Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFeatures and Benefits of eCAMS Provider Business AreasSelf-service provider portal dedicated to providers• Reduced provider call volumes and written inquires• Faster throughput for new application and re-enrollments• Improved level of service to providers through 24x7 access to IME provider services• Accurate provider recordsRules engine-based credentialingBusiness process wizards for enrollment andmaintenanceLook and feel very similar for providers and IME• Faster implementation of policy changes• Consistent application of enrollment policy through wizards• Easy to use, step-by-step process with built-in validation and feedback to ensure complete andaccurate information before submission to IME• More complete and accurate applications and maintenance requests that are easier and fasterto process• Easier to help providers with questions• Easier to maintain consistency among authorized users entering dataAbility to define State-specific taxonomies/PTSPs• Easy to support traditional and nontraditional provider enrollment processesIntegration with Medicaid Incentive Payment Program• eCAMS has all of the hooks and data elements necessary to track provider’s participation in theState’s electronic health records Medicaid Incentive Payment ProgramSingle enrollment for all of a provider's relationships withIME• eCAMS integrated provider database allows a provider to enroll with multiple provider types andspecialties under a single enrollment record virtually eliminating duplicate provider conditions• Reduced maintenance as changes entered can be applied to one or many relationships theprovider may have with IME• Easier, consolidated maintenance• More accurate and current dataFigure 9.1.2.1-10.Provider Management Business Area Features and Benefits. eCAMS brings timeefficiencies to the critical Provider Management function.Interfaces ListingeCAMS supports a number of interfaces in support of the Provider Management business area as shownin Figure 9.1.2.1-11 and Figure 9.1.2.1-12. Figure 9.1.2.1-11 shows eCAMS external interfaces andFigure 9.1.2.1-12 shows internal interfaces.External Interfaces# Interface Name Interface Description Source Destination Requirement #1. Death information2. B-1 Reporting3. Bank Reconciliation File4. IDPH License Files5 MMIS Providers FileThis file contains Death information from the DeathRegistry. It is accepted into eCAMS Provider businessarea via FTP transmission on a weekly basis.This file is the B-1 Reporting which is sent to the EmailTo User. It is transmitted from the eCAMS Providerbusiness area via e-mail transmission on an On Receiptbasis.This file is the Bank Reconciliation File which is sent tothe Check Write System. It is transmitted from theeCAMS Provider business area via Connect Directtransmission on a weekly basis.This file is the IDPH License Files which is sent to theCOLD/DIP Server. It is transmitted from the eCAMSProvider business area via FTP transmission on amonthly basis.This file is the MMIS Providers File which is sent to thePharmacy Data Warehouse. It is transmitted from theeCAMS Provider business area via SFTP transmissionon a monthly basis.Death RegistryMMISPR3.SS.01PR2.05.01PR3.01OnBase Email To User PR4.SS.04MMIS Check Write System N/AMMIS COLD/DIP Server N/AMMISPharmacy DataWarehousePR1.SS.029.1.2.1 | 24