Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsAs shown in Figure 9.1.2.1-1, Team Noridian has reviewed and analyzed all of the requirements in therelated section of the RFP, and provided an overall summary of how our solution meets the requirementsbased on existing capability and required modification, as well as the total number of DDI hours neededto develop those capabilities not currently existing in the system.Column Column Description Column SummaryColumn A Team Noridian agrees to meet the requirements as stated. 100%Column B Team Noridian's existing capability in eCAMS solution meets the requirements. 83%Column C Team Noridian will modify the eCAMS solution to meets the requirements. 17%Column D Team Noridian's effort to modify the eCAMS solution to meet the requirements. 3570 Effort HoursFigure 9.1.2.1-1. Demonstrated Compliance of Team Noridian’s Solution to the RFP Requirements. Oursolution will meet all of the RFP requirements by either using existing system capability or configuringand modifying the eCAMS system.9.1.2.1.2 Approach to Addressing the Provider Management RequirementsBusiness Area OverviewTeam Noridian believes that a mature ProviderManagement business area is one of the mostcritical elements of a successful implementationand ongoing Medicaid operations. The ProviderServices unit is responsible for engaging andcollaborating with the provider community, a keystakeholder in the overall delivery of theMedicaid program. Team Noridian believes arobust system framework, augmented by matureand proven operational practices, is thefoundation for success with the providercommunity. Team Noridian's system solution,referred to as eCAMS in this section, provides arich set of MITA-aligned capabilities to automateand improve the provider related businessprocesses, such as provider enrollment,disenrollment, and provider communication. eCAMS provides the Iowa Department of Human Services (theDepartment), Iowa Medicaid Enterprises (IME), and their providers with a full range of online, real-timeinquiry and update functions that replace legacy paper-driven processes with Web-based data entry screens.In the state of Michigan implementation of eCAMS, the self service provider enrollment function enabledthe re-enrollment and re-verification of the active providers in a period of six months ahead of the systemrollout. In the state of Washington implementation of eCAMS, provider functions enabled providerregistration and re-verification more than a year before system rollout. Further, eCAMS data architectureand data services, such as license verification, allowed for improved provider data collection. Thiscomprehensive and quality provider data will enable the Department to make better decisions relating to theprovider network and enrollee access to care and to more accurately adjudicate and pay claims.Team Noridian's approach of using Web technology and implementing paperless business processes alignswith the Department's vision. eCAMS is the only true web-centric, automated provider enrollment solutionin the State Medicaid market that is in production, running successfully in more than one state program, andfully certified by the Centers for Medicare and Medicaid Services (CMS). The state Medicaid programs inMichigan and Washington have been using eCAMS provider management functionality successfully formore than two years. The Michigan Community Health Automated Medicaid Processing System(CHAMPS) and Washington (ProviderOne) programs current support enrolled provider communitiessimilar in size to the current volumes for IME. Figure 9.1.2.1-2 shows enrollment statistics for the9.1.2.1 | 8