Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS Operations7.10.2 Check ClassificationRFP Section 5.10, Requirement bNoridian originally worked with the Departmentand IME units to create a check receipt andkeywords e-form that allows for classification ofthe checks for entering, reporting, and searching.As shown in Figure 7-15, the keywords e-formallows users to enter the check with theappropriate variables, such as the check date,check number, the status of the check, and otheridentifying information. As part of that process,the check is classified according to predefinedvalues such as lien recovery, claim error, or costsettlement. Team Noridian will continue to usethis form under the new contract andunderstands that each IME unit that handleschecks is responsible for assisting in the review,update, and maintenance of these classificationcodes as needed. When a unit determines thatchanges are required, Team Noridian will workwith the Department and the IME contractor todevelop, test, and implement the new code(s) onthe e-form through our normal changemanagement processes.Once the check information is entered it will berouted to eCAMS through an interface forfinancial transaction processing.7.10.3 Providing Assistance with theReconciliation of the Title XIXRecovery Bank AccountRFP Section 5.10, Requirement cTeam Noridian will continue to work with the Department to assist in the resolution of any questions andissues related to any check or bank processing as we do today. If needed, our knowledgeable staff will beavailable to support the Department and the Division of Fiscal Management with the reconciliation of themonthly Title XIX Recovery bank account. As stated previously, only the revenue collections contractorwill make the actual deposits.7.11 Payment Error Rate Measurement ProjectFigure 7-15. Check Receipts E-Form. The IMEunits use the check receipts e-form to log all checkor cash information and classify the checkaccording to the check classification schematic.RFP Section 5.11, Requirements a and bTeam Noridian understands the requirements for supporting the Payment Error Rate Measurement(PERM) project. As the current Core MMIS operations contractor for the IME, Noridian participatedin the 2008 PERM project, and is preparing for the 2011 review now. Team Noridian will work withthe Department to provide all necessary support to ongoing PERM requirements.The purpose of the PERM project is to measure improper payments in the states’ Medicaid and Children’sHealth Insurance Programs (CHIP), and produce state and national level error rates for each program. The7 | 55