Part 4 - Iowa Medicaid Enterprise

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RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS Operations23.Second Notification - BNoticesThis is the second notice which is sentwhen there is no response to the firstnotice.No Yes PR4.SS.0424. Notification of Appeal LetterThis letter is generated automatically whenan appeal is recorded in eCAMS.Yes No PR1.07Figure 9.1.2.1-13. Provider Letters and Correspondence. eCAMS Provider Management Business Areaproduces a number of correspondence documents to aid IME in managing provider communications.Reports ListingeCAMS produces multiple reports to support the Provider Services business area. Figure 9.1.2.1-14shows the current and planned reports for IME.# Report Name DescriptionAvailable ineCAMSNew ReportRequirement#1.835 Authorizations ByProvider ReportThis report list 835 authorization byprovider.YesNoPR3.02.01PR.SS.202.Print Permission MatrixReportThe report lists the current content of theProvider Permissions Matrix.YesNoPR.SS.20PR3.02.013.Print Provider InformationReportThis is a list of providers which includes thedetails for each provider and its enrollmentstatus.YesNoPR3.02PR3.02.01PR.SS.204.Enrollment ApplicationReferrals and ActivityReturns by Provider TypeThis report lists applications referred to andreturned by other organizations for reviewas a part of the enrollment process.YesNoPR3.02.01PR.SS.205.Enrollment ApplicationReferrals/Activity Returns byUserThis report provides the same content asthe Enrollment Application Referrals andActivity Returns by Provider Type report --but presents the information by user ratherthan provider type.YesNoPR3.02.01PR.SS.206.Provider List by Invalid NPIReportThis report lists NPIs that have beentagged as invalid as a result ofsynchronization with the NPPES.YesNoPR3.02.01PR.SS.207.Provider ProcessingStatistics ModificationRequests by Provider TypeThis report lists changes to the providerdatabase by provider type.YesNoPR3.02.01PR.SS.208.Provider ProcessingStatistics ModificationRequests by UserThis report lists changes made to theprovider database by provider enrollmentspecialist.YesNoPR3.02.01PR.SS.209.Provider ProcessingStatistics New Applicationsby Provider TypeThis report lists new applicationsprocessed by provider type.YesNoPR3.02.01PR.SS.2010.Provider ProcessingStatistics New Applicationsby UserThis report lists new applicationsprocessed by provider enrollmentspecialist.YesNoPR3.02.01PR.SS.2011.Sanctioned-License ExpiredPharmacy ProvidersThis report lists pharmacy providers whoare sanctioned or whose licenses haveexpired.YesNoPR3.02.01PR.SS.2012PM-PE-127 Provider AuditTrail ReportThis report contains before and afterimages of changes to the provider masterfile.YesNoPR1.01.05PR3.02.01PR.SS.07PR.SS.209.1.2.1 | 28
RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS Operations13.PRV Provider EnrollmentSummary ReportThis is a daily report of the transactionstatus counts of all applications and datamodifications not complete and thosecompleted during the day. This report issorted by organizational unit, staff member,and enrollment type.YesNoPR1.02PR1.08.01PR3.02.01PR.SS.2014.PRV Transaction Status ByAdmin, By Staff, ByEnrollment Type reportThis is a monthly report of the applicationprocessing performance of allorganizational units. This report collectsdata on a calendar basis beginning inJanuary of each year, with succeedingmonths being added to build a year-to-datereport, through December.YesNoPR1.02PR1.08.01PR3.02.01PR.SS.2015.Provider PendingEnrollments ReportThis report will list "In Review" applicationsthat are specifically awaiting additionalinformation from the Provider. The reportwill use a specific status value identifyingthat the application is pending due tomissing information due from the provider.NoYesPR1.02.11PR3.02.01PR.SS.2016.Provider/Recipient Ratios byGeographic RegionThis on-demand report will provide asummary of the request parameters, thenumber of members found, and thenumber of providers found as total Nonumbers and as a ratio. If the user choosesa detailed list, the list of providers appearsafter the summary data.YesPR1.11PR3.02.01PR.SS.2017.PRV Professional LicenseExpiration ReportReports providers who have an expiredprofessional license or a professionallicense that will expire within 31 days (
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