Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS Operations• Claims approval/data access and/or viewing authority• Check handling as part of the job duties• Hours of access to the building(s)• Segregation of dutiesThere are two security levels. Level 1 has a classification score of 3 to 22 and is primarily for nonmanagementpersonnel. For Level 1, a background check consists of:1. Review of pre-employment application2. Verification of non-listing on the Government Accountability Office (GAO) Excluded Parties ListingService (EPLS), Office of Foreign Assets Control (OFAC) and OIG List of ExcludedIndividuals/Entities (OIG or LEIE) websites3. Personal interview4. Contacting references provided by the applicant5. Verification of work history for the previous seven years6. Contacting the local law enforcement agency.In addition, Human Resources or management may require any other review as deemed necessary (e.g.,pre-employment drug screening, other background checks as needed, financial reporting).Security Level 2 has a classification score of 23 and above and is primarily for grade levels 17 and above.It requires a Level 1 review, plus a criminal background check of the last seven years.7.2.10 BondingRFP Section 5.2.14Noridian and CNSI both currently have an active crime insurance policy, which is relevant for employeeswho handle or have access to checks. The crime policy covers the company for direct losses resultingfrom theft or forgery committed by those employees.7.2.11 SubcontractorsRFP Section 5.2.15Noridian has selected CNSI as its only subcontractor for this contract. Detailed information about CNSI'scapabilities, experience, and knowledge has been provided in Tab 5. We acknowledge the Department hasthe right to prior-approve any or all subcontractors and their work locations as required for this contract.7.3 Contract ManagementRFP Section 5.3Team Noridian brings the IME a comprehensive, sound contract management methodology, includinga quality assurance program based on approaches developed over a long period of successful, largescale claims processing operations. These approaches have proven effective in maintaining qualitylevels that consistently meet or exceed our customer expectations and focus on continuousperformance improvement in all areas.Performance-based contracts work. Team Noridian has found that its best contracts are ones where the clientis fully engaged in oversight of the contract based on agreed and understood criteria. Team Noridianpossesses an excellent record of operations contract management performance. As the current IME CoreMMIS contractor, Noridian has established a successful quality assurance program and consistently meetsor exceeds all required performance standard measurements on the performance scorecards.Noridian’s IME performance is exceptional; our contract management and quality assurance processesemulate from decades-long commitments to quality assurance and the highest levels of service.7 | 16