171x Filetype XLS File size 0.05 MB Source: provider.indianamedicaid.com
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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