Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFigure 9.1.1.1-14. EPSDT Services Received. Claims will use the EPSDT screening schedule definitions(periodicity schedules) as maintained in the eCAMS reference business process area for trackingimmunization/EPSDT performance against the actual as determined through the EPSDT claims data.BE1.08eCAMS supports indicators meeting the enhanced security needs for members. In eCAMS, certainmembers receiving confidential services are identified via a protected population indicator. For memberswith such an indicator, eCAMS audits every inquiry and any updates made to these member records; thesame types of audits are extended to suppress the member document generation. eCAMS also ensuresdocuments such as the EOMB are not generated for members who have received any confidential servicesduring a reporting period.This protected population indicator is available for use by authorized users to suppress the generation ofdocuments containing member identification for confidential services or other reasons.Figure 9.1.1.1-15 depicts the protected population indicator.9.1.1.1 | 24