Policy & Practice | Fall 2025

The work is ongoing. Building an enterprise data culture doesn’t happen overnight. It requires sustained atten tion to data quality, staff training, and governance. But as New Mexico looks ahead, this solid foundation will allow it to use data to not just manage programs, but to continuously improve them to better serve New Mexicans. It turns data into a continuous feedback loop—fueling a system that learns, adapts, and improves over time. Future-Ready Infrastructure by Design New Mexico is building not just for today, but for tomorrow’s unknowns. The state’s modular MES is designed with flexibility and scalability at its core, ready to adapt to new federal rules, emerging technologies like arti ficial intelligence, evolving risks, and changing resident needs. A critical enabler of the transforma tion is the system integration platform (see Figure 3), the KPMG Resource Integration Suite (KRIS) Connected Platform, a KPMG LLP software as a service enterprise integration solution, which provides the underlying support for the entire MMISR architecture. The extensible and scalable solution supports application, shared services, and data interoperability, helping ensure that new modules, programs, or partners can plug into the ecosystem effectively without having to re-archi tect core components. It accelerates implementation timelines, simplifies maintenance, and drives consistency in data quality, security, and compliance. Equally important is the role of transformation advisory services, also led by KPMG. Acting as a kind of command center, the team coordinates hundreds of moving parts and connects strategic direction with day-to-day execution like a quarterback reading the field and calling plays in a football game. By integrating disciplines such as program governance, enterprise architecture, and quality control, they help ensure the entire system works together smoothly—building capacity for agile and sustained improvement, especially when challenges arise. And they do arise. From resource constraints to the inevitable lessons learned during deployment, New

Figure 3: Building a Planned Health and Human Services Community in New Mexico

Mexico has had to adapt and iterate continuously. What’s made the differ ence is a mindset of learning. As the state transitions from implementation of core modules to long-term opera tions and continuous improvement, it’s working to instill that learning mindset across the human services ecosystem, ensuring that feedback loops, moni toring tools, and performance metrics are not afterthoughts but core func tions of system stewardship. Casa Medicaid is no longer a future vision—it’s a living system refined through experience, grounded in collab oration and governance, and designed to evolve. What New Mexico does next will define its long-term impact. The real measure of success is how well the system continues to respond to the needs of New Mexicans over time. By staying focused on governance, enterprise data, and future-ready infra structure, the state is demonstrating what it means to truly modernize—not just in technology, but in mindset. As New Mexico prepares for the next phase of its MES journey, the ongoing commitment to these prin ciples will help ensure the long-term Building a Resilient Human Services Future

success, responsiveness, and resilience of its human services ecosystem. The journey from legacy to modern and modular has laid the groundwork. But the story of Casa Medicaid—and the broader New Mexico human services familia—is just beginning. Some or all of the services described herein may not be permissible for KPMG audit clients and their affiliates or related entities. The information contained herein is of a general nature and is not intended to address the circumstances of any particular individual or entity. Although we endeavor to provide accurate and timely information, there can be no guarantee that such information is accurate as of the date it is received or that it will continue to be accurate in the future. No one should act upon such information without appropriate professional advice after a thorough examination of the particular situation. © 2025 KPMG LLP, a Delaware limited liability partnership and a member firm of the KPMG global organization of independent member firms affiliated with KPMG International Limited, a private English company limited by guarantee. All rights reserved. The KPMG name and logo are trademarks used under license by the independent member firms of the KPMG global organization.

Fall 2025 Policy & Practice 37