Custom Medicaid Homecare Platform

Custom Medicaid Homecare Platform

Healthcare Plan Provider Logo - NDA

Ohio Healthcare Waiver Platform

Smart Data partnered with Ohio’s largest healthcare plan provider to design and launch a custom platform for managing Medicaid homecare services.

Replacing a Costly Third-Party Tool With a Custom Solution

Client

Ohio's Largest Healthcare Plan Provider

Industry

Healthcare

Timeline

2020

A doctor in a white coat checks a patient's pulse during a consultation in a modern office setting.
A doctor in a white coat checks a patient's pulse during a consultation in a modern office setting.
A doctor in a white coat checks a patient's pulse during a consultation in a modern office setting.

Project Overview

Ohio’s Largest Healthcare Plan Provider is responsible for coordinating Medicaid services across the state. One key program is the Ohio Home Care Waiver, which helps match eligible Medicaid members with qualified home care providers. The organization had been relying on an expensive third-party tool to manage service requests, provider bids, and case tracking. When the system proved misaligned with internal processes and member experience goals, they turned to Smart Data to build a custom solution from the ground up.

Project Challenge

This project came with several significant constraints:

  • No work had started, and no contract was in place

  • Only four months remained before the state-mandated go-live

  • The existing tool was inflexible, costly, and poorly matched to operational workflows

  • Compliance with strict Medicaid and internal IT standards was required

  • The project had to launch with no delays permitted

Time was the most critical factor. There was zero margin for delay, and missing the deadline was not an option.

Project Approach

Smart Data assembled a dedicated onshore team including developers, quality assurance professionals, and a Scrum Master. Working side by side with the client’s product owner, internal developer, and subject matter experts, the team focused on:

  • Rapid requirement gathering with domain experts

  • Iterative development using Agile methodologies

  • Clear alignment with internal development and compliance standards

  • Frequent check-ins, sprint planning, and risk tracking to stay ahead of the deadline

The collaborative approach and proximity of the team enabled fast decisions, quick pivots, and accelerated progress.

Project Results

Application launched on schedule and within budget

Application launched on schedule and within budget

Application launched on schedule and within budget

Replaced the expensive third-party system

Replaced the expensive third-party system

Replaced the expensive third-party system

Increased alignment with internal workflows

Increased alignment with internal workflows

Increased alignment with internal workflows

Reduced long-term licensing costs

Reduced long-term licensing costs

Reduced long-term licensing costs

Strong collaboration between client and Smart Data teams

Strong collaboration between client and Smart Data teams

Strong collaboration between client and Smart Data teams

The custom homecare facilitation tool was deployed successfully, providing better flexibility, lower cost, and improved support for Medicaid members and providers.

Key Technologies

Key technologies included a custom web application architecture, secure handling of Medicaid data, an Agile delivery framework, both automated and manual QA testing, integrated bid and tracking functionality, and a backend built on the .NET stack with a SQL database.

Our Work

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