Monday, May 4, 2015

OMHA Awards New Electronic Case Adjudication System

Dianne De La Mare

The US Department of Health and Human Services, Office of Medicare Hearings and Appeals (OMHA) has announced that they have awarded a new development contract for the Electronic Case Adjudication and Processing Environment (ECAPE) to CACI Inc. Federal.

ECAPE will be a dynamic new work flow and case management system that supports an electronic, unified OMHA business process. ECAPE also will allow OMHA to process cases electronically, thus working to reduce the current Medicare appeals backlog, and includes functionality for:
 1) case and workload management;
2) exhibiting;
3) scheduling;
4) document generation;
5) electronic filing of Requests for Hearing and supporting documents; and
6) enhanced management information and business intelligence.

The first release of ECAPE is expected in early 2016. This will include case intake and the first phase of the Appellant Public Portal. The next phase is expected to be released in early 2017. It will cover the remainder of the adjudication process, from assignment to case closure. The final release will occur in Spring 2017, and will cover enhancements to the Appellant Public Portal, as well as additional functionality not included in the first two releases.

To learn more about ECAPE go to and type ECAPE in the search box.

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