Eligibility Worksheet Summary
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75.4 kB
]
| Report Template | Effective Date | Plan Communication | Issue Date |
Eligibility Worksheet
[
64.3 kB
]
| 8/1/2024 |
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- 2025-2030 Medicaid Managed Care Plan Report Guide
- Denial, Reduction, Termination or Suspension of Services Report
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- SMMC: ER Visits without PCP/PDP Appointment Report
- SMMC: Estimated Value of Enhanced Reimbursement DPIP Report
- SMMC: Estimated Value of Enhanced Reimbursement MPIP Report
- SMMC: Health Risk Assessment Report
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- SMMC: Hernandez Settlement Agreement Log - MMA
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- SMMC: IMD Reimbursement Report
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- SMMC: Marketing Agent Status Report
- SMMC: Managed Care Plan Training Report
- SMMC: Marketing/Public/Educational Events Report
- SMMC: Medical Foster Care Services Report
- SMMC: Member Satisfaction Improvement Report
- SMMC: Missed Services Report
- SMMC: Non-Emergency Transportation Missed Trips Report
- SMMC: Non-SNP Financial Report
- SMMC: Oral Health Risk Assessment Report
- SMMC: Participant Direction Option Roster Report
- SMMC: PCP/PDP Appointment Report
- SMMC: Performance Measure Action Plan
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- SMMC: Provider Complaint/Appeal Report
- SMMC: Provider Network and Qualifications Report
- SMMC: Provider Network File
- SMMC: Quarterly Fraud and Abuse Activity Report
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- SMMC: Service Authorization Performance Outcome Report
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- SMMC: Suspected/Confirmed Waste Reporting
- SMMC: Unable to Provide Case Management Report
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- SMMC: •Suspected/Confirmed Fraud and Abuse Reporting
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