HCR121 (2017 Regular Session) Dashboard


HCR121 DASHBOARD >> LOUISIANA DEPARTMENT OF HEALTH - IN USE
Agency Application Description PMO Moderization Status Loss Impact Economic Impact Social Impact Finding Type Replacement Cost Replaced By Key
Louisiana Department of Health Medicaid-MMIS Application that includes Title XIX program control and administrative costs; service to recipients, providers and inquiries; operations of claims control and computer capabilities; and management reporting for planning and control. There are several modules within MMIS including provider management, pharmacy benefit management, and is the fiscal intermediary for Medicaid claim submittal. The Medicaid Management Information Systems (MMIS) Division administers the contract and monitors the budget of the Medicaid Fiscal Intermediary (Molina), which is responsible for the payment of claims to providers and the timely and accurate reporting to state and federal personnel and private sector partners. The current MMIS is outdated and inefficiencies exist as it is difficult to implement changes and impacts CMS funding to maintain an aging and ineffective system. In addition, CMS is not investing any additional resources into changing/upgrading MMIS as it stands today. In-Progress 4 - Devastating Impact Medicaid payments in excess of $8.3B including other financial impacts such as the loss of rebates on prescription drugs to the State are at risk with the failure of MMIS. The failure of MMIS has far reaching impacts including Medicaid recipients being denied services due to non-payment to participating doctors and pharmacies. MMIS processes 51 million Medical claims annually for more than 30,000 Medicaid providers. Key 100M-150M OEPT-527
Louisiana Department of Health OBH-Daily Census Tracks the number of beds, number of clients currently in treatment and number on waiting list in OBH/AD 24 hr. facilities Not Started 3 - High Impact Having this site is a federal reporting requirement. If we did not have this Daily Census site, OBH could lose funding. If this system were to go down, the availability for beds at residential treatment facilities would be unknown. As of 1/1/2018, there are a total number of 6,885 bed days utilized (number of beds at each facility x number of days reported) out of the potential 17,112 OBH-AD funded bed days. Within these general bed day counts are multiple facilities, and patient population has to be balanced since some facilities operate at 0% utilization while others operate over 100% utilization. Knowing the availability of daily bed counts is key to balancing treatment for patients. Normal 100K-500K OEPT-604
Louisiana Department of Health OBH-PIP (Patient Information Program) Provides administrative and clinical data on all persons served in each OBH/MH inpatient program statewide. These Applications are linked to HCS, which is the Medical Dispensing and Inventory Control application. This Application is used to track Medications dispensed to the Clients at Central State Hospital. Data is shared between these various Applications, and everything done in the Pharmacy is based on what is in PIP. In-Progress 4 - Devastating Impact Potential undeterminable economic impact due to efficiencies lost. The Data in both PIP and the Incident Applications are critical to the operations at Central State Hospital, and the care of the Clients that are housed there. This system tracks all patient information for Central Hospital (120 patients) and East Louisiana Mental Health System (650 patients). Information is used to generate Uncompensated Cost Care Reports for Medicaid and DSH Audits. Key 100K-500K OEPT-635
Louisiana Department of Health OBH-PIP-Incident Tracking ELMHS - Accesses same patient database, adding data regarding client incidents as the PIP application as it is a component of PIP. This is a component of PIP. See OBH-PIP above. In-Progress 4 - Devastating Impact Normal 100K-500K OEPT-637
Louisiana Department of Health OBH-TANF (Temporary Assistance to Needy Families) This application is for temporary assistance to needy families (TANF). The providers use the system to input data for rollup reports and for submitting invoices for monthly payments from OBH. Generally speaking, without the system LDH could not report to the funding source (DCFS) and could not provide documentation for reimbursement. This will interfere with OBH’s ability to be reimbursed from the funding source (DCFS). The money has already been IAT (Inter Agency Transferred) to the LGE (Local Government Entity) so the system does not interfere with their reimbursement. Not Started 3 - High Impact If this system were to go down, OBH could not report out to their funding source (DCFS) and could not provide documentation for reimbursement for submitting invoices of monthly payments from OBH that total approximately $215,000 to $235,000 per month. The TANF providers will not be able to report out on performance indicators outlined in their respective contracts as they currently assist around 94 families. Normal 49K-100K OEPT-646
Louisiana Department of Health OS-ARCS (Accounts Receivable Control System) Tracks ineligible patient fee balances owed to LDH facilities. In-Progress 4 - Devastating Impact Placements are not scheduled but are sent to ODR as received from LDH agencies. Currently have 4,000 delinquent debts that total $900,000. Potential degradation of services to constituents from undetermined potential efficiencies lost. Normal 100K-500K LaGov OEPT-860
Louisiana Department of Health OS-ARPCS (Accounts Receivable and Payable Control System) Tracks accounts receivables and payables primarily for the Medicaid program. In-Progress 4 - Devastating Impact If the system were to go down the LDH Fiscal Department would not be able to balances. Average A/R balance is $152 Million and average A/P balance is $109 Million. Potential degradation of services to constituents from undetermined potential efficiencies lost. Normal 100K-500K LaGov OEPT-861
Louisiana Department of Health OS-MATF (Medical Assurance Trust Fund) Used to send invoices to Intermediate Care Facilities and nursing homes for bed fees, and pharmacies for prescriptions filled. The system tracks balances due, and calculates interest and late fees per provider. In-Progress 4 - Devastating Impact If this system were to go down, the Fiscal Department would not be able to process these invoices. The estimated number of invoices per quarter on average is 2700 and average number statements sent is 250. The average amount of quarterly collections is $37.5 Million. Potential degradation of services to constituents from undetermined potential efficiencies lost. Key 100K-500K LaGov OEPT-882
Louisiana Department of Health OS-MERS (Medical Escrow Refund System) Tracks Medicaid provider repayments, and interfaces with the Medicaid Management Information System (MMIS) to credit funds back to provider accounts. The system also interfaces with ISIS to remove funds from the Medicaid escrow account. When providers are overpaid, money is recouped by reconciling claims with Molina. In-Progress 4 - Devastating Impact If the system were to go down the LDH Fiscal Department would not be able to credit providers. The average amount credited to providers monthly is $1.2 Million. Potential degradation of services to constituents from undetermined potential efficiencies lost. Normal 100K-500K LaGov OEPT-883
Louisiana Department of Health OS-SPS (Standard Payment System) This system is used to make payments for small specialized programs not processed through Molina because they are not claim based. There are currently 4 or 5 programs using this service. Agencies have their own systems and currently send files to OMF. OMF prints the checks for the Agency and then sends a file with payment data back to the Agency and a file with journal entries to ISIS. In-Progress 4 - Devastating Impact If this system were to go down, the Fiscal Department would not be able to process checks for the programs at LDH.   Programs are: (1) EHR, 62 average checks per month, average check $2,760.092.23  (2) MEC, 62 average checks per month, average check $113.687.11  (3) OSS, 5 average checks per month, average check $37,319.35  (4) CABHI, 4 average EFTs per month, average amount $11,368.44  (5) SUP, 4 average EFTs per month, average amount $11,780.22 Potential degradation of services to constituents from undetermined potential efficiencies lost. Normal 49K-100K OEPT-895