3/6/2020 NC EMERGENCY MEDICAID SERVICES PORTAL PRESENTATION March - - PDF document

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NC EMERGENCY MEDICAID SERVICES PORTAL PRESENTATION

March 11, 2020 Presented by Jay Jones, BSN, RN, CFRN Clinical Supervisor, Alliant ASO

What Is The Portal?

► Internet-based system for submission of claims ► Currently in use in Mississippi ► Uses a Third Party Vendor (Okta) with

modifications for specific usage

– Secure – Safe – Requires multi-factorial authentication – HIPAA/HITECH compliant

Why Use The Portal?

► User Friendly

– Designed for Case Workers in mind – Used the KISS (Keep It Super Simple) method of design

► Cost effective

– No more mailing of hard-copy records – No more printing unless necessary – No more faxing or emailing

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Why Use The Portal?

► Real-time feedback and access

– Able follow case status – Know immediately the case has been submitted and received – Receipt of email indicating specific status changes

• 5134 – Request for Missing Information
• 5135 – Decision

Why Use The Portal?

► Ease of supervisory follow up

– Supervisors and Program Managers higher level access – Supervisors can ensure proper follow through – Eligibility applications completed faster – Less errors

Beta Test

► Beta Tested with three Counties

– Wake County – Forsyth County – Ashe County

► Each county had training and testing via WebEx.

An After Action Review (AAR) was conducted at the end of each session.

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Beta Test Results

► Wake County

– Liked

• Ability to remove extra dates of service that are not needed
• Ability to check status at any time
• Email notification of certain case status changes (DMA

5134 and DMA 5135 generated)

• Ease of system access
• User friendly
• Everything housed in one location
• Medical records are safer

Beta Test Results

► Wake County (continued)

– Needed Improvement

• Incidentally changed dates in case
• How to submit Missing Information
• Add MID/CNDS number to Email Correspondence

– Corrections Implemented

• Date ranges cleared after save was selected
• Stress how to submit Missing Information during training

Beta Test Results

► Forsyth County

– Liked

• Ease of use
• Very user friendly
• Ability to check status at any time
• Safety of medical records (Not mailed, emailed or faxed)
• Generally liked the entire process

– Needed Improvement

• Found nothing bad
• Found nothing that needed improvement

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Beta Test Results

► Ashe County

– Liked

• Ability to check case status quickly
• Not having to mail or fax medical records
• Case workers would receive emailed notifications directly
• Very user friendly
• Generally liked entire process

– Needed Improvement – Could not think of anything at time of training/testing

Beta Test Results

1 2 3 4 5 6 Ease of use/user friendly Check status M.R. safety/No fax, mail, email Email Notification Adm Access

Portal Likes

Times Mentioned

Training and Implementation

► Each county will submit an electronic

spreadsheet (Okta_Import_Template.xlsx)

► Each county will submit Attestation Form (Portal

Registration Attestation Form Fillable.pdf)

► Would like to have 25 counties in four sessions ► Each session one week ► Would like to have Train the Trainer

– Supervisors – Program Managers

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CONTACT INFORMATION

JAY J Y JONES, BSN, RN NES, BSN, RN, , CFRN CFRN CL CLINICAL S INICAL SUPER PERVISER, ISER, NC NC EME EMERGENCY MED MEDICAID SER SERVICES OFFICE: 9 FICE: 919.792.69 792.6971 EMAIL: AIL: j jay.jones@a nes@alli lliantaso.org antaso.org

Questions or Comments

THANK YO YOU F FOR YO YOUR T TIME

HEALTH CARE MAKING BETTER