Part 4 - Iowa Medicaid Enterprise

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RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFigure 9.1.1.1-7. Member Data Elements. Member demographic, address, indicators and others memberinformation are processed into eCAMS.BE1.01.02eCAMS supports the ability to capture and maintain demographic data elements, such as date of birth,current phone numbers, mailing and an email addresses from multiple systems-of-record.eCAMS also supports the ability for authorized users to add or update certain address and demographicdata elements, per Department-defined business rules.Each data element in requirement BE1.01.02 is listed below in Figure 9.1.1.1-8 with an indicator to showwhether eCAMS currently supports the element (existing), or requires a system modification to supportthe requirement (SM).Figure 9.1.1.1-8 eCAMS compliance with BE1.01.02 is met with existing functionality supplemented byminor system modifications.Data ElementMailing addressResidential AddressCounty of ResidenceMultiple Instances of county of legal settlementGuardian name and addressCustodian name and addressRepresentative payee name and addressZip plus four on all addressesDate of birthDate of deathPregnancy date of deliveryRaces(s)GenderExisting/SMExistingExistingExistingSMExistingExistingExistingExistingExistingExistingSMExistingExisting9.1.1.1 | 16
RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsData ElementMarital statusEthnicity or tribal designationEmancipated youth indicatorDeprivation codePrimary spoken languagePrimary language for correspondenceBenefit addressCustody statusTelephone numbers such as home, cell, work, guardian and individual ownership of phone) – must store multiplenumbersExisting/SMSMExistingSMSMExistingSMExistingSMSMFax numberEmail address example, must attach e-mail address to memberText number or pager numberHead or member of householdFoster care indicatorFoster care for Early and Periodic Screening Diagnosis and Treatment mailing indicatorImmunization Registry data received and displayed in the Medicaid Management Information System (MMIS)Social Security NumberState ID from the eligibility systemMultiple indicators of disability, chronic or other condition as identified by Iowa Medicaid Enterprise (IME)Member name, legal and preferredEligibility spanCase numberOthers as determined by IMEFigure 9.1.1.1-8. eCAMS compliance with BE1.01.02 is met with existing functionality supplemented byminor system modifications.In addition to demographic and address information, eCAMS also stores eligibility and authorizationinformation which is used to derive benefit plans and is used by claims processing.Figure 9.1.1.1-9 shows how such information is updated through the member detail page.SMExistingSMExistingExistingExistingSMExistingExistingSMSMExistingExistingSM9.1.1.1 | 17
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Part 4 - Iowa Medicaid Enterprise

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