Criteria #20 Online Provider Directory – Respondent will describe the provider search function for the online provider directory, including submission of: A description outlining the transparency and accessibility of the online provider directory, including the parameters upon which enrollees may search. Include whether or not the online provider directory is mobile friendly. Screen shots for each mouse click required from the start of the Respondent’s home page to actual search results for a provider, using durable medical equipment providers and zip code as the search elements. A list of performance indicators the Respondent will include for each provider type listed in its provider directory. A description of the Respondent’s process for verification of provider information in the online provider directory, including delegated subcontractor provider information, and the method(s) the Respondent uses to ensure the weekly network file submission to the Department is accurate. Reply: Evaluation Criteria: The extent of the Respondent’s search functions for the Respondent’s online directory and ease of access for enrollees’ navigation of the online provider directory, including whether or not the online directory is mobile friendly. The extent to which the number of clicks it takes recipients to access the search results, as indicated by the screen shots provided, is less than five. The extent and relevance of the performance indicators available in the Respondent’s provider directory for each provider type listed. The extent of the Respondent’s efforts to ensure information in the Respondent’s online provider directory is accurate, including type and frequency of monitoring activities, and delegated subcontractor provider information. Include the frequency of outreach efforts to remediate incorrect provider demographic information and accepting new patient status. The extent to the Respondent’s online provider directory updates are performed daily and the extent to which the updates are communicated to the Department as required ensuring the information the Respondent displays on its website align with the Department’s information. Score: This section is worth a maximum of 10 raw points with each of the above components being worth a maximum of 2 points each.
Criteria #20 – Online Provider Directory Respondent will describe the provider search function for the online provider directory, including submission of: A description outlining the transparency and accessibility of the online provider directory, including the parameters upon which enrollees may search. Include whether or not the online provider directory is mobile friendly. Screen shots for each mouse click required from the start of the Respondent’s home page to actual search results for a provider, using durable medical equipment providers and zip code as the search elements. A list of performance indicators the Respondent will include for each provider type listed in its provider directory. A description of the Respondent’s process for verification of provider information in the online provider directory, including delegated subcontractor provider information, and the method(s) the Respondent uses to ensure the weekly network file submission to the Department is accurate. Reply: Evaluation Criteria: The extent of the Respondent’s search functions for the Respondent’s online directory and ease of access for enrollees’ navigation of the online provider directory, including whether or not the online directory is mobile friendly. The extent to which the number of clicks it takes recipients to access the search results, as indicated by the screen shots provided, is less than five. The extent and relevance of the performance indicators available in the Respondent’s provider directory for each provider type listed. The extent of the Respondent’s efforts to ensure information in the Respondent’s online provider directory is accurate, including type and frequency of monitoring activities, and delegated subcontractor provider information. Include the frequency of outreach efforts to remediate incorrect provider demographic information and accepting new patient status. The extent to the Respondent’s online provider directory updates are performed daily and the extent to which the updates are communicated to the Department as required ensuring the information the Respondent displays on its website align with the Department’s information. Score: This section is worth a maximum of 10 raw points with each of the above components being worth a maximum of 2 points each.
attachment-a-1-evaluation-criteria.docx