CASE MANAGEMENT DATA. ODJFS designed a case management system (CAMS) in order to monitor MCP compliance with program requirements specified in Appendix G,
Appears in 7 contracts
Samples: Provider Agreement (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)
CASE MANAGEMENT DATA. ODJFS designed a case management system (CAMS) in order to monitor MCP compliance with program requirements specified in Appendix G,, Coverage and Services. Each MCP’s case management data submissions will be assessed for completeness and accuracy. The MCP is responsible for submitting a case management file every month. Failure to do so jeopardizes the MCP’s ability to demonstrate compliance with case management requirements. For detailed descriptions of the case management measures below, see ODJFS Methods for the ABD and CFC Medicaid Managed Care Programs Data Quality Measures.
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)
CASE MANAGEMENT DATA. ODJFS designed a case management system (CAMS) in order to monitor MCP compliance with program requirements specified in Appendix G,, Coverage and Services. Each MCP's case management data submissions will be assessed for completeness and accuracy. The MCP is responsible for submitting a case management file every month. Failure to do so jeopardizes the MCP's ability to demonstrate compliance with CSHCN requirements. For detailed descriptions of the case management measures below, see ODJFS Methods/or Case Management Data Qualify Measures.
2.a. Case Management System Data Accuracy
Appears in 1 contract
CASE MANAGEMENT DATA. ODJFS designed a case management system (CAMS) in order to monitor MCP compliance with program requirements specified in Appendix G,, Coverage and Services. Each MCP’s case management data submissions will be assessed for completeness and accuracy. The MCP is responsible for submitting a case management file every month. Failure to do so jeopardizes the MCP’s ability to demonstrate compliance with CSHCN requirements. For detailed descriptions of the case management measures below, see ODJFS Methods for Case Management Data Quality Measures.
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)
