Iowa Medicaid Enterprise Letters of Intent to Bid
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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)
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