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

3/6/2020 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 1

3/6/2020 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. 2

3/6/2020 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 3

3/6/2020 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 Portal Likes 6 5 4 3 2 1 0 Ease of use/user friendly Check status M.R. safety/No fax, mail, Email Notification Adm Access email 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 4

3/6/2020 CONTACT INFORMATION JAY J Y JONES, BSN, RN NES, BSN, RN, , CFRN CFRN CLINICAL S CL 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 M AKING H EALTH C ARE B ETTER 5