Molina Medicaid Solutions - DHHR

More documents

Recommendations

Info

Bridging the Rivers ofChange TogetherWest Virginia MMIS Re-ProcurementSolicitation: MED13006This page intentionally left blank14.1-2
Bridging the Rivers ofChange TogetherWest Virginia MMIS Re-ProcurementSolicitation: MED1300614.2 Appendix E: Business and Technical RequirementsRFP Requirement 4.1.10 Solution Alignment with BMS’ Business and Technical Needs, second bullet<strong>Molina</strong> offers BMS technology and services that align with “to be” vision goals and objectives. HealthPAS aligns with the MITA standards and can facilitate West Virginia’s move into the future whilemeeting the goals and objectives of the MMIS re-procurement project.Table 14.2-1 contains <strong>Molina</strong>’s completed RFP Appendix E, Business and Technical Requirements. Insummary: 2,268 out of a total of 2,297 requirements (99%) are available without customization 29 out of a total of 2,297 requirements (1%) are available with customization 0 requirements (0%) are unavailable14.2-1
Page 1:
Molina Medicaid SolutionsResponse t
Page 7 and 8:
Bridging the Rivers ofChange Togeth
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18: Bridging the Rivers ofChange Togeth
Page 67: Bridging the Rivers ofChange Togeth
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
Page 199 and 200:
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
Page 211 and 212:
Page 213 and 214:
Page 215 and 216:
Page 217 and 218:
Page 219 and 220:
Page 221 and 222:
Page 223 and 224:
Page 225 and 226:
Page 227 and 228:
Page 229 and 230:
Page 231 and 232:
Page 233 and 234:
Page 235 and 236:
Page 237 and 238:
Page 239 and 240:
Page 241 and 242:
Page 243 and 244:
Page 245 and 246:
Page 247 and 248:
Page 249 and 250:
Page 265:
Page 272 and 273:
Page 274 and 275:
Page 276 and 277:
Page 278 and 279:
Page 280 and 281:
Page 282 and 283:
Page 284 and 285:
Page 286 and 287:
Page 288 and 289:
Page 290 and 291:
Page 292 and 293:
Page 294 and 295:
Page 296 and 297:
Page 298 and 299:
Page 300 and 301:
Page 302 and 303:
Page 304 and 305:
Page 306 and 307:
Page 308 and 309:
Page 310 and 311:
Page 312 and 313:
Page 314 and 315:
Page 316 and 317:
Page 318 and 319:
Page 320 and 321:
Page 322 and 323:
Page 324 and 325:
Page 326 and 327:
Page 328 and 329:
Page 330 and 331:
Page 332 and 333:
Page 334 and 335:
Page 336 and 337:
e10vkTable of ContentsItem 1:Overvi
Page 338 and 339:
e10vkDepartment of Health Services
Page 340 and 341:
e10vkservices, and reputation or na
Page 342 and 343:
e10vkIf our government contracts ar
Page 344 and 345:
e10vkIf our cost increases resultin
Page 346 and 347:
e10vkour board of directors. Becaus
Page 348 and 349:
e10vkFirst Quarter $ 44.94 $ 23.46S
Page 350 and 351:
e10vkTable of ContentsCertain compo
Page 352 and 353:
e10vkNevada 8,037 1,106.45 9,099 1,
Page 354 and 355:
e10vkInvestment IncomeInvestment in
Page 356 and 357:
e10vkand 2007, respectively. EBITDA
Page 358 and 359:
e10vk$2.8 million, or $0.10 per dil
Page 360 and 361:
e10vkREPORT OF INDEPENDENT REGISTER
Page 362 and 363:
e10vk65Table of ContentsMOLINA HEAL
Page 364 and 365:
e10vkDelegated Provider InsolvencyC
Page 366 and 367:
e10vk2007 (see Note 11, “Long-Ter
Page 368 and 369:
e10vk$ 252,380 $ 248,039Gross reali
Page 370 and 371:
e10vkTable of ContentsMOLINA HEALTH
Page 372 and 373:
e10vk$10.9 million, and $7.9 millio
Page 374 and 375:
e10vkIn July 2008, our board of dir
Page 376 and 377:
e10vkThe Registrant has an equity i
Page 378 and 379:
e10vkSIGNATURESPursuant to the requ
Page 380 and 381:
exv12w1EX-12.1 2 a51362exv12w1.htm
Page 382 and 383:
Page 384 and 385:
Page 386 and 387:
Page 388 and 389:
e10vkEX-31.1EX-31.2EX-32.1EX-32.2Ta
Page 390 and 391:
e10vkLeverage operational efficienc
Page 392 and 393:
e10vkhealth plans. Among such facto
Page 394 and 395:
e10vkMissouri and Ohio health plans
Page 396 and 397:
e10vkWe are subject to various rout
Page 398 and 399:
e10vkIt may be difficult for a thir
Page 400 and 401:
e10vkItem 5:PART IIMarket for Regis
Page 402 and 403:
e10vkstates to exclude certain bene
Page 404 and 405:
e10vkMedical care ratio 86.8% 84.8%
Page 406 and 407:
e10vkTable of ContentsMedical care
Page 408 and 409:
