SMMC Report Guide (Effective 1/1/14) - Archive
SMMC Report Guide
[
1.4 MB
]
Effective 1/1/2014
Summary of SMMC Report Guide Revisions
[
406.6 kB
]
Effective 1/1/2014
SMMC Report Guide Transmittal
[
44.8 kB
]
Effective 10/1/2013
SMMC Report Guide
[
1.2 MB
]
Effective 4/17/2013
SMMC Report Guide Templates:
Administrative Subcontractors and Affiliates Report
[
648.5 kB
]
Updated 10/17/2013
Audited Annual and Unaudited Quarterly Financial Reports
[
355 kB
]
Updated 10/31/2013
Case Management File Audit Report
[
43 kB
]
Case Manager Caseload Report Template
[
88.5 kB
]
New 10/1/2013
Case Manager Monitoring and Evaluation Report
[
33 kB
]
Claims Aging Report FFS
[
2 MB
]
Updated 10/1/2013
Claims Aging Report & Supplemental Filing Report - Capitated Health Plans
[
2.5 MB
]
Updated 10/1/2013
Critical Incident Report
[
31 kB
]
Critical Incident Summary Report
[
32 kB
]
Denial, Reduction, Termination of Services Report
[
42 kB
]
Updated 10/1/2013
Enrollee Complaints, Grievances, and Appeals Report
[
521 kB
]
Updated 10/1/2013
Enrollee & Nursing Facility Residence Report
[
33 kB
]
Updated 10/1/2013
Missed Services Report
[
31 kB
]
Updated 10/1/2013
MPI Annual Fraud and Abuse Activity Report (AFAAR)
[
66 kB
]
Updated 10/1/2013
Multiple Signature Verification Agreement
[
36.5 kB
]
Nursing Facility Transfer Report
[
40.5 kB
]
Updated 10/1/2013
Participant Direction Option (PDO) Report
[
35 kB
]
Patient Responsibility Report
[
32.5 kB
]
Provider Complaint Report
[
1.2 MB
]
Updated 10/1/2013
Provider Network File Specifications
[
864.8 kB
]
Updated 10/1/2013
Provider Termination & New Provider Notification Report
[
66 kB
]
Updated 10/31/2013
Utilization Reporting
[
43 kB
]
SMMC Report Guide Archive
Community Outreach Health Fairs Public Events Notification
[
147 kB
]
Community Outreach Representative Report
[
50 kB
]
MPI Quarterly Fraud Abuse Activity Report
[
213 kB
]
MPI Suspected Confirmed Fraud and Abuse Report
[
59.5 kB
]
Performance Measure Specifications
[
50.5 kB
]
Performance Measures Report
[
34.5 kB
]
