Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS Operationssupport of multiple lines of health care business requires not only systems integration but also supportinginterfaces with multiple systems and data types such as:• Scanning• Imaging and workflow systems• Optical character recognition (OCR) systems and applications• EDI data file receipt, editing, and distribution• Eligibility files• Provider enrollment systems• Fee schedules• Crossover data• Claims history• Provider inquiry records stored in various types of customer relationship management (CRM) systemsTeam Noridian recognizes the IME's and the Medicaid program’s need for reliable, flexible, and secureaccess among partners and stakeholders, enabling improved data sharing and better business processintegration. By understanding this need and building from the extensive experience of implementinginterfaces in the current IME MMIS, and MMIS solutions for the states of Maine, Michigan, andWashington, Team Noridian is able to offer an integrated solution, incorporating reliable and flexibleinterface data exchanges and efficient interface management tools. This structured solution will allow theDepartment to better manage business partner relationships while promoting the necessary collaborationbetween the different units who all use the data.As the IME Core contractor, we currently support the following interfaces with critical IME systems anddata feeds:• MMIS• OnBase• WorkView call logging software• Pharmacy processing systems• DW/DSS• Coordination of benefits contractor (COBC)• Data from other business partnersOur in-depth knowledge of the systems forming the backbone of the IME operation, coupled with ourexperience building and supporting interfaces, prepares us to seamlessly take on the interfaceresponsibilities associated with the MMIS and Core MMIS operations contractor responsibilities.eCAMS already contains the majority of the interfaces listed in the IME resource library, and theDepartment will have the option to pick from an extensive inventory of pre-existing interfaces thatmay not be yet identified in the Department's interfaces inventory. Team Noridian will adhere to a welltestedimplementation methodology that follows multiple phases of the integration with the variousinterface partners.Team Noridian understands that monitoring and reacting to the interface processes is an important task ofoperating an MMIS. Key interfaces, such as eligibility data and financial data from transactions, areconstantly monitored. Any delays in the interface execution are escalated to various levels for analysisand remediation based on escalation policies established during the start-up and implementation phase.Team Noridian will provide 24x7 services for operating and maintaining the infrastructure in Des Moines,Iowa. We will monitor the execution of interfaces and escalate when the interface alerts show errors orwhen any other escalation conditions occur. Our infrastructure support staff will be able to identify thetype of error and escalate to the appropriate support teams based on the interface alert condition. Thesestaff will be able to correlate between the interface system alerts and known system outages, and manage7 | 7