Molina Medicaid Solutions - DHHR

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Bridging the Rivers ofChange TogetherWest Virginia MMIS Re-ProcurementSolicitation: MED130067. General and Technical (GT)YESwithoutReq #Description of RequirementcustomizationGT.428 21. Web PortalGT.429 Provide and maintain a secure website with authentication and Xencryption to protect interactions and transactions. This shouldinclude, at a minimum, the use of Secure Sockets Layer, or SSL.The authentication process should be verified through a third partythat has registered and identified the server.GT.430 Web portal functionality should address the needs of a variety of Xentities/stakeholders, including <strong>Medicaid</strong> consumers (includingcurrent and potential Members), Providers, and other businesspartners as specified by BMS.GT.431 Web applications are to satisfy the Priority 1 Checkpoints from the XWeb Content Accessibility Guidelines 1.0 developed by the WorldWide Web Consortium (W3C), as detailed at:http://www.w3.org/TR/WCAG10/full-checklist.html.GT.432 Ensure web portal design, development, implementation andXoperations are in accordance with State and Federal regulationsand guidelines related to security, accessibility, confidentiality,and auditing.GT.433 Information and documentation captured via the web portal is Xexpected to conform to the user access, user inquiry, update,retention, archival, and other relevant data managementspecifications outlined in this RFP.GT.434 Include secure and non-secure tabs. XGT.435 Provide public information without requiring authentication. XGT.436 Provide Internet security functionality to include firewalls,Xintrusion detection, and encrypted network/secure socket layer.GT.437 Handle PHI through authentication, along with encryptionXmethods to secure PHI.GT.438 Ability to display and require the user to accept web site terms of Xagreement when entering the web portal.GT.439 Utilize an authentication process to handle multiple layers of Xsecurity levels as defined by BMS.GT.440 Establish user access to predefined BMS levels such as page level, Xfield and data element level.GT.441 The system is to provide a protected web site with secureXpasswords and log-ons to include:GT.442 Instructions on how to use the secure site XGT.443 Site map XGT.444 Contact information XGT.445 Send users their initial password via email and require that they Xchange their password at next sign-on.GT.446 Provide the ability to expire a password in a given number of days Xaccording to BMS standards.GT.447 Provide self-service password resets. XGT.448 Prohibit the display of passwords at the sign-on screen whenXentered by the user.YESwithcustomizationNOunabletoprovide14.2-106
Bridging the Rivers ofChange TogetherWest Virginia MMIS Re-ProcurementSolicitation: MED13006Req #GT.449GT.4507. General and Technical (GT)Description of RequirementNotify MMIS users at regular intervals defined by BMS thatsecurity access tables are to be cleared unless otherwise directed.(This is in reference to any security access tables the Vendor maypropose as part of their solution, where an example may be a userlog table).Delete account profiles after a period of inactivity as defined byBMS.YESwithoutcustomizationXGT.451 Inactive users should not be deleted from history. XGT.452 Allow Providers to be authorized to access only their own claim Xinformation.GT.453 Ability to require qualifying information (e.g., Provider number,prior authorization number, Member number, date of service, orclaim number) to access various information via the web portal.XGT.454 Include static and easily updated Web pages. XGT.455 Include a desktop environment with browser capability for easy Xnavigation.GT.456 Provide a user interface that allows all users to move easilyXthroughout the system.GT.457 Support a menu and control system with highly flexibleXnavigation.GT.458 Provide a user-friendly menu system that is easily navigable by thenon-technical user while not restricting direct access to any screento experienced users.XGT.459 Provide user interface features and capabilities including: XGT.460 Pull down menus and window tabs XGT.461 Scalable true type screen and printing fonts XGT.462 Upper and lower case alphabetic characters XGT.463 Ability to tab and mouse-click through data fields and screens XGT.464GT.465GT.466GT.467GT.468GT.469GT.470GT.471GT.472Use the following standards for all screens, windows, andreports:Maintain a consistent theme throughout the site andstandardize all headings and footers with index tabs asidentified by BMS.Display current date and time in a system-wide consistentformat.Utilize data labels and definitions in a system-wide consistentmanner and as defined in user manuals and data elementdictionaries.Generated messages are to be available in both mixed font andmixed case formats.Screens should distinguish between production and testenvironments.Comply with the American Disabilities Act (ADA)development standards for user screens.Comply with the Older Americans Act development standardsfor user screens.All generated messages are to be clear and sufficientlydescriptive to provide enough information for problemcorrection and be written in full English text.XXXXXXXXXXYESwithcustomizationNOunabletoprovide14.2-107
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Molina Medicaid SolutionsResponse t
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Bridging the Rivers ofChange Togeth
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e10vkTable of ContentsItem 1:Overvi
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e10vkDepartment of Health Services
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e10vkservices, and reputation or na
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e10vkIf our government contracts ar
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e10vkIf our cost increases resultin
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e10vkour board of directors. Becaus
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e10vkFirst Quarter $ 44.94 $ 23.46S
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e10vkTable of ContentsCertain compo
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e10vkNevada 8,037 1,106.45 9,099 1,
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e10vkInvestment IncomeInvestment in
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e10vkand 2007, respectively. EBITDA
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e10vk$2.8 million, or $0.10 per dil
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e10vkREPORT OF INDEPENDENT REGISTER
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e10vk65Table of ContentsMOLINA HEAL
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e10vkDelegated Provider InsolvencyC
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e10vk2007 (see Note 11, “Long-Ter
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e10vk$ 252,380 $ 248,039Gross reali
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e10vkTable of ContentsMOLINA HEALTH
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e10vk$10.9 million, and $7.9 millio
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e10vkIn July 2008, our board of dir
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e10vkThe Registrant has an equity i
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e10vkSIGNATURESPursuant to the requ
