Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFigure 8-72. RuleIT Composer. The RuleIT Composer is used to create edits, validations rules and flowsto manage execution within the rules engine.A more detailed discussion about this is available in Tab 9, Section 9.2.1, Rules Engine System Requirements.Business rules are populated using the eCAMS screens or the RuleIT rules engine. Team Noridian willseed the initial set of rules using the eCAMS standard rule-set. These rules are typically generic andutility rules, Medicaid specific rules and CMS and other Federal mandated rules. During theImplementation Phase, additional rules, specific to IME, are created and or modifications are made tothese standard rule-set to meet the requirements of the Department and business policies. Rules arecreated in the development environment and moved into higher environments of test and acceptance,before finally being applied into the Production environment.Updating the CMPRFP Section 6.3.2.2.2, Requirement hTeam Noridian will continue to monitor the factors that may affect the contents of the CMP. TeamNoridian will evaluate these and make updates to the CMP, at least once a year. The CMP with these ,changes will be forwarded to the Department for review and approval. Once approved by the Department,these modifications will be implemented within the project, relating to configuration. The CMP will bemaintained and updated by Team Noridian, as mentioned here, during the course of the contract.8 | 129