Provide downloadable PDL for providers via the Kentucky 804. WSB9 Medicaid Website. Update the Kentucky Medicaid Website with a full PDL within 805. WSB10 ten business days after each therapeutic category has been reviewed. Produce web Drug Rebate invoices, providing the data in an 806. WSB11 electronic format for retrieval. Utilize KOG to maintain system of secure access for valid web 807. user identification and password to access the secure services. Display the most current Member eligibility information, including third party liability (TPL), managed care enrollment, 808. WSB13 program limitations and service limits exhausted by member on the Kentucky Medicaid Website. 809. WSB14 Allow providers to check on claim status. Allow providers to inquire on check-write information from the 810. WSB15 most recent payment cycle. 811. Maintain online PA creation, inquiry, and update. Maintain the capability for providers to search National Drug 812. Codes on the Kentucky Medicaid Website. The system Website response time should be within 4 813. WSB18 seconds for 99 percent of the time. Operate and maintain the Web Services function of the 814. WSB19 MEMS, in accordance with policy set by DMS.
804. WSB9 Provide downloadable PDL for providers via the Kentucky Medicaid Website. 805. WSB10 Update the Kentucky Medicaid Website with a full PDL within ten business days after each therapeutic category has been reviewed. 806. WSB11 Produce web Drug Rebate invoices, providing the data in an electronic format for retrieval. 807. Utilize KOG to maintain system of secure access for valid web user identification and password to access the secure services. 808. WSB13 Display the most current Member eligibility information, including third party liability (TPL), managed care enrollment, program limitations and service limits exhausted by member on the Kentucky Medicaid Website. 809. WSB14 Allow providers to check on claim status. 810. WSB15 Allow providers to inquire on check-write information from the most recent payment cycle. 811. Maintain online PA creation, inquiry, and update. 812. Maintain the capability for providers to search National Drug Codes on the Kentucky Medicaid Website. 813. WSB18 The system Website response time should be within 4 seconds for 99 percent of the time. 814. WSB19 Operate and maintain the Web Services function of the MEMS, in accordance with policy set by DMS.
Attachment_I_-_MEMS_Fiscal_Agent_Requirements[1].docx