Provider Update: February 12, 2019
To: All ADvantage and State Plan Personal Care Providers
Subject:Weekly Harmony Status Updates
The Medicaid Services Unit will begin sending out weekly updates on the status of key areas of interest to providers working in the Harmony system. Our hope is that this information will:
- Educate providers on the status of requests/service plans submitted to the Medicaid Services Unit (ADvantage and State Plan Personal Care programs)
- Allow providers to communicate with and better serve program Members
- Prevent avoidable service disruptions
- Provide transparency in the assimilation of Harmony as the fully-functioning waiver management information system for both ADvantage and SPPC
Please let us know if there are areas that could be included in this report that would support you in your service to our program Members.
Thank you.
| Priority Level | Area | Item | Current Status |
| High | System Clean-up | Correcting rate increase service unit adjustments (spreadsheet process) | •Hiring two temporary employees full time for 5 weeks to complete the spreadsheet requests from providers •Work scheduled to begin on 2/20/2019 |
| High | Develop Reporting Capabilities | My Work Report --Report to allow system users to see key information related to Member service plan and monitoring dates |
•Awaiting testing and final approval •Testing estimated week of 2/11/2019 |
| High | Develop Reporting Capabilities | Services Not-Authorized Report --Report to allow system users to easily identify services that have not been authorized |
•Awaiting testing and final approval •Testing estimated week of 2/11/2019 |
| High | Develop Reporting Capabilities | Monitoring/Progress Notes Report --Report to allow system users to see key information from the Monitoring/Progress Notes without the need to open each document. |
•Deployed •Training scheduled for Lunch & Learn on 2/13/2019 |
| High | Achieve Timelines for MSU-AA Key Areas | Service Plan Authorization -- ADvantage | •Oldest working date is 1/14/2019 If awaiting authorization for services set to a Review status (SPA, Clinical, etc.) prior to the oldest working date, please check the Member's plan status and: •Ensure it was set to some type of Review - if not, set to SPA Review immediately. •If the plan is in a Review status with a date prior to our oldest working date, send a PQ to advise and include the date the plan was set at the Review status. |
| High | Achieve Timelines for MSU-AA Key Areas | Service Plan Authorization – State Plan Personal Care (SPPC) |
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| High | Achieve Timelines for MSU-AA Key Areas | Provider Question | •State Plan Personal Care (SPPC) oldest Provider Question (PQ) working date is 12/7/2019 •There are 133 SPPC PQs pending •ADvantage oldest PQ working date is 12/5/2019 •There are 368 ADvantage PQs pending |
| High | Achieve Timelines for MSU-AA Key Areas | Resource Center (returning calls) | •Oldest working date is 1/23/2019 •There are 221 messages awaiting return calls •A receptionist/switchboard position was recently filled in the ADvantage Resource Center, so calls should now be answered in real time with minimal exceptions. |
| Moderate | Develop Remaining Program Area Capabilities | Provider Relations --Certified Agency Report (CAR) move to Harmony |
•The CAR is currently available at http://advantage.ok.gov/bycnty.aspx •Interface work continues to move this functionality to the Harmony system |
| Moderate | Provider Engagement | Initiate bi-annual Provider Meetings | •A Medicaid Services Unit (MSU) Provider Meeting is planned for April 2019 •A bulletin with the proposed date/time will be sent out a few weeks prior to the event. |
| Moderate | Develop Remaining Program Area Capabilities | Operationalize audit functionality in the Harmony system | •In progress |
