Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS Operationssystem also tracks the date and time of responses to each query, which helps monitor the time lag betweena query and a response.BE4.01Team Noridian provides a fully HIPAA compliant system to support all current mandated transactions asspecified by HIPAA and provides the framework for implementing the future standards. eCAMSframework is extendable and could be easily modified to accept future and other non mandated EDIformats identified by the Department.The new MMIS will provide support for all CMS mandated transaction and code sets, including the 5010version for the X12N transactions and the ICD10 code set. Team Noridian will support all futurestandards throughout the life of the contract. The timing for implementing any future standards will benegotiated with the Department based on CMS mandated timetables for implementation as well as theagreed upon project work plan for the new MMIS.Team Noridian’s proposed HIPAA compliant solution is addressed more in detail in section 9.2.3,HIPAA Transaction Requirements.BE4.02eCAMS supports sending X12N 270 transactions to third parties to query other payer eligibility files.Responses received (271) are processed and third-party information is updated for members based on theresponses, based on mutual agreement between IME, trading partners, and Team Noridian.BE4.SS.01eCAMS framework supports a generation of creditable coverage on a schedule and can be configured forad hoc basis as defined by IME. Refer to Figure 9.1.1.1-42 for an example of the MemberCorrespondence Retrieval screen with a link to a certificate of creditable coverage letter.BE4.SS.02eCAMS has the flexibility for the Department to define batch letter generation schedules. Based on thedefined schedule the system will identify members to receive privacy notices and will use Doc1 togenerate the letters.eCAMS enables authorized users to change the schedule based on their needs so the letter generation canhappen on an ad hoc basis.BE4.SS.03eCAMS audit framework allows for the logging of all eligibility inquiries, including inquiry date andtime, inquiry source, the source system user ID, and the member included in the inquiry. The system alsotracks the date and time of responses to each query.eCAMS 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 supports the ability to define individuals authorized to discuss PHI for themember, and audits every inquiry and any updates made to these member records; the same types ofaudits are extended to suppress the member document generation. eCAMS also ensures documents suchas the EOMB are not generated for members who have received any confidential services during areporting period.Figure 9.1.1.1-49 depicts the protected population indicator.9.1.1.1 | 53