SMMC Report Guide (Effective 4/1/15) - Archive
SMMC Report Guide
[
612.8 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
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
[
436.5 kB
]
Effective 6/1/2014
Case Manager Caseload Report - SMMC
[
105 kB
]
Effective 4/1/15
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
[
46.1 kB
]
Effective 4/1/15
Denial, Reduction, Termination or Suspension of Services Report - SMMC
[
25.2 kB
]
Effective 4/1/15
Enrollee Complaints, Grievances and Appeals Report
[
1.9 MB
]
Effective 4/1/15
Enrollee Roster and Facility Residence Report - SMMC
[
19.9 kB
]
Effective 4/1/15
ER Visits without PCP Appointment Report
[
18.2 kB
]
Effective 1/1/15
Freedom of Choice Certification Report
[
41.5 kB
]
Effective 4/1/15
Healthy Behaviors Report
[
15.6 kB
]
Effective 1/1/15
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
Marketing Agent Status Report
[
36.5 kB
]
Effective 4/1/15
Marketing Public Educational Events Report
[
174.3 kB
]
Effective 4/1/15
Missed Services Report - SMMC
[
23 kB
]
Effective 4/1/15
PASRR Report
[
13.8 kB
]
Effective 4/1/15
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
[
134.5 kB
]
Effective 6/1/14
Provider Complaint Report
[
864 kB
]
Effective 6/1/14
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