e10vkare required to pay a fee for
Page 410 and 411:
e10vkknown. While we believe our cu
Page 412 and 413:
Page 414 and 415:
e10vkYear Ended December 31,2009 20
Page 416 and 417:
e10vkCalifornia $ 481,717 $ 417,027
Page 418 and 419:
e10vkMOLINA HEALTHCARE, INC.NOTES T
Page 420 and 421:
e10vk2008, we had transitioned fewe
Page 422 and 423:
e10vknot intend to sell, nor is it
Page 424 and 425:
Page 426 and 427:
e10vkDuring 2009, 2008, and 2007, t
Page 428 and 429:
e10vk$29.17 - $30.05 9,350 5.9 $ 29
Page 430 and 431:
e10vk(1) The Registrant’s condens
Page 432 and 433:
e10vkChanges in Internal Controls:
Page 434 and 435:
e10vkSignature Title Date/s/ Joseph
Page 436 and 437:
exv10w22Commitments exceed the sum
Page 438 and 439:
exv10w22Loan Document. The amendmen
Page 440 and 441:
exv10w22Name:Title:Fifth Amendment
Page 442 and 443:
exv10w22Fifth Amendment to Credit A
Page 444 and 445:
exv10w24EX-10.24 3 a55407exv10w24.h
Page 446 and 447:
exv10w24Molina ECMS ref# 729 Provid
Page 448 and 449:
Page 450 and 451:
exv10w24HSA — Hospital Services A
Page 452 and 453:
exv10w243.2 Member Eligibility Dete
Page 454 and 455:
exv10w245.6 Amendment. Health Plan
Page 456 and 457:
exv10w24HSA — Hospital Services A
Page 458 and 459:
exv10w24License No. StreetNPI (or U
Page 460 and 461:
exv10w24Page 23 of 40ATTACHMENT CPr
Page 462 and 463:
exv10w24• This reimbursement meth
Page 464 and 465:
Page 466 and 467:
exv10w24(Rule 53250(e)(4))8. Provid
Page 468 and 469:
exv10w241. Right to Audit. Provider
Page 470 and 471:
exv10w24Treasurer G. William Hammer
Page 472 and 473:
exv10w25unless the situation is one
Page 474 and 475:
exv10w25Plan in identifying, proces
Page 476 and 477:
exv10w25Page 9that the offset and r
Page 478 and 479:
exv10w25under this Agreement.h. Hea
Page 480 and 481:
exv10w25Page 16Date 6/1/06ATTACHMEN
Page 482 and 483:
exv10w25that Provider is de-delegat
Page 484 and 485:
exv10w25the subscriber or Member by
Page 486 and 487:
exv10w25discretion, that Provider h
Page 488 and 489:
exv10w252.5 Annual Disclosure of Ca
Page 490 and 491:
exv10w25Initials of authorizedrepre
Page 492 and 493:
exv10w25the report is true and corr
Page 494 and 495:
Page 496 and 497:
Page 498 and 499:
Page 500 and 501:
e10vk10-K 1 a58840e10vk.htm FORM 10
Page 502 and 503:
e10vkOur StrengthsWe focus on servi
Page 504 and 505:
e10vkevent.CompetitionWe operate in
Page 506 and 507:
e10vkat the funding for these healt
Page 508 and 509:
e10vk18Table of ContentsAlso, many
Page 510 and 511:
e10vkTable of Contentsalleged non-c
Page 512 and 513:
e10vk(fair value of $20.4 million).
Page 514 and 515:
e10vkTable of ContentsSTOCK PERFORM
Page 516 and 517:
e10vkAs of December 31, 2010, our h
Page 519 and 520:
e10vkYear Ended December 31,2010 20
Page 521 and 522:
e10vkAcquisitionsWisconsin Health P
Page 523 and 524:
e10vkspecific performance measures
Page 525 and 526:
e10vkoverestimations were tied to o
Page 527 and 528:
e10vkIntangible assets, net 105,500
Page 529 and 530:
e10vkOur Health Plans segment compr
Page 531 and 532:
e10vkSituations may arise where the
Page 533 and 534:
e10vkinvestment fund. As of Decembe
Page 535 and 536:
Page 537 and 538:
e10vk7. ReceivablesHealth Plans seg
Page 539 and 540:
Page 541 and 542:
e10vkindebtedness under the Credit
Page 543 and 544:
e10vkstatutory capital and surplus
Page 545 and 546:
e10vkCash paid in business purchase
Page 547 and 548:
e10vkItem 12.Security Ownership of
Page 549 and 550:
exv10w27EX-10.27 2 a58840exv10w27.h
Page 551 and 552:
exv10w27(f) all transferable or ass
Page 553 and 554:
exv10w27and other charges have been
Page 555 and 556:
exv10w27under or affecting the Prop
Page 557 and 558:
exv10w27BY A GENERAL RELEASE, WHICH
Page 559 and 560:
exv10w27(f) Seller’s share of the
Page 561 and 562:
exv10w2710.6 Items Not to be Prorat
Page 563 and 564:
exv10w27- 21 -(i) Delinquency Repor
Page 565 and 566:
exv10w27executed, and delivered by
Page 567 and 568:
exv10w27MATERIALS THAT PERTAIN TO T
Page 569 and 570:
exv10w27Attn: General CounselTeleph
Page 571 and 572:
exv10w2718.16 Authority. The indivi
Page 573 and 574:
Page 575 and 576:
Page 577 and 578:
Page 579:
show all

Molina Medicaid Solutions - DHHR

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?