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picture1_Phq9 12092 | State Questions | Business Form Tools


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File: Phq9 12092 | State Questions | Business Form Tools
state s direct question and answer listing question cmo topic date since the state has the ansa tool under development can we begin utilizing the ansa tool that is available ...

icon picture XLS Filetype Excel XLS | Posted on 07 Jul 2022 | 3 years ago
Partial file snippet.
                                                               State's Direct Question and Answer Listing
             Question                                                      CMO         Topic               Date 
             Since the state has the ANSA tool under development, can 
             we begin utilizing the ANSA tool that is available and switch 
             over to the update ANSA tool in July 2008?                    Advantage ANSA                  8/20/07
             When will the ANSA tool be approved by IN legislation? The 
             assessment tool utilizing the ANSA cannot be developed until 
             this approval is given.                                       MDwise      ANSA                  8/9/07
             Which of the CANS tools are required assessment tools: 
             Crisis Assessment Tool (CAT); Initial Assessment Birth to 5; 
             Comprehensive Multi-System Assessment Birth to 5; 
             Reassessment birth to 5; Initial Assessment Children and 
             Youth 5 to 17; Comprehensive Mult-System Assessment 
             Children and Youth 5 to 17; Reassessment Children and 
             Youth 5 to 17                                                 Advantage CANS                  8/20/07
             With the implementation of the CANS and ANSA 
             assessments-will we be required to implement the PHQ-9?       Advantage CANS-ANSA             8/20/07
             Do the CANS and ANSA tools need to be completed on 
             members initially assigned to the Level 1 category?           Advantage CANS-ANSA             8/20/07
             Is the State going to phase out certification codes used in 
             Medicaid Select?                                              MDwise      Cert Codes            8/9/07
             Disease management-please explain what the state's 
             thoughts are for implementation of the ICDMP program?         Advantage Chronic Disease       8/20/07
             When can we schedule training on the CDMS system for 
             staff?                                                        Advantage Chronic Disease       8/20/07
                                                                                          1                                                           Update 07/07/2022
                                                                   State's Direct Question and Answer Listing
              Question                                                        CMO          Topic                Date 
              It is our understanding that the FSS high risk member 
              received disease management services will continue with 
              their current nurse case managers.  For those members in 
              the low risk category, will the exiting vendor continue to 
              provide the call center support to these members until they 
              are assigned into one of the CMO's?                             Advantage Chronic Disease          8/20/07
              Please confirm OMPP's agreement that those members who 
              are identified as candidates for the high-risk disease 
              management program can now be assigned to categories 
              within the care management program?  If yes, will OMPP 
              modify the Exhibit "A" document that is part of the contract?   Advantage Chronic Disease          8/20/07
              Please confirm how many members are currently identified in 
              the DM program for high and low risk?                           Advantage Chronic Disease          8/20/07
              Will both vendors have access to the DM system platform 
              (CDMS)? If so, how will this be separated within the system?    Advantage Chronic Disease          8/20/07
              Can OMPP provide the identification and stratification 
              process for the disease management program?  Who will 
              perform this component?                                         Advantage Chronic Disease          8/20/07
              For the FFS members enrolled in high risk ICDMP program 
              the exiting vendor will continue to manage those members 
              until they are enrolled into the Care Select program, however, 
              what is the plan for the low risk members?                      Advantage Chronic Disease          8/20/07
                                                                                              2                                                              Update 07/07/2022
                                                        State's Direct Question and Answer Listing
            Question                                              CMO        Topic             Date 
            Readiness review: within the readiness review requirements 
            OMPP is requesting a Disease Management Procedure 
            manual, however, we are adopting the current ICDMP 
            program in its entirety-what is OMPP's expectation for a 
            procedural manual?                                    Advantage Chronic Disease    8/20/07
            ICDMP project clarification/responsibilities          MDwise     Chronic Disease     8/9/07
            Use of CareConnect rather than CDMS? May we use a 
            different program?                                    MDwise     Chronic Disease     8/9/07
            When will/how will we receive historical claim data on 
            members assigned to MDwise?                           MDwise     Claims              8/9/07
            When will/how will we receive current and ongoing claim data 
            on members assigned to MDwise?                        MDwise     Claims              8/9/07
            Will the CMO be provided with historical paid claims data for 
            members that receive MRO services?                    MDwise     Claims              8/9/07
            Will this be included in the file with other claims data, or is it a 
            separate data file.                                   MDwise     Claims              8/9/07
                                                                                3                                                    Update 07/07/2022
                                                                  State's Direct Question and Answer Listing
              Question                                                       CMO          Topic                Date 
              Please clarify claims business requirements /rules.
              - Frequency? Volume?
              - How will claim data be utilized?- is there a historical need?  
              - What is NPI requirement?
              - What payment info (if any) is needed? (e.g. EOB codes, 
              amounts, etc)
              - Is EDI lead time to load claims 60 days?                     MDwise       Claims                 8/9/07
                                                                                          Communications 
              What policies must be sent to the State for approval?          MDwise       Approval               8/9/07
                                                                                          Communications 
              Procedure for submitting items to State for approval           MDwise       Approval               8/9/07
                                                                                          Communications 
              Care Managers resumes - does State want all of them?           MDwise       Approval               8/9/07
              If we advertise provider meetings on our website do we need                 Communications 
              State approval first?                                          MDwise       Approval               8/9/07
              When will State file formats be available? File formats affect 
              the build of the base application, business requirements rules 
              testing, training and therefore readiness for and quality at go             Communications 
              live.                                                          MDwise       Approval               8/9/07
                                                                                             4                                                             Update 07/07/2022
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...State s direct question and answer listing cmo topic date since the has ansa tool under development can we begin utilizing that is available switch over to update in july advantage when will be approved by legislation assessment cannot developed until this approval given mdwise which of cans tools are required crisis cat initial birth comprehensive multisystem reassessment children youth multsystem with implementation assessmentswill implement phq cansansa do need completed on members initially assigned level category going phase out certification codes used medicaid select cert disease managementplease explain what thoughts for icdmp program chronic schedule training cdms system staff it our understanding fss high risk member received management services continue their current nurse case managers those low exiting vendor provide call center support these they into one please confirm ompp agreement who identified as candidates highrisk now categories within care if yes modify exhibit a...

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