Molina Medicaid Solutions - DHHR

Bridging the Rivers ofChange TogetherWest Virginia MMIS Re-ProcurementSolicitation: MED13006TERMM-WINNational Payer IdentificationNational Drug CodeNational Provider IdentifierNCIDNCPDPNDCNew AssignmentsNISTNo-RAP LUPADEFINITIONMedicaid-Work Incentive NetworkNThe National Payer Identification is a project in which a unique identifier, called aPayer ID, will be assigned to every payer of health care claims, eliminating theneed for multiple numbering schemes.The national standard formulary 11 digit code used by most states to uniquelyidentify drugs. Codes are assigned by the FDA.A universally recognized, unique identifier assigned permanently to everyprovider of health care services or supplies by CMS.National Crime Information DatabaseNational Council on Prescription Drug ProgramsNational Drug CodePrimary Care Provider (PCP) assignments made for health plan members who donot have a PCP assignment or whose previous PCP assignment was with aprovider no longer eligible to provide services to health plan membersNational Institute of Standards and TechnologyA LUPA billed without a preceding RAP. See also LUPA and RAP in theAcronyms Section and Initial RAP in the Terms SectionNumeric Fixed precision and scale numeric data from -1038 -1 through 1038 -1;synonymous with decimal in MSSQLOObjectOfferorOIGOn-LineOODMSOQPIOn-Line SurveyCertification & ReportingOrganizationOrgPolicyA data structure defined according to the template for data of the specified classwith each object having a unique value among the variables in its class. Forexample, within the class of employer objects, each employer would have its ownindependent data structure which stored both information about how the employerrecord was to be used that was common to all employer records, and uniqueinformation about that specific employer (i.e., name, address, etc.)A vendor who returns a properly completed response to a request for proposalfrom an authorized State or agency-purchasing agentOffice of Inspector GeneralInteraction between a user operating a cathode ray tube (CRT), personalcomputer, or point of sale(POS) device to send and receive information on a videodisplay via a telecommunications network to a central computer processing unit(CPU)Object Oriented Database Management SystemOffice of Quality and Program IntegrityThe Federal file which contains CLIA certified providers and their classifications.The interface loads and verifies the CLIA provider number, status and specialtiesfor which a provider is approved and can deny claims based upon CLIAspecialties and subspecialties found on the OSCAR fileAn administrative and functional structure where people collectively manage oneor more projects, and the projects share a senior manager and operate under thesame policiesA component of sponsor, the linking mechanism from policy to sponsor in HealthPAS. Configurable options make a generic policy template specific for anorganization14.14.2-22