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Electronic Service Authorization Solution for Alaska's Medicaid Management Information System
Alaska Department of Health
The buyer seeks an electronic Service Authorization solution for Alaska's Medicaid Management Information System. The solution should reduce administrative burden, integrate with existing MMIS, and conform to CMS 2024 Interoperability rules. The buyer processes 125,000-170,000 Service Authorizations annually and aims to streamline the process for stakeholders. The solution should offer direct data entry, configurable rules, minimal routing, and status tracking capabilities.
- 12/10/2024 - Proposal Due Date
- Implement electronic Service Authorization solution within existing MMIS framework
- Develop direct data entry system for Service Authorization requests
- Create configurable rules engine for automated or recommended approvals
- Design system with minimal workflow routing
- Implement user tracking for Service Authorization status
- Ensure conformance to CMS 2024 Interoperability and Prior Authorization Final Rule
- Integrate with current MMIS modules
- Reduce administrative burden and processing time for Service Authorizations
- Develop stand-alone Service Authorization module
- Provide transition timeline and staffing plan
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