Assessment
Associations Overview
In this module you will understand the associations that can be defined at the procedure code level. You will also learn how some of these associations are available for other code sets and data sets.
Rate Setting Overview
In this module, you will learn how the rate setting information is used by other subsystems to enforce State policy. You will also understand how the initial rates are loaded with a predefined interface file. The rates that are different based on factors we associate them with will also be discussed. This module will also disscuss how managed care rates are maintained and approved.
Health Benefit Information Overview
In this module, you will learn how the benefit information is used by other subsystems to enforce State policy. You will also understand the benefit plan selection and assignment criteria supported by the Benefits Administration component.
Assessment: Reference Information Overview
Assessment
Reference Information Overview
In this module you will learn how the reference information is used by other subsystems to enforce State policy. You will also understand the source, mode of update, and update frequency for reference information. This module also explains the associations between the code sets and other attributes required for managing the reference information.
Overview: Case Management PEGA
Assessment