HBPO RFP 07022019 SECTION V - APPENDICES

Overview

Appendix A - Statement of Work

Appendix A - Statement of Work 

 

Appendix B - Sample List of Special Projects

Appendix B - Sample List of Special Projects 

 

Appendix C - Process and Procedure Guides

Appendix C - Paper Renewal Data Entry PP Guide V1.1 

Appendix C -Paper Verification Processing PP Guide V1.8 

Appendix C -Premium Billing Exception Support PP Guide V1.0 

Appendix C -Spend-Down Expense Support PP Guide V1.0 

Appendix C -Administration Of Unknown Items PP Guide V1.0  

Appendix C -Data Entry of HUSKY-C and MSP Referrals PP Guide V1.1 

Appendix C -EMPI Administration PP Guide V2.0 

Appendix C -Handling Returned Missing Information PP Guide V1.2 

Appendix C -Hearing Appeals Support PP Guide V2.0 

Appendix C -MAGI Case Maintenance Support PP Guide V1.3 

Appendix C -Paper Application Data Entry PP Guide V1.2 

 

Appendix D - Quality Assurance Plan for Health Outsourcing

Appendix D - Quality Assurance Plan for Health Outsourcing 

 

Appendix E - Daily Report - 2019-01-02

Appendix E - Daily Report 2019-01-02 

 

Appendix F - Weekly Dashboard - 2019-01-17

Appendix F-Weekly Dashboard 2019-01-17 

 

Appendix G - HUSKY Health Business Analytics Dashboard - 2018-12

Appendix G - HUSKY Health Business Analytics Dashboard-2018-12 

 

Appendix H - Quality Assurance Dashboard - 2018-12

Appendix H - Quality Assurance Dashboard-2018-12 

 

Appendix I - Scan Optics Daily Report - 2018-08-27

Appendix I - Scan Optics Daily Report - 2019-01-18 

 

Appendix J - AH1, AH2 and AH3 Application Forms

Appendix J - AH1 Application Form 

Appendix J - AH2 Application Form 

Appendix J - AH3 Application Form 

 

Appendix K - AH3-R Renewal Form – Template

Appendix K - AH3-R Renewal Form - BW Template 

 

Appendix L - HIX/Tier-1 Worker Portal Screenshots

Appendix L -READ-ME     

Appendix L -1M-113-HIX-Tier-1WorkerPortalIntroduction 

Appendix L -T1M-116-HIX-Tier-1TakingAnApplication 

Appendix L -T1M-118-HIX-Tier-1ApplicationQuickLinks 

Appendix L -T1WM-101-HIX-Tier-1WorkflowScreens 

 

Appendix M - ImpaCT Screenshots

Appendix M - ImpaCT Screenshots 

 

Appendix N - HIX/Tier-1 FileNet Document Ingestion Report - 2019-01-20

Appendix N - HIXTier-1 File Net Document Ingestion Report - 2019-01-20 

 

Appendix O - HIX/Tier-1 System Demonstration

Application 

Manage VCL Processing  

 

Appendix P - Cost Budget Template

Appendix P - Cost Budget Template