SMMC Report Guide (Effective 1/1/2016) - Archive
Report Guide
[
597.1 kB
]
SMMC Report Guide Templates:
Adverse and Critical Incident Summary Report
[
16.1 kB
]
Effective 1/1/16
ASR Claim Lags Template SMMC
[
37.6 kB
]
Effective 7/1/15
ASR Financial Report SMMC
[
1.5 MB
]
Effective 1/1/16
Administrative Subcontractors and Affiliates Report
[
647.3 kB
]
Effective 6/1/14
Annual Fraud and Abuse Activity Report Effective 4/1/15
Case Manager Caseload Report - SMMC
[
38.7 kB
]
Effective 7/1/15
Case Management File Audit Report - SMMC
[
33.1 kB
]
Effective 1/1/16
Case Manager Monitoring and Evaluation Report - SMMC
[
33 kB
]
Effective 6/1/14
Child Health Check-Up - MMA
[
233.5 kB
]
Effective 4/1/15
Claims Aging Report for SMMC
[
43.3 kB
]
Effective 1/1/16
Critical Incident Report
[
13.7 kB
]
Effective 1/1/16
Denial, Reduction, Termination or Suspension of Services Report - SMMC
[
34.1 kB
]
Effective 1/1/2016
Enhanced Care Coordination Report
[
74 kB
]
Effective 1/1/16
Enrollee Complaints, Grievances and Appeals Report
[
11.6 MB
]
Effective 1/1/16
Enrollee Roster and Facility Residence Report - SMMC
[
25.9 kB
]
Effective 10/1/15
ER Visits without PCP Appointment Report
[
19.7 kB
]
Effective 1/1/16
Healthy Behaviors Report
[
14.1 kB
]
Effective 7/1/15
Hernandez Settlement Agreement Log - MMA
[
238 kB
]
Effective 6/1/14
Hernandez Settlement Agreement Survey - MMA
[
31 kB
]
Effective 6/1/14
HIV/AIDS DM Algorithm
[
106.5 kB
]
Effective 1/1/16
Insolvency Protection Multiple Signature Verification Agreement Form
[
106.8 kB
]
Effective 6/1/14
LTC Performance Measure Specifications
[
60.5 kB
]
Effective 7/1/15
MMA Performance Measure Specifications
[
36.7 kB
]
Effective 7/1/15
Marketing Agent Status Report
[
39.4 kB
]
Effective 1/1/16
Marketing Public Educational Events Report
[
167.8 kB
]
Effective 10/1/15
Missed Services Report - SMMC
[
22.9 kB
]
Effective 7/1/15
PASRR Report
[
15.9 kB
]
Effective 1/1/16
Patient Responsibility Report - SMMC
[
16.4 kB
]
Effective 6/1/14
Participant Directed Option Roster Report - SMMC
[
17.5 kB
]
Effective 4/1/15
Performance Measures Report SMMC & MMA
[
269.5 kB
]
Effective 7/1/15
Provider Complaint Report
[
13.8 MB
]
Effective 1/1/16
Provider Termination and New Provider Notification Report
[
41 kB
]
Effective 6/1/14
Timely Access PCP Wait Times Report - MMA
[
1.7 MB
]
Effective 6/1/14
Unable to Locate/Contact Enrollee Report
[
12.2 kB
]
Effective 1/1/15
