Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFigure 9.1.1.1-25. Member Demographic Screen. Authorized users can view or update demographic orother details based on their security privileges.BE1.SS.05eCAMS hosts all business process modules, such as claims, prior authorization, member management,TPL, and managed care in one system.The online user interface provides easily-accessible hyperlinks to every module across the top of everyeCAMS web page. Users can quickly jump from one module to another with a single mouse click.eCAMS also displays a list of the most recently visited web pages, conveniently positioned just under theindividual module link labels. This recent page history can be used to instantly jump back to a recentlyvisitedpage, even if the user had since navigated to several other pages.Within a page displaying member data, specific indicators and data elements are displayed as hyperlinksto more detail and other areas within eCAMS. For example, when the user clicks on an indicator showing"Has Managed Care Provider = Y", the user's session instantly navigates to the managed care businessprocess module and displays the details for that member's managed care provider. The user can then clickthe close button on the managed care provider screen, or click a previous page in the recent page historypath, to instantly navigate back to the previous (or earlier) page. The eCAMS session remains anchored tothe particular member, even when navigating to another business area such as managed care or TPL.BE1.SS.07eCAMS supports MMA data exchange from the Social Security Administration (SSA) or CMS to identifypotential Medicare recipients and, with the proper authentication, update the member repository with dataincluding Part A, B, C and D start dates, end dates, all amount fields, TPL data, and premium paid by theState, for coverage information, TPL recovery, and Buy-In.eCAMS processes and stores Medicare coverage details along with other commercial TPL informationreceived from multiple vendors. Authorized users can view and update all TPL data for a member onlinevia DDE screen functionality.Figure 9.1.1.1-26 provides an example list page showing Medicare Part A details for a specific member.9.1.1.1 | 33