Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFigure 8-71. eCAMS Rate Setting Screen. Using screens like this, Authorized Users can set rates, limits,association and many other configurable rules.The rules-driven approach is implemented using the RuleIT rules engine. Rules are developed for eachbusiness process area and are hosted in a separate repository for performance reasons. These rules may beanything from simple validation edits to complex processing flows that must route decisions downdifferent streams of rules based on decisions points. Rules are developed using the RuleIT Composer, asshown in Figure 8-72, and executed at run time. RuleIT contains rules that are logical statements thatconsist of conditions (if…then…else) and corresponding actions. Rules use common logic such asbetween, less than, greater than, equals, and others. Conditions are combined using the standard logicalconjunctions and and or.8 | 128