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exv12w1EX-12.1 2 a51362exv12w1.htm
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e10vkEX-31.1EX-31.2EX-32.1EX-32.2Ta
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e10vkLeverage operational efficienc
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e10vkhealth plans. Among such facto
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e10vkMissouri and Ohio health plans
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e10vkWe are subject to various rout
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e10vkIt may be difficult for a thir
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e10vkItem 5:PART IIMarket for Regis
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e10vkstates to exclude certain bene
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e10vkMedical care ratio 86.8% 84.8%
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e10vkTable of ContentsMedical care
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e10vkare required to pay a fee for
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e10vkknown. While we believe our cu
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e10vkYear Ended December 31,2009 20
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e10vkCalifornia $ 481,717 $ 417,027
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e10vkMOLINA HEALTHCARE, INC.NOTES T
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e10vk2008, we had transitioned fewe
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e10vknot intend to sell, nor is it
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e10vkDuring 2009, 2008, and 2007, t
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e10vk$29.17 - $30.05 9,350 5.9 $ 29
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e10vk(1) The Registrant’s condens
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e10vkChanges in Internal Controls:
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e10vkSignature Title Date/s/ Joseph
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exv10w22Commitments exceed the sum
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exv10w22Loan Document. The amendmen
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exv10w22Name:Title:Fifth Amendment
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exv10w22Fifth Amendment to Credit A
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exv10w24EX-10.24 3 a55407exv10w24.h
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exv10w24Molina ECMS ref# 729 Provid
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exv10w24HSA — Hospital Services A
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exv10w243.2 Member Eligibility Dete
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exv10w245.6 Amendment. Health Plan
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exv10w24HSA — Hospital Services A
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exv10w24License No. StreetNPI (or U
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exv10w24Page 23 of 40ATTACHMENT CPr
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exv10w24• This reimbursement meth
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exv10w24(Rule 53250(e)(4))8. Provid
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exv10w241. Right to Audit. Provider
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exv10w24Treasurer G. William Hammer
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exv10w25unless the situation is one
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exv10w25Plan in identifying, proces
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exv10w25Page 9that the offset and r
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exv10w25under this Agreement.h. Hea
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exv10w25Page 16Date 6/1/06ATTACHMEN
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exv10w25that Provider is de-delegat
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exv10w25the subscriber or Member by
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exv10w25discretion, that Provider h
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exv10w252.5 Annual Disclosure of Ca
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exv10w25Initials of authorizedrepre
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exv10w25the report is true and corr
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e10vk10-K 1 a58840e10vk.htm FORM 10
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e10vkOur StrengthsWe focus on servi
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e10vkevent.CompetitionWe operate in
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e10vkat the funding for these healt
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e10vk18Table of ContentsAlso, many
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e10vkTable of Contentsalleged non-c
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e10vk(fair value of $20.4 million).
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e10vkTable of ContentsSTOCK PERFORM
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e10vkAs of December 31, 2010, our h
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e10vkYear Ended December 31,2010 20
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e10vkAcquisitionsWisconsin Health P
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e10vkspecific performance measures
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e10vkoverestimations were tied to o
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e10vkIntangible assets, net 105,500
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e10vkOur Health Plans segment compr
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e10vkSituations may arise where the
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e10vkinvestment fund. As of Decembe
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e10vk7. ReceivablesHealth Plans seg
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e10vkindebtedness under the Credit
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e10vkstatutory capital and surplus
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e10vkCash paid in business purchase
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e10vkItem 12.Security Ownership of
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exv10w27EX-10.27 2 a58840exv10w27.h
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exv10w27(f) all transferable or ass
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exv10w27and other charges have been
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exv10w27under or affecting the Prop
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exv10w27BY A GENERAL RELEASE, WHICH
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exv10w27(f) Seller’s share of the
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exv10w2710.6 Items Not to be Prorat
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exv10w27- 21 -(i) Delinquency Repor
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exv10w27executed, and delivered by
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exv10w27MATERIALS THAT PERTAIN TO T
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exv10w27Attn: General CounselTeleph
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exv10w2718.16 Authority. The indivi
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