Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationseCAMS application list filtered for denied applications. All applications are retained in the providerdatabase in accordance with the Department's data retention requirements.Figure 9.1.2.1-42. Enrollment Application List Showing Denied Applications. eCAMS retains allapplications, whether approved or denied.PR1.09eCAMS automatically generates notifications and correspondence when key changes in the provider'sstatus occur. Specific conditions include:• On successful initiation of a new application• On successful submission of a new application• When an application approval or rejection (denial) decision is renderedThroughout the enrollment approval process, IME can generate correspondence and notifications to theprovider on an ad-hoc basis using the Generate Correspondence function within the Enrollment Approvalfunction. Figure 9.1.2.1-29 in Team Noridian's response in section 9.1.2.1.2, Requirement PR1.02.08,shows an example of how the generate and retrieve correspondence functions are used during theapplication review process.PR1.10eCAMS uses DOC1 to prepare all correspondence sent to providers. After the correspondence has beengenerated, Team Noridian will use the robust document management features of the OnBase EDMS totrack all IME information sent to enrolled providers. All outbound communications will be tied to theprovider's enrollment ID. The Team Noridian solution will provide full integration between eCAMS andOnBase to ensure that provider communications generated through eCAMS are sent to the OnBaseEDMS and tied to the provider's enrollment ID. Integration between eCAMS and OnBase will also giveauthorized IME users the ability to view provider communications either through OnBase or in eCAMS.PR1.11eCAMS Managed Care business process area’s Contract Definition function includes information tied toprovider and recipient ratios. It enables users to view available enrollment slots by geographical area andsearch this information to perform network assessments. eCAMS also supports managed care providernetwork information. Authorized users can view this information and identify the available capacity fornew recipient assignment to the provider network by geographical location. Figure 9.1.2.1-43 shows asample screenshot.9.1.2.1 | 57