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State Health IT 1115 Toolkit

The State Health IT 1115 Toolkit (“Toolkit”) enables states to examine the key building blocks needed to develop an optimized health IT ecosystem for advancing delivery system reform. An optimized health IT ecosystem includes heath IT, health information exchange (HIE) and data interoperability—amongst the state, managed care organizations (MCO), accountable care organizations (ACO), providers and beneficiaries.


The Toolkit includes three parts: (1) a summary of the key questions with detailed backgrounds; (2) state examples related to each of the relevant health IT topic areas; and (3) an Excel spreadsheet to assist states in their planning and coordination of health IT-related activities. The Toolkit also reinforces the need for the state to align its 1115 demonstration objectives with other projects or programs—such as State Innovation Model (SIM) activities, the Electronic Health Record (EHR) Incentive Program and Medicaid Management Information Systems (MMIS).

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