SMMC Report Guide (Effective 4/1/2018)

SMMC Report Guide (Effective 4/1/2018)
Report Guide [ 310.3 kB ]
SMMC Report Guides Templates:
Adverse and Critical Incident Summary Report [ 16.3 kB ] Effective 4/1/18
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 [ 92 kB ] Effective 10/1/17
Case Management File Audit Report - SMMC [ 26.1 kB ] Effective 4/1/18
Case Management File Audit Report Operational Guidelines [ 28.3 kB ] Effective 4/1/18
Case Manager Monitoring and Evaluation Report - SMMC [ 33 kB ] Effective 6/1/14
Case Manager and Provider Training Report [ 20.1 kB ] Effective 10/1/17
Child Health Check-Up - MMA [ 239 kB ] Effective 4/1/18
Claims Aging Report for SMMC [ 47 kB ] Effective 4/1/18
Critical Incident Report [ 13.9 kB ] Effective 4/1/18
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 10/1/17
Denied/Suspended/Terminated Provider Report [ 17.7 kB ] Effective 4/1/18
Enhanced Care Coordination Report [ 168.5 kB ] Effective 4/1/18
Enrollee Complaints, Grievances and Appeals Report [ 12.3 MB ] Effective 1/17/2018
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 (Updated 10/1/2018) [ 52.6 kB ] Effective 7/1/18
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 [ 375.4 kB ] Effective 4/1/2018
MMA Performance Measure Specifications [ 183.7 kB ] Effective 4/1/2018
Marketing Agent Status Report [ 37.6 kB ] Effective 10/1/17
Marketing Public Educational Events Report [ 171.2 kB ] Effective 10/1/17
Missed Services Report - SMMC [ 37 kB ] Effective 10/1/17
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
PCP Appointment Report [ 19.2 kB ] Effective 10/1/17
Performance Measures Report SMMC & MMA [ 432 kB ] Effective 4/1/18
Physician Incentive Program Report [ 28.9 kB ] Effective 4/1/18
Provider Complaint/Appeal Report [ 11.2 MB ] Effective 1/17/2018
Provider Network and Qualifications Report [ 61.5 kB ] Effective 10/1/17
Quarterly Fraud and Abuse Activity Report [ 45.2 kB ] Effective 4/1/18
Residential Psychiatric Treatment Report – MMA [ 30.4 kB ] Effective 4/1/18
Suspected/Confirmed Waste Reporting [ 16.3 MB ] Effective 10/1/17
Timely Access PCP Wait Times Report - MMA [ 805.5 kB ] Effective 10/1/17
Unable to Locate/Contact Enrollee Report [ 12.2 kB ] Effective 1/1/15

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SMMC Report Guide (Effective 4/1/2018)