State Intellectual Disabilities (ID) administrators provide funding and support services for clients with intellectual and developmental disabilities, funded primarily by Medicaid. Administrators are faced with an increase in service needs with less funding; service rates in many cases have not changed in a decade. Shrinking federal funding means administrators need the ability to more closely manage funds and be able to effectively manage budgets, better manage funding across regional offices and providers, re-allocate unused funds from one client to another as needed, and ensure that services paid for though this funder were the services included in client support plans. Administrators must effectively managing state wide automated waiting lists and produce unduplicated client counts. To effectively address these requirements, administrators need a centralized system for more effective management of client cases and funding.
Solution Overview
Harmony offers a software and service solution designed to address these concerns and allow ID agencies to meet both client needs and operational requirements. The Harmony Intellectual Disabilities solution (Harmony ID) offers a flexible, web-based integrated case and financial software and services solution with implementation processes configured from industry best practices, for ID agency organizations that administer a broad array of programs or services. Harmony ID helps maximize client outcomes by improving efficiency of service delivery, streamlining and standardizing business processes, and providing comprehensive access to summarized data.
Key Harmony ID Solution Components
- Integrated Case Management: Harmony ID automates processes from initial referral, through eligibility determination, intake and assessment, waiting list management, plan of care, and discharge processing.
- State Wide Provider Access: With providers logging into Harmony, services can be monitored and treatment availability can be coordinated in real time across the state, resulting in maximized service usage. Providers can manage waiting lists, analyze service capacity, and usage to optimize service delivery.
- Unparalleled Financial Management: Harmony allows agencies to track the budgets for federal, state, and local funding sources. Harmony automatically determines the appropriate funding sources for each claim, based on client eligibility at the time of service, budget availability, and the most appropriate funding source(s) based on the service. Harmony sends and receives HIPAA transactions such as the 837 and 835, and interfaces with Medicaid and general ledger systems.
- General Public Portals, Provider, and Client Access: Allows the general public to query provider information such as locations and services offered. Permits providers to log in to enter claims, and to receive referrals, payments, and other information. Provides client level access to the system, allowing them to log in securely to share in the care management planning process.