Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFigure 9.1.2.1-64. eCAMS Form 1099 Page. eCAMS stores retrievable tax information in its Financebusiness process area for providers who receive taxable payments. This sample screen shot shows Form1099 income for a specific provider.PR3.08eCAMS maintains multiple types of links between providers and other entities including• Billing and Servicing Providers. Providers may be linked through a billing-to-servicing providerrelationship in which the billing provider bills for, and receives payment for, services rendered by theservicing provider. For providers enrolling with an enrollment type of “Group Provider” currenteCAMS implementations require at least one servicing provider associated to the group to completethe enrollment process. The linkage must be done between two enrolled entities using the NPI.• Provider and Ownership Interests. Providers may be linked through ownership via TIN. Therelationships can be displayed to authorized users. This also provides the ability to see the primaryorganization and its related sub-parts.• Program and Provider. As a part of the enrollment process, providers may enroll to serve specificState programs as long as they meet the appropriate credentialing criteria. This relationship isidentified by the "Specialization" dialog in eCAMS. Once the program is identified, eCAMS guidesthe remaining steps of the application to the specifications of the selected program. A provider mayenroll to serve multiple programs in a single enrollment in eCAMS.• Members and Providers via Lock-in. Providers can be tied to specific beneficiaries through thelock-in function of the Member business area.• Provider and Billing Agent. Providers may specify multiple billing agents who are authorized tosubmit claims on their behalf. Both the provider and the billing agent must be enrolled in eCAMS.Team Noridian will configure new association type to support linkage between an enrolled provider and aMCO and to define the MCO’s network. Links between providers can also be maintained through theeCAMS Case Management function. Links between providers can be established and maintained througha shared “alternate identifier” such as a “chain ID.” Team Noridian will configure “Chain ID” as newalternate identifier as a part of standard implementation activity.PR3.09eCAMS can do mass updates to provider information based on taxonomy components (e.g., providertype, specialty, and subspecialty) and program associations through the Provider Administration function.Figure 9.1.2.1-65 shows examples of the mass indicator add feature that allows an authorized user to add9.1.2.1 | 78