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.

Thank you.

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Priority Level	Area	Item	Current Status	Comments
High	System Clean-up	Correcting rate increase service unit adjustments (spreadsheet process)	Two (2) temp employees began processing Unit Adjustment spreadsheets on 2/20/2019 26 spreadsheets have been completed to date by either internal or temp staff The next largest spreadsheet is scheduled for completion on 3/12 Six (6) spreadsheets are currently being processed	•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 in progress Ongoing meetings with Vendor for continuing reviews. Production date has not yet been established	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	Oldest working date is 2/7/2019 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.	•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)	Oldest working date is 2/19/2019	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) 7 outstanding PQs, with oldest working date 1/10/2019
High			ADvantage 321 PQs are assigned to MSU-AA Managers for review and completion Oldest working date is 12/19/2018
High	Achieve Timelines for MSU-AA Key Areas	Resource Center (returning calls)	Oldest working date is 2/10/2019 There are 246 pending application requests There are 149 requests for information	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 CAR is currently available at http://advantage.ok.gov/bycnty.aspx Interface work continues to move this functionality to the Harmony system	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	A Medicaid Services Unit (MSU) Provider Meeting is planned for April 18, 2019 Location is pending	As soon as location is established, registration will be opened.
Moderate	Develop Remaining Program Area Capabilities	Operationalize audit functionality in the Harmony system	In progress	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	Trainings began this week (2/19/2019) for individual case management providers Training is intended to provide focused training to each provider on the issues that are important to/problematic for them	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.