Annual Fraud and Abuse Activity Report Summary
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91.6 kB
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| Report Template | Effective Date | Plan Communication | Issue Date |
Annual Fraud and Abuse Activity Report
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50.4 kB
]
| 4/15/2021 | RCN 2021-01 | 1/15/2021 |
|
Annual Fraud and Abuse Activity Report
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32.2 kB
]
Plans notified via email template updated 8/13/19: Technical Corrections Plans notified via email template updated 7/12/19: Template Locked | 4/1/2019 |
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- SMMC Contract Submission Requirements Summary Chart Archive
- SMMC Managed Care Report Guide Archive
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- SMMC: Case Manager Caseload Report
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- SMMC: Claims Aging Report
- SMMC: Critical Incident Individual Report
- SMMC: Denied/Suspended/Terminated Provider Report
- SMMC: Enhanced Care Coordination Report
- SMMC: Enrollee Complaints, Grievances, and Appeals Report
- SMMC: Enrollee Roster and Facility Residence Report
- SMMC: ER Visits without PCP/PDP Appointment Report
- SMMC: Estimated Value of Enhanced Reimbursement DPIP Report
- SMMC: Estimated Value of Enhanced Reimbursement MPIP Report
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- 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
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- 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
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- SMMC: Suspected/Confirmed Waste Reporting
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