Iowa Medicaid Enterprise Letters of Intent to Bid



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Iowa Medicaid Enterprise

Letters of Intent to Bid




Core Medicaid Management Information System (MMIS) – claims processing and related systems excluding pharmacy claims.
Pharmacy Point of Sale (POS) – pharmacy claims processing
Data Warehouse – data analysis and reporting services
Medical Services - professional support for Medicaid including disease management, prior authorizations, medical care needs assessment, etc.
Provider Services – provider support services to assist providers with Medicaid issues.
Member Services – customer support services to assist members with Medicaid issues.
Revenue Collection – collection services for Medicaid funds
Surveillance and Utilization Review (SURS) Analysis and Provider Audits – services to assure that neither members nor providers are improperly using or billing the system
Provider Cost Audits and Rate Setting – services to assure accuracy in rate setting when rates are based on provider costs
(X - indicates a company’s interest in bidding for that specific component)


Bidder


Core MMIS

Pharmacy Point of Sale

(POS)

Data

Warehouse

Decision Support

Medical Services

Provider Services

Member Services

Revenue Collection

Surveillance

and Utilization

Review (SURS)

Analysis and

Provider Audit

Provider

Audits and Rate

Setting

Affiliated Computer Systems (ACS) Dallas, TX

X


X


X


X


X


X


X


X


X


American Computer Services, Inc.

Des Moines, IA



X


X


X


X


X


X


X


X


X

Bidder


Core MMIS

Pharmacy Point of Sale

(POS)

Data

Warehouse

Decision Support

Medical Services

Provider Services

Member Services

Revenue Collection

Surveillance

and Utilization

Review (SURS)

Analysis and

Provider Audit

Provider

Audits and Rate

Setting

AmeriHealth Mercy

Philadelphia, PA





X




X

















Avidity HCS, Inc. Phoenix, AZ

X




X




















Business Objects

Westchester, OH








X




















Clifton Gunderson, LLP

Washington DC























X

X


Computer Sciences Corp.

Lanham, MD








X













X





EDS

Plano, TX


X










X














First Health Services Corp.

Glen Allen, VA





X




X

X







X





Genova Technologies

Marion, IA


X

X

X




X

X











Health Care Excel

Indianapolis, IN













X










X




Bidder


Core MMIS

Pharmacy Point of Sale

(POS)

Data

Warehouse

Decision Support

Medical Services

Provider Services

Member Services

Revenue Collection

Surveillance

and Utilization

Review (SURS)

Analysis and

Provider Audit

Provider

Audits and Rate

Setting

Health Management Systems

New York, NY




















X








Iowa Foundation for Medical Care

West Des Moines, IA












X

















MAXIMUS

East Lansing, MI














X

X











Myers and Stauffer

Indianapolis, IN


























X


Noridian

Fargo, ND



X










X

X











Policy Studies, Inc. (PSI)

Denver, CO















X

X











Public Consulting Group, Inc.

Boston, MA






















X








Quilogy

West Des Moines, IA









X



















Bidder


Core MMIS

Pharmacy Point of Sale

(POS)

Data

Warehouse

Decision Support

Medical Services

Provider Services

Member Services

Revenue Collection

Surveillance

and Utilization

Review (SURS)

Analysis and

Provider Audit

Provider

Audits and Rate

Setting

Schaller Anderson of Arizona, LLC

Phoenix, AZ









X


X


X














SXC Health Solutions, Inc.

Lombard, IL





X























Unisys

Reston, VA


X

X

X

X

X














United Healthcare

Phoenix, AZ











X

X

X














01/31/17




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