Common use of Management Information Systems Clause in Contracts

Management Information Systems. The PIHP shall ensure a Management Information System and related practices that reflect sufficient capacity to fulfill the obligations of this contract. Management information systems capabilities are necessary for at least the following areas: • Monthly downloads of Medicaid eligible information • Individual registration and demographic information • Provider enrollment • Third party liability activity • Claims payment system and tracking • Grievance and complaint tracking • Tracking and analyzing services and costs by population group, and special needs categories as specified by MDCH • Encounter and demographic data reporting • Quality indicator reporting • HIPAA compliance • UBP compliance • Individual access and satisfaction

Management Information Systems. The PIHP shall ensure a Management Information System and related practices that reflect sufficient capacity to fulfill the obligations of this contract. Management information systems capabilities are necessary for at least the following areas: •  Monthly downloads of Medicaid eligible information •  Individual registration and demographic information •  Provider enrollment •  Third party liability activity •  Claims payment system and tracking •  Grievance and complaint tracking •  Tracking and analyzing services and costs by population group, and special needs categories as specified by MDCH •  Encounter and demographic data reporting •  Quality indicator reporting •  HIPAA compliance •  UBP compliance •  Individual access and satisfaction