The Medicaid Information Technology Architecture (MITA) Governance Board is seeking
Working Group members. If you are interested in being a Working Group member,
please read and complete the information below.
Instructions:
MITA Working Groups will have defined start and end dates to deliver agreed-upon
projects. Continuance beyond the defined end date will require CMCS management
approval. The resources for these groups will be decided after CMCS management
provides direction and prioritization for specific project areas. To apply, complete the
application form and email it to the MITA Governance Board at
mmis_mes_certification@cms.hhs.gov?subject=mitagovernance.
Candidate Information:
Signature
Name (Print)
Organization Date
Address Email
City, State, Zip Telephone
MITA Governance Board
Working Group Application
click to sign
signature
click to edit
1. Please place an “x” in the box(es) for the Working Group you would like to fill (more than
one “x” is acceptable).
MITA Framework Improvement & Release Management
MITA Modularity
MITA Member Management
Reference Architecture
Data Analytics
Technical Standards
Other
2. Please place an “x” in the box(es) for the functional area(s) that most likely applies to your
expertise (more than one “x” is acceptable).
Policy
Healthcare
Innovation Technology
Data Analytics
State IT Architecture
Insurance
Standards
Interoperability
Other
MITA Governance Board
Working Group Application