AHS has a long history of meeting and exceeding technical requirements. Our combination of industry experience and leading edge technology allow us to exceed expectations when implementing new programs, modifying existing programs, or running our daily operations. Examples of our technology include:

Provider Network Verification AHS offers a comprehensive provider verification system that is comprised of three components:

1. A sophisticated rules engine that determines provider eligibility,
2. A secure, user-friendly web portal through which State and Health Plan staff can communicate with each other, research data issues, and access the most up-to-date provider network information, and
3. A complete menu of reports that not only allow State staff to determine provider network status and monitor signs of fraud, but also help Health Plans determine their network status on an ongoing basis and make adjustments as needed.

With these tools available to both Health Plan and State staff, the Provider Network Verification Portal provides several benefits:

• Medicaid consumers by facilitating greater accuracy of available providers for choice,
• Taxpayers by assisting the State with monitoring fraud related to network adequacy more efficiently, and
• Health Plans by helping them target areas for provider recruitment and quicker compliance resolution.

AHS provides a secure platform for allowing consumers to manage their benefits online. Consumers can search for providers, select a Health Plan/PCP, view the status of their request, and download program materials. This empowers the user to take an active role in the health care that they receive.

AHS is constantly exploring new ways to more effectively outreach and communicate with Medicaid consumers and providers. With strategies to engage all of our audiences via Facebook, QR codes embedded in program communication, blogs, YouTube videos, mobile applications, and other emerging technologies, AHS is well prepared to use all available avenues to fully engage project audiences.

AHS uses geo mapping capabilities throughout our various contracts. Examples include:

• Using distance from the consumer as a variable in auto-assignment equations
• Displaying relevant search results to the consumer on our online provider search
• Enable the user to map directions to a provider in their network
• Show participating provider density to determine which areas of the state are lacking coverage

Document processing and imaging is a standard practice in all AHS projects. We currently image and index several thousand documents each month, and all documents are appropriately stored in our systems for easy access. Such comprehensive practices allow us to be able to handle regular mailed documents, faxes, secure web uploads, and even mobile uploads.

AHS uses auto dialing technology to outreach to Medicaid consumers. Auto dialing allows us to outreach to a much larger population and increase the voluntary selection rate.