IPRS (Integrated Payment and Reporting System)
Archived IPRS Information
The NC Division of MH/DD/SAS has developed an integrated payment and reporting system (IPRS) which replaced three former systems for claims processing. The IPRS was built on the existing Medicaid management information system (MMIS) which currently processes Medicaid claims. The IPRS tracks, pays and reports on all claims submitted by providers for services rendered. LME's submit a single claim to the state, and the IPRS processes the claim from the appropriate funding source.
The IPRS system:
- Provides an Integrated Payment and Reporting System to process and pay all Division and Medicaid claims through one system;
- Uses the claims processing engine of the North Carolina MMIS to process and pay claims for the Division of MH/DD/SA Services and leverage re-engineering efforts currently underway in the ITME project to provide multi-payer capabilities;
- Defines, designs, and constructs additional functionality required to meet the specific needs of DMH/DD/SAS;
- Provides increased flexibility to implement unique policy and payment strategies for mental health, developmental disabilities, and substance abuse programs in a timely, cost effective way;
- Establishes a central repository of recipient data across the Division's circle of services and programs;
- Establishes a central repository of provider data across the Division's circle of services and programs;
- Allows the state to more closely monitor the delivery of MH/DD/SA services, and to properly measure and track area program performance;
- Reduces the potential for over-billing and duplicate payments for the same units of service and
- Simplifies the claims filing practices for area programs and reduces the claims payment cycle time.
Resources
Contacts Us
For questions from the public regarding DMH policy and clinical issues: DMH Contact
General Information: Gary Imes
Providers: Please contact your LME for IPRS related questions
