SMMC Report Guide (Effective 10/1/15) - Archive

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SMMC Report Guide (Effective 10/1/15) - Archive

Report Guide [ 687 kB ]

SMMC Report Guide Templates:

ACA PCP Payment Increase Encounter Data File Layout - MMA [ 16.5 kB ] Effective 6/1/14

ACA PCP Payment Increase MPA SFTP Instructions - MMA [ 199 kB ] Effective 6/1/14

ACA PCP Payment Increase Summary Information - MMA [ 26.2 kB ] Effective 6/1/14

ASR Claim Lags Template SMMC [ 37.6 kB ] Effective 7/1/15

ASR Financial Report SMMC [ 1.5 MB ] Effective 7/1/15

Administrative Subcontractors and Affiliates Report [ 647.3 kB ] Effective 6/1/14

Annual Fraud and Abuse Activity Report Effective 4/1/15

Audited Annual and Unaudited Quarterly Financial Reports [ 459 kB ] Effective 7/1/15

Case Manager Caseload Report - SMMC [ 38.7 kB ] Effective 7/1/15

Case Management File Audit Report - SMMC [ 20.2 kB ] Effective 10/1/14

Case Manager Monitoring and Evaluation Report - SMMC [ 33 kB ]

Child Health Check-Up - MMA [ 233.5 kB ] Effective 4/1/15

Claims Aging Report for SMMC Effective 6/1/14

Claims Aging Supplemental Filing Report for SMMC [ 2.5 MB ] Effective 6/1/14

Code 15 Report [ 12.9 kB ] Effective 4/1/15

Critical Incident Report [ 13.6 kB ] Effective 4/1/15

Critical Incident Summary Report [ 41.7 kB ] Effective 10/1/15

Denial, Reduction, Termination or Suspension of Services Report - SMMC [ 25.2 kB ] Effective 4/1/15

Enhanced Care Coordination Report [ 32.5 kB ] Effective 7/1/15

Enrollee Complaints, Grievances and Appeals Report [ 1.9 MB ]   Effective 4/1/15

Enrollee Roster and Facility Residence Report - SMMC [ 25.9 kB ] Effective 10/1/15

ER Visits without PCP Appointment Report [ 18.3 kB ] Effective 7/1/15

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

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 [ 36.5 kB ] Effective 4/1/15

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 [ 11.8 kB ] Effective 10/1/15

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 [ 13.3 MB ] Effective 7/1/15

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