Molina Medicaid Solutions - DHHR

Bridging the Rivers ofChange TogetherWest Virginia MMIS Re-ProcurementSolicitation: MED13006Req #GT.497GT.498GT.499GT.500GT.5017. General and Technical (GT)Description of RequirementOther transactions as specified by BMS (which may include,but not necessarily limited to: eprescribing, personal healthrecord, health information exchange of lab and/or clinical data)Provide the capability to display confirmation messages forrequestor transactions.Provide help screens and tutorials (e.g., guides to the Providerenrollment and Prior Authorization processes).Provide on-line option for end-users to report any technicalproblems with the web application and web pages.Ability to report and maintain web portal activity statistics (asdefined by the BMS). For instance: new and repeat visitors,number/percent of abandoned enrollment applications, etc.YESwithoutcustomizationXGT.502 22. Web Portal - Long Term Care (LTC) Provider Rate Submission & InquiryGT.503 Ability to allow Providers to submit and upload to BMS (via the Xweb portal) the following:GT.504 Cost reports XGT.505 Provider acceptance of the verification report XGT.506 Rate reconsideration requests XGT.507 Provider correspondence XGT.508GT.509GT.510GT.511GT.512Ability to accept and transfer specified files to and from Providersto the MMIS via the web portal.Ability to send cost report verification to user if no errors arefound during edits and supply Providers with a method to agree tothe verification.Ability to provide a private document page that displays a list ofthe available documents for each logged-in Provider.Ability to upload rate information in batch or in bulk (i.e.,reimbursement rates information that it is provided to RAPIDS.Vendor should propose the most economical format).Ability to provide Provider-specific inquiry access to securedinformation. Vendor should propose the more economical format.The pay-to amounts are expected to be provided to the Vendor.Examples include:GT.513 Automated Cost Report (ACR) (data and reports) XGT.514 Error reports as part of the cost verification process XGT.515 Rate setting package report XGT.516 Cost verification report XGT.517 Provider acceptance of the Verification report XGT.518 MDS error/authorization reports XGT.519 Individual Assessment Form (IAF) scores XGT.520 IAF error reports XGT.521GT.522Web Portal - Patient Care Web PortalAbility to provide system functionality that allows Providersaccess to Member claims data (pharmacy, medical and MCOencounter data) for the purposes of coordinating patient care andreducing duplications in medical procedures, diagnostic testingand medicationsXXXXXXXXXYESwithcustomizationNOunabletoprovide14.2-109