Common use of Column Label Description Clause in Contracts

Column Label Description. Total All Incoming Calls/VDN Report a total for all incoming calls to the Main/Trunk line. <name of split> A separate column needs to be added to the report for each individual Split/VDN maintained for the Main/Trunk line. mm/yyyy The reporting period represented by a two character number for the month (mm) and a four character number for the year (yyyy). Example: January 2012 would be represented as 01/2012. Report #: 12 Created: 02/06/2012 Name: Provider Network File Layout Last Revised: Group: Access/Delivery Network Report Status: Active Frequency: Monthly Exhibits: Period: First day of the month through the last day of the month. Due Date: By the 15th of the month following the report period. Submit To: Kentucky Department for Medicaid Services Description: MCOs should provide MCO Provider Network File layouts as provided in Appendix L of the MCO Contract Appendices. Sample Layout: MCO’s should produce monthly Network Provider files based on the layout requirements in Appendix L of the MCO Contract Appendices. Report #: 12A Created: 02/06/2012 Name: Geo Access Network Reports and Maps Last Revised: Group: Access/Delivery Network Report Status: Active Frequency: Annual Exhibits: Period: Ongoing Due Date: July 31st Submit To: Kentucky Department for Medicaid Services Description: MCO’s should provide the GEO Access Network Reports and Maps on an annual basis or upon request by the Department.

Column Label Description. Total All Incoming Calls/VDN Report a total for all incoming calls to the Main/Trunk line. <name of split> A separate column needs to be added to the report for each individual Split/VDN maintained for the Main/Trunk line. mm/yyyy The reporting period represented by a two character number for the month (mm) and a four character number for the year (yyyy). Example: January 2012 would be represented as 01/2012. Report #: 12 Created: 02/06/2012 Name: Provider Network File Layout Last Revised: Group: Access/Delivery Network Report Status: Active Frequency: Monthly Exhibits: Period: First day of the month through the last day of the month. Due Date: By the 15th of the month following the report period. Submit To: Kentucky Department for Medicaid Services Description: MCOs should provide MCO Provider Network File layouts as provided in Appendix L K of the MCO Contract Appendices. Sample Layout: MCO’s should produce monthly Network Provider files based on the layout requirements in Appendix L K of the MCO Contract Appendices