HEALTHsuite Advantage provides the flexibility and precision to streamline every aspect of your Medicaid administration. Following are key features available from RAM and HEALTHsuite Advantage:

• Strong Data Management Controls – integral for accuracy and reporting
• Flexible Configuration – including non-traditional services (Ramp building, meals on wheels, etc.)
• Supports Membership and Financial Reconciliation Including Roster, State Audit and 820 Processing
• Captures Medicaid Recipient Categories
• Supports Individual Beneficiaries and Links Individuals to Medicaid Cases
• Supports PCP Auto Assignment
• Highly Configurable to Connect Family and Individual Member Records to any Plan / Benefit
• All Correspondence Connected to Appropriate Member for Ease of Access
• Environment Compliant with State Regulations
• Integrated and Configurable Workflow – for both operations as well as medical management
• Reporting Enabled, Ability to Generate Specific State Reports Based on Guidance
• Supports Medicaid / Medicare Dual Eligible Processing (Wraparound or COB)
• Simplifies Integration with the State – both inbound and outbound including proprietary data formats
• Maintains and Tracks Financial Responsibility for Government and Unlimited Third-Party Subsidies
• Supports Loading of Medicaid Fee Schedules
• Integration of Prospective Payment Systems and Cost Containment Tools
• And more…

In addition, we make available to our clients the State Medicaid Integration Pack which includes State Specific capabilities for the following functions:

• Enrollment
• Capitation Payment Reconciliation
• Encounter Reporting
• State Specific Medicaid Fee Schedules
• State Specific Support for Timely Filing
• And more…

NOTE: The State Medicaid Integration Pack is provided and maintained by RAM Technologies and includes ongoing, periodic releases to accommodate changes in regulatory and compliance requirements mandated by each state.*