SMMC Report Guide (Effective 6/1/14) - Archive
Note: The SMMC Report Guide is NOT for use with the 2012-15 Medicaid Health Plan Contract. The Health Plan Report Guide for the 2012-15 Medicaid Health Plan Contract is located at http://ahca.myflorida.com/medicaid/Policy_and_Quality/Policy/Managed_Care_contracting/MHMO/prior_contracts.shtml
SMMC Report Guide
[
848.2 kB
]
Effective 6/1/2014
SMMC Report Guide Templates:
ACA PCP Payment Increase Encounter Data File Layout - MMA
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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
[
26.2 kB
]
Effective 6/1/14
Audited Annual and Unaudited Quarterly Financial Reports
[
436.5 kB
]
Effective 6/1/2014
Case Manager Caseload Report - LTC
[
92 kB
]
Effective 6/1/14
Case Management File Audit Report - LTC
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24.8 kB
]
Effective 6/1/14
Case Manager Monitoring and Evaluation Report - LTC
[
33 kB
]
Child Health Check-Up- MMA
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229 kB
]
Claims Aging Report for SMMC Effective 6/1/14
Claims Aging Supplemental Filing Report for SMMC
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2.5 MB
]
Effective 6/1/14
Code 15 Report
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13.4 kB
]
Effective 6/1/14
Critical Incident Report
[
13.4 kB
]
Effective 6/1/14
Critical Incident Summary Report
[
76.4 kB
]
Effective 6/1/14
Denial, Reduction, Termination or Suspension of Services Report - LTC
[
30 kB
]
Effective 6/1/14
Enrollee Complaints, Grievances and Appeals Report
[
3.8 MB
]
Effective 6/1/14
Enrollee Roster and Facility Residence Report - LTC
[
39 kB
]
Effective 6/1/14
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 Termination Report
[
88.5 kB
]
Effective 6/1/14
Marketing Outreach Events Notification Logs
[
277 kB
]
Effective 6/1/14
Missed Services Report - LTC
[
22.7 kB
]
Effective 6/1/14
Nursing Facility Transfer Report - LTC
[
40.5 kB
]
Updated 10/1/2013
Patient Responsibility Report - LTC
[
16.4 kB
]
Effective 6/1/14
Participant Directed Option Roster Report - LTC
[
19.5 kB
]
Effective 6/1/14
Performance Measures Report LTC & MMA
[
134.5 kB
]
Effective 6/1/14
Provider Complaint Report
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864 kB
]
Effective 6/1/14
Provider Termination and New Provider Notification Report
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41 kB
]
Effective 6/1/14
Quarterly and Annual MLR Report - MMA
[
64.5 kB
]
Effective 6/1/14
Timely Access PCP Wait Times Report - MMA
[
1.7 MB
]
Effective 6/1/14
Utilization Report - LTC
[
37.5 kB
]
Effective 6/1/14
