Management - Case Identification and Creation IV.N.6.b Operations Phase - Business Architecture Overview - Case Management - Case Must customize case data to the Identification and Creation State’s business processes. IV.N.6.b Operations Phase - Business Architecture Overview - Case Must provide notification to the Management - Case assigned investigator when a new Identification and Creation case is created. IV.N.6.b Operations - Business Architecture Must provide the user the choice to Overview - Case either automatically assign cases Management - Case or assign cases on a case-by-case Identification and Creation basis. IV.N.6.b Operations Phase - Business Architecture Overview - Case Must utilize multi-level drop-down Management - Case menus for consistent Identification and Creation categorization and reporting. Must track and manage all case management data including IV.N.6.c Operations Phase - adverse actions, outcomes, Business Architecture expenditures, payments, Overview - Case receivables, recoupments and Management - Manage adjustments in accordance with Case Information State guidelines. IV.N.6.c Operations Phase - Business Architecture Overview - Case Must and report AR/AP (e.g., Management - Manage check numbers, payer, payee, Case Information date, amount, and memo). IV.N.6.c Operations Phase - Must capture, track, display, and Business Architecture maintain all provider data, including Overview - Case agreement and termination Management - Manage information and historical Case Information communications. IV.N.6.c Operations Phase - Must maintain, track, log, archive, Business Architecture display, generate and auto
Management - Case Identification and Creation IV.N.6.b Operations Phase - Business Architecture Overview - Case Management - Case Identification and Creation Must customize case data to the State’s business processes. IV.N.6.b Operations Phase - Business Architecture Overview - Case Management - Case Identification and Creation Must provide notification to the assigned investigator when a new case is created. IV.N.6.b Operations - Business Architecture Overview - Case Management - Case Identification and Creation Must provide the user the choice to either automatically assign cases or assign cases on a case-by-case basis. IV.N.6.b Operations Phase - Business Architecture Overview - Case Management - Case Identification and Creation Must utilize multi-level drop-down menus for consistent categorization and reporting. IV.N.6.c Operations Phase - Business Architecture Overview - Case Management - Manage Case Information Must track and manage all case management data including adverse actions, outcomes, expenditures, payments, receivables, recoupments and adjustments in accordance with State guidelines. IV.N.6.c Operations Phase - Business Architecture Overview - Case Management - Manage Case Information Must and report AR/AP (e.g., check numbers, payer, payee, date, amount, and memo). IV.N.6.c Operations Phase - Business Architecture Overview - Case Management - Manage Case Information Must capture, track, display, and maintain all provider data, including agreement and termination information and historical communications. IV.N.6.c Operations Phase - Business Architecture Must maintain, track, log, archive, display, generate and auto
Revised%20Attachment%20B%20-%20Business%20and%20Technical%20Requirements%20Matrix.docx