SMMC Report Guide (Effective 4/1/2017)

SMMC Report Guide (Effective 4/1/2017)
Report Guide [ 532.3 kB ]
SMMC Report Guides Templates:
Adverse and Critical Incident Summary Report [ 16.2 kB ] Effective 4/1/16
ASR Claim Lags Template SMMC [ 37.3 kB ] Effective 4/1/17
ASR Financial Report SMMC [ 2.6 MB ] Effective 4/1/17
Administrative Subcontractors and Affiliates Report [ 647.3 kB ] Effective 6/1/14
Annual Fraud and Abuse Activity Report [ 29.6 kB ] Effective 4/1/16
Case Manager Caseload Report - SMMC [ 87.7 kB ] Effective 4/1/17
Case Management File Audit Report - SMMC [ 29.5 kB ] Effective 10/1/16
Case Manager Monitoring and Evaluation Report - SMMC [ 33 kB ] Effective 6/1/14
Child Health Check-Up - MMA [ 222.5 kB ] Effective 7/1/17
Claims Aging Report for SMMC [ 46.9 kB ] Effective 4/1/17
Critical Incident Report [ 13.7 kB ] Effective 1/1/16
Custody Arrangement Multiple Signature Verification Agreement Form [ 478.1 kB ] Effective 4/1/17
Denial, Reduction, Termination or Suspension of Services Report - SMMC [ 34.7 kB ] Effective 4/1/16
Enhanced Care Coordination Report [ 164 kB ] Effective 4/1/17
Enrollee Complaints, Grievances and Appeals Report [ 14 MB ] Effective 3/15/17
Enrollee Roster and Facility Residence Report - SMMC [ 30.6 kB ] Effective 4/1/17
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
Hernandez Settlement Survey Requirements [ 89.4 kB ] Effective 4/1/17
HIV/AIDS DM Algorithm [ 59 kB ] Effective 10/1/17
HIV/AIDS Performance Measures Attachment [ 20.1 kB ] Effective 7/1/2017
Insolvency Protection Multiple Signature Verification Agreement Form [ 261.2 kB ] Effective 4/1/17
LTC Performance Measure Specifications [ 65.5 kB ] Effective 7/1/2017
MMA Performance Measure Specifications [ 35.8 kB ] Effective 7/1/2017
Marketing Agent Status Report [ 39.4 kB ] Effective 1/1/16
Marketing Public Educational Events Report [ 171.1 kB ] Effective 4/1/17
Missed Services Report - SMMC [ 32 kB ] Effective 4/1/16
PASRR Report [ 27 kB ] Effective 4/1/17
Patient Responsibility Report - SMMC [ 16.4 kB ] Effective 6/1/14
Participant Directed Option Roster Report - SMMC [ 86.3 kB ] Effective 4/1/17
Performance Measures Report SMMC & MMA [ 509.5 kB ] Effective 7/1/17
Provider Complaint Report [ 14 MB ] Effective 3/15/17
Provider Termination and New Provider Notification Report [ 41 kB ] Effective 6/1/14
Residential Psychiatric Treatment Report – MMA [ 21.7 kB ] Effective 4/1/16
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

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SMMC Report Guide (Effective 4/1/2017)