Modernizing Medicaid Rules with Oracle Intelligent Advisor (OIA) Cloud

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Authors: Rules movement to Cloud as part of a Technical Upgrade Release, Malini Balasubramanyam
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Abstract

Executive Summary Over seven months, AHSS executed a strategic modernization of a large, legacy rules estate—over 10,000 complex Medicaid rules—transitioning from an embedded, on‑premises rules engine approaching end‑of‑life to Oracle Intelligent Advisor (OIA) SaaS. The initiative emphasized deep mastery of OIA’s rule design and orchestration model and delivered a cloud‑ready rules architecture that eliminates inter‑budget dependencies, resolves evaluation loops, and preserves decision parity for actively used budgets. The result is a scalable, maintainable, and auditable rules corpus that aligns with cloud constraints while retaining functional fidelity where it matters to clients.

Fields of Study & Subjects

Business Process Modeling and Analysis Decision Support System Applications Software Engineering Research

Publication details

Journal / source
INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT
Volume
10
Issue
02
Pages
1–9
Publication date
16 February 2026
Language
EN