311x 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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