Child Health Check-Up Reports Sample Clauses

Child Health Check-Up Reports. 1. The Health Plan shall submit the Child Health Check Up, CMS 416. The Health Plan shall submit the report annually in the format set forth in Table 9, below. The reporting period is the federal fiscal year, October 1 - September 30. The report is due on January 15, following the reporting period. The Health Plan shall submit to the Agency a certification by an Agency-approved independent auditor that the information and data contained in the Child Health Check-Up report is fairly and accurately presented before October 1 following each reporting period. This filing requires a copy of the audited reports and a copy of the auditors' letter of opinion.
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Child Health Check-Up Reports. See Section XII.N.,Tables 8 and 8a Electronic template provided by the Agency Annually - for previous federal fiscal year (Oct-Sep) due by January 15. Audited report due by October 1. Electronic mail to xxxxxxx@xxxx.xxxxxxxxx.xxx Enhanced Benefits Report See section XII.F., Table 5 Electronic template provided by the Agency Monthly Bureau of Health Systems Development via AHCA secure FTP site Health Plan Benefit Package See Section XII.P Electronic template provided by the Agency Annually - re-certification by June 30. CD/DVD to Contract Manager or his/her designee Catastrophic Component Threshold and Benefit Maximum Report See Section XII. AA, Table 18 Electronic template to be provided by the Agency Monthly - Due fifteen (15) days after the end of the month being reported To be provided to the Agency Bureau of Health Systems Development
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Child Health Check-Up Reports. See section XII.N. Tables 7 and 7-A Electronic template provided by the Agency Annually - for previous federal fiscal year (Oct-Sep) due by January 15. Audited report due by October 1. Electronic mail to xxxxxxx@xxxx.xxxxxxxxx.xxx Behavioral Health Specific Reporting Report Specific Data Elements Format Frequency Requirements Submit to: Critical Incidents Individual See section XII.S. Table 11-A Electronic template provided by the Agency Immediately upon occurrence AHCA Contract Manager & designee Critical Incident Summary (S***YYMM.xls) See section XII.S. Table 11 Electronic template provided by the Agency Quarterly - Due on the 15th of the month- Contains previous calendar month’s data AHCA Contract Manager & designee via the AHCA Secure FTP site Behavioral Health Encounter Data (E***YYQ*.txt) See section XII.V. Table 14 Fixed record length text file Quarterly - Due 45 days after the end of the quarter being reported - Contains data for the entire quarter. AHCA Contract Manager & designee via the AHCA Secure FTP site Behavioral Health Pharmacy Encounter Data (B***YYQ*.txt) See section XII.W. Tables 16 and 16-A Fixed record length text file Quarterly - Due 45 days after the end of the quarter being reported - Contains data for the entire quarter. AHCA Contract Manager & designee via the AHCA Secure FTP site Required Staff/Providers (P***YYQQ.xls) See section XII.T. Table 12 Electronic template provided by the Agency Quarterly - Due 45 days after the end of the quarter being reported - Contains data for the entire quarter. AHCA Contract Manager & designee via the AHCA Secure FTP site Behavioral Health Services Grievance and Appeals See Section XII.R. (see Section XII.C. and Table 2 for reporting instructions) Fixed record length text file Quarterly - Due 30 days after the end of the quarter being reported - Contains data for the entire quarter. Requires certification letter. CD/DVD to Contract Manager, or his/her designee, at HSD Report Specific Data Elements Format Frequency Requirements Submit to:
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Child Health Check-Up Reports. The Agency will supply the Excel spreadsheets necessary to create these reports. CMS 416 Report
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