MMIS Procurement Library 2019

This is a library of documents that contain information referenced in the RFB. This information may be needed by the bidder to determine the cost of operations for the Alabama MMIS system.

Library Documents

Fiscal Year 2017 Checkwrite Schedule The dates for all check writes that occur in fiscal year 2017.
Fiscal Year 2018 Checkwrite Schedule The dates for all check writes that occur in fiscal year 2018.
Fiscal Year 2019 Checkwrite Schedule The dates for all check writes that occur in fiscal year 2019.
2018 Vendor Improvement Ideas An annual report by the Fiscal Agent of potential process improvements.
List of the 2019 State of Alabama Holidays The dates for all Alabama State holidays.
Alabama Medicaid TPL Month-end Process Requirements A description of the Third Party Liability Month end process.
Alabama MMIS CSRs A report of the open change orders and defects. This includes billable and non-billable request.
Alabama MMIS Interfaces List A list of MMIS external data interfaces.
Alabama MMIS Reports Listing A list of all reports produced in the MMIS.
Alabama MMIS Server Listing A list of all servers used by the MMIS.
Alabama MMIS Software Licenses A list of software licenses used by the MMIS.
Alabama MMIS System Architecture Exhibit System Architecture
Appendix C – Vendor Pricing Schedules The Vendor Pricing Schedules to be used to identify cost associated with the proposal.
Appendix K – Business Experience Matrix The Business Experience Matrix to be submitted with the proposal.
AVRS 10.1 Quick_Reference Guide AVRS Quick Reference Guide
Change Order Defect Process Change Order Defect Process
CLM-0130-M for November 2018 Claims Statistics Report
Data Element Dictionary A spreadsheet of the data elements in the Alabama MMIS.
Drug Reference File Fields A list of the fields that are contained in the Drug Reference File.
DSS Web Intelligence Business Objects User Manual DSS Web Intelligence Business Objects User Manual
Enrollment Desk Top Procedures Manual October 2018 Provider Enrollment Desk Top Procedures Manual
Fiscal Agent Organization Chart Fiscal Agent Organization Chart
IVR Fax Back IVR Recipient FAQs
Provider Relations Training Plan Provider Relations Training Plan
RCC Screening Questions RCC Screening Questions
Resolutions Manual Resolutions Manual
SYS-0100-M for December 2018 Transaction time report December 2018
SYS-0100-M for November 2018 Transaction time report November 2018
SYS-0101-M for December 2018 Transaction response variance report December 2018
SYS-0101-M for November 2018 Transaction response variance report November 2018
Vendor Disclosure Form 2018 Vendor Disclosure Form 2018
Resolutions Manual A list of the error codes used in the Alabama MMIS and a sample of the resolution process documentation.

MMIS System Documentation:

Alabama Medicaid InterChange Vendor Specifications
Alabama Medicaid National Council for Prescription Drug Programs (NCPDP) Companion Guide
Alabama Medicaid Claims Processing Operations Manual
Alabama Medicaid Claims User Manual
Alabama Medicaid Drug Rebate User Manual Part I
Alabama Medicaid Drug Rebate User Manual Part II
Alabama Medicaid Drug Utilization Review (DUR) User Manual
Alabama Medicaid Early and Periodic Screening, Diagnosis and Treatment (EPSDT) User Manual
Alabama Medicaid Financial Services Operations Manual
Alabama Medicaid Financial User Manual Part I
Alabama Medicaid Financial User Manual Part II
Alabama Medicaid Interactive Services Website User Manual
Alabama Medicaid Long Term Care (LTC) User Manual
Alabama Medicaid Managed Care User Manual
Alabama Medicaid Management and Administrative Reporting (MAR) User Manual
Alabama Medicaid Prior Authorizations Operations Manual
Alabama Medicaid Prior Authorization User Manual
Alabama Medicaid Provider Services Operations Procedures
Alabama Medicaid Provider Web Portal User Manual
Alabama Medicaid Provider User Manual
Alabama Medicaid Recipient Call Center Operations Manual
Alabama Medicaid Recipient User Manual
Alabama Medicaid Reference User Manual Part I
Alabama Medicaid Reference User Manual Part II
Alabama Medicaid Surveillance and Utilization Review (SUR) Case Tracking Manual
Alabama Medicaid Surveillance and Utilization Review (SUR) User Manual
Alabama Medicaid System Reports User Manual
Alabama Medicaid Third Party Liability (TPL) User Manual Part I
Alabama Medicaid Third Party Liability (TPL) User Manual Part II
Alabama Medicaid Decision Support System (DSS) Desktop Intelligence User Manual
Alabama Medicaid Provider Electronic Solutions (PES) User Manual