Fragmented legacy workflows
Separate systems and processes created inconsistent experiences for state and federal users.
— CASE STUDY
Modernizing Medicaid oversight platforms without interrupting program delivery
Supporting MACPro cloud migration, testing, and OneMAC delivery
Across MACPro, eAPD, and OneMAC, theta. delivered cloud migration, testing, and product development that replaced fragmented legacy workflows with more secure, standardized digital services. The work moved MACPro into CMS AWS GovCloud and advanced the phased transition to OneMAC.
— CASE STUDY
Modernizing Medicaid oversight platforms without interrupting program delivery
Across MACPro, eAPD, and OneMAC, theta. delivered cloud migration, testing, and product development that replaced fragmented legacy workflows with more secure, standardized digital services. The work moved MACPro into CMS AWS GovCloud and advanced the phased transition to OneMAC.
customer
Centers for Medicare & Medicaid Services (CMS)
Contract Role
Subcontractor across multiple prime contracts
Mission
Medicaid and CHIP program administration
Delivery Focus
Cloud migration, quality engineering, and product modernization
Capabilities
Build & Integrate | Secure, Test & Release | Enable & Transfer
Mission Context
CMS and state partners relied on multiple legacy systems and manual workflows to manage Medicaid and CHIP program actions. Standards changed, application patterns aged, and fragmented tools made consistent review more difficult. theta. delivered across the modernization lifecycle: moving MACPro into CMS’s authorized cloud environment, strengthening quality through eAPD testing, and building OneMAC as the unified path forward.
Why it mattered
Program administration depends on consistent, traceable exchanges between states and CMS.
Program administration depends on consistent, traceable exchanges between states and CMS. Disconnected systems and manual intervention increase error risk, slow reviews, and make it harder to adapt when policy or reporting standards change.
The Challenge
Unify Medicaid oversight without interrupting active program work
Manual, error-prone exchanges
Repeated intervention increased processing effort and made program actions harder to track.
Modernization without interruption
Cloud migration and new product delivery had to preserve access to active program work.
How theta. Delivered
A connected path from legacy platforms to OneMAC
Moved MACPro to CMS AWS GovCloud
theta. migrated the application from a commercial cloud environment and integrated it with CMS identity and access services.
Strengthened eAPD quality
theta. delivered software testing that improved release confidence for electronic advance planning document workflows.
Built OneMAC
theta. used Agile product delivery to advance the unified platform replacing fragmented Medicaid and CHIP workflows.
Connected delivery to operations
theta. aligned migration, testing, and product development so modernization could progress without losing program continuity.
Outcomes
Cloud, quality, and product modernization advanced together
theta. created a clearer, more secure modernization path across the platforms CMS uses to oversee Medicaid and CHIP program actions.
MACPro operating in CMS GovCloud
The application moved into the agency's authorized AWS environment with CMS identity integrations in place.
Stronger release confidence
Dedicated testing improved the quality and predictability of eAPD delivery.
A unified path through OneMAC
Agile product development advanced the phased replacement of disconnected legacy workflows.
Customer voice
“The theta. team’s hard work, skill, and dedication to the baseline efforts on the MACPro application could not be completed without their help.”
Josh Bailes, Executive Vice President, Health and Civilian Group, Groundswell
Built for What Comes Next
A unified platform that can evolve with policy
The combined work gave CMS a more secure cloud foundation and a repeatable route from legacy program tools to a unified product experience that can evolve with Medicaid and CHIP policy.
Technical environment
Technology and delivery practices
CMS AWS GovCloud, CMS Identity Management, Enterprise User Administration, Agile product delivery, automated and manual testing
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