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Kentucky Medicaid Providers Tap Into New Online
System
January
7, 2004
By Gil
Lawson
Kentucky Department for Health Services
The Kentucky Department
for Medicaid Services has announced the development of the Internet
Information Processing System (IIPS) which allows Medicaid providers
instant access to Medicaid specific data on-line. The IIPS is a system
developed specifically for Medicaid providers to view recipient information
when it is needed any time day or night.
Kentucky Medicaid
currently enrolls 670,214 recipients with 30,542 medical providers.
Taking into consideration that recipients need medical care around the
clock, and the fact that Medicaid personnel are normally only available
during traditional working hours, the IIPS is playing a major roll in
keeping these services going 24 hours a day.
To put the value
of this system into perspective, below is a listing of data currently
available on the Internet Information Processing System; including the
number of web site hits to date. Each web site hit indicates a Medicaid
provider obtaining information for a specific recipient.
- Recipient
Information is available to all active Medicaid providers and is truly
the most needed information available on-line at this time. This feature
allows providers to view recipients eligibility segments, third party
liability (TPL), patient liability, and spend down information. Since
implementation in September 2003, this data has received 96,616 web
site hits.
- KenPAC
providers have access to an Internet listing of current KenPAC recipients
for which the provider receives a management fee payment. Since implementation
in August 2003, this data has received 1,081 web site hits.
- Nursing
Facilities have access to an Internet listing of residents assigned
to that facility including certification number and dates, as well
as the recipients Medicaid eligibility segments. Since implementation
in August 2003, this data has received 2,591 web site hits.
- Qualifying
Income Trust (QIT) which is a listing of recipients assigned to a
particular provider, meeting the criteria for needing a QIT to maintain
Medicaid eligibility. Since implementation in September 2003, this
data has received 110 web site hits.
The Department continues
to implement other data that we know will be just as useful as the aforementioned
data. On the agenda for the IIPS:
- KenPAC
recipient/provider information - which will allow a provider access
to the recipients' KenPAC providers' name and telephone number.
- Claim
Status - providers will be able to view the status of their claims
and receive detailed information on each claim.
- Pharmacy
History - which will show the history of pharmaceutical claims for
a specific recipient.
For more information
pertaining to the IIPS system, please visit the KY Department for Medicaid
Services Web site: http://chs.ky.gov/dms/
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