MMISR module for conformance to the enterprise architecture, CMS modularity, and interoperability. Each review looked at the design, the data flows, the integration patterns, and the security approach, and recorded a decision the vendor and the agencies could both point to.

The same period put me on the YesNM eligibility and enrollment portal (Medicaid, SNAP, and TANF) as senior QA engineer and Scrum Master, where modern tooling improved testing efficiency 35% and cut testing cycles 40%.

What changed

  • Medicaid, behavioral health, child welfare, and cross-agency stakeholders worked under one governance process with recorded decisions.
  • The board still serves as the model for architecture governance on the program.
  • The YesNM portal's testing ran 35% more efficiently with 40% shorter cycles.

Stack

  • Enterprise architecture
  • CMS modularity and interoperability conditions
  • Architecture decision records
  • Integration patterns
  • Security review
  • Scrum