Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsInterfaces ListFigure 9.1.1.1-6 lists the interface files supporting member management processing, based on our analysisof the member management requirements section of the RFP.# Interface Name Interface Description Source Frequency1 Money Follows Person File Money Follows Person File ISIS Daily2 Month End Facilities File Month End Facilities File Title XIX Eligibility Monthly360 Occ Facility-WaiverProgram Req. Elig.60 Occ Facility-Waiver Program Req. Elig. Title XIX Eligibility Daily4 Client Services Report Client Services Report Title XIX Eligibility Daily5Date of Death State-ID NotFoundDate of Death State-ID Not Found Title XIX Eligibility Monthly6 Facility CP Change Report Facility CP Change Report Title XIX Eligibility Daily7FACS Information forIowaCareFACS Information for IowaCare Title XIX Eligibility Daily/ Monthly8 ID Cards Print File ID Cards Print File OCRA Daily9Medicaid Member EligibilityExtract FileMedicaid Member Eligibility Extract File Title XIX Eligibility Daily/Monthly10 Medicare Eligibility Medicare Eligibility Title XIX Eligibility Daily11Medicare Part D EnrollmentFileMedicare Part D Enrollment File Title XIX Eligibility Daily12 Month End Facilities File Month End Facilities File Title XIX Eligibility Monthly13 Month End Waiver File Month End Waiver File Title XIX Eligibility Monthly14151617Nursing Home ClientParticipation ChgsOCRA - Annual - FamilyPlanningOCRA - Annual - FromMember ServicesMedically Needy TransmissionFileNursing Home Client Participation Chgs Title XIX Eligibility WeeklyOCRA - Annual - Family Planning OCRA DailyOCRA - Annual - From Member Services OCRA DailyMedically Needy Transmission File ABC System Daily18 Medically Needy Worker File Medically Needy Worker File ABC System Daily19 Death information Death information Death Registry MonthlyFigure 9.1.1.1-6. eCAMS interface files in support of the member management business area for IME.BE1.01eCAMS provides a comprehensive member business process area, which manages and maintains all thedata elements to fully address the requirements of IME.eCAMS supports a wide variety of member information including demographics, eligibility, benefit plan,identifier, co-pay, provider lock-in, protected population, TPL, Medicare eligibility, buy-in, home andcommunity-based services (HCBS), monthly premiums, EPSDT immunization status, case head,duplicate records, and Medicaid card request details.The "Show" drop-down menu from Member Detail Page in eCAMS provides access to all the informationavailable in the system about members. The screenshot in Figure 9.1.1.1-7 shows a selection of the dataelements that can be accessed.9.1.1.1 | 15