|
|
BCMS, CAPS and USTEPS Data Sharing:
BCMS is the Department of Human Services' contract / provider data system.
CAPS is the Department of Human Services' provider payment data system.
In order to fulfill the department's data quality / business continuity requirements, USTEPS directly interfaces with the data stored in BCMS and CAPS.
USTEPS uses BCMS as the source for provider contract data, service codes, service code rates, etc., generated by it. Likewise, USTEPS uses CAPS as the source for viewing and using provider approvals.
The Person Centered Support Plan (PCSP) pulls provider approvals from CAPS for use in the planning process. Provider approvals establish the rate a provider can be paid for a specific service code in a given time period. Budget lines in the PCSP are based on and validated against the provider approval.
The PCSP activation process incorporates its own validations along with CAPS's validations in order to ensure the budget data satisfies all data quality requirements. If CAPS is offline, then the PCSP activation cannot operate because it depends upon CAPS to fulfill its part of the process.
After the PCSP is activated, USTEPS compiles the budget line data, merges it with other data to create the Purchased Service Authorization (PSA), and then sends it to CAPS.
CAPS uses the PSA data to generate the 520 payment invoice. It also uses the PSA data to validate the payment when it is submitted for processing.
520's - DSPD's provider invoices
CAPS - Contract Approval Payment System
DHS - Department of Human Services
DSPD - Division of Services for People with Disabilities
PA - Provider Approval
PCSP - Person Centered Support Plan
PD - Physical Disability
PSA - Purchased Service Authorization
SAS - Self Administered Services
Primary Providers (Parent )- This would be the company with which the State of Utah, DSPD is contracting with.
Secondary Providers (Child) - This would be a different physical/billing address that would be part of the primary provider. If a secondary provider is where the primary provider wants the 520's delivered, that will be the only option for the worker in the Provider Approval choices (the primary provider will not be listed).
