number, and eligibility dates of providers terminated or suspended. Prepare a report, at quarterly, on provider inquiries and utilize this report in determining training needs. This report should include, at a minimum, the following information: Total number of inquiries. 170. PRB69 Number of inquiries answered by the MEMS Vendor. Number of inquiries answered by CHFS, or its designee. Nature of the inquiry. Disposition of the inquiry. Provide extracts of provider data in electronic or other media, 171. PRB70 as specified by CHFS, or its designee. Provide the capability to cross-reference individual providers 172. PRB71 to groups, including MCO(s), as defined in CHFS, or its designee, policy. Refer evidence or reports of provider fraud or abuse to CHFS, 173. PRB72 or its designee. Maintain online provider and reference data used to support 174. MEMS processing of laboratory claims and encounters, in accordance with CLIA requirements. Have an automated process to verify CLIA numbers and 175. PRB74 support updates of CLIA information provided by CHFS, or its designee. Maintain interface with CLIA file from CMS to update 176. PRB75 provider files. Maintain all MEMS-supported CLIA functional requirements, 177. PRB76 as requested by CHFS, or its designee.
number, and eligibility dates of providers terminated or suspended. 170. PRB69 Prepare a report, at quarterly, on provider inquiries and utilize this report in determining training needs. This report should include, at a minimum, the following information: Total number of inquiries. Number of inquiries answered by the MEMS Vendor. Number of inquiries answered by CHFS, or its designee. Nature of the inquiry. Disposition of the inquiry. 171. PRB70 Provide extracts of provider data in electronic or other media, as specified by CHFS, or its designee. 172. PRB71 Provide the capability to cross-reference individual providers to groups, including MCO(s), as defined in CHFS, or its designee, policy. 173. PRB72 Refer evidence or reports of provider fraud or abuse to CHFS, or its designee. 174. Maintain online provider and reference data used to support MEMS processing of laboratory claims and encounters, in accordance with CLIA requirements. 175. PRB74 Have an automated process to verify CLIA numbers and support updates of CLIA information provided by CHFS, or its designee. 176. PRB75 Maintain interface with CLIA file from CMS to update provider files. 177. PRB76 Maintain all MEMS-supported CLIA functional requirements, as requested by CHFS, or its designee.