Provider Update: March 8, 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.
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|Priority Level||Area||Item||Current Status||Comments|
|High||System Clean-up||Correcting rate increase service unit adjustments (spreadsheet process)||
||•Temps have been assigned the largest of our spreadsheets with thousands of members.
•Agencies will be informed when their spreadsheet adjustments are completed.
|High||Develop Reporting Capabilities||My Work Report
--Report to allow system users to see key information related to Member service plan and monitoring dates
|Going live today, 3/8/2019. Bulletin being sent toadvise.|
|High ||Develop Reporting Capabilities||Services Not-Authorized Report
--Report to allow system users to easily identify services that have not been authorized
||Testing is in progress for this report.|
|High||Develop Reporting Capabilities||Census Report||New report in testing phase|
|High||Achieve Timelines for MSU-AA Key Areas||Service Plan Authorization -- ADvantage||
||•SPA is receiving on average approximately 225 new ticklers perday for service authorizations|
|High||Achieve Timelines for MSU-AA Key Areas||Service Plan Authorization – State Plan Personal Care (SPPC)||
||SPPC continues to process the changeover of authorizations from calendar year 2018 to 2019.|
|High ||Achieve Timelines for MSU-AA Key Areas||Provider Question||State Plan Personal Care (SPPC)
|High||Achieve Timelines for MSU-AA Key Areas||Resource Center (returning calls)||
||Outside assistance has been obtained from other areas of the MSU to support Resource Center staff in returning client calls.
Calls are now being answered in real time unless exceptional circumstances are encountered.
|Moderate||Develop Remaining Program Area Capabilities||Provider Relations
--Certified Agency Report (CAR) move to Harmony
||The Certified Agency Report will continue to be managed on the ADvantage.ok.gov website until the transition can be made to the Harmony system.|
|Moderate||Provider Engagement||Initiate bi-annual Provider Meetings||
||As soon as location is established, registration will be opened.|
|Moderate||Develop Remaining Program Area Capabilities||Operationalize audit functionality in the Harmony system||
||A methodology has been created by MSU Informatics for pulling a random sample from the Harmony system for each provider, as applicable by service type.|
|Moderate||Develop Remaining Program Area Capabilities||Initiate individual provider trainings by provider type||
||Case management providers are encouraged to have as many case managers as possible attend this training.
Any agencies that have not yet signed up should do so as quickly as possible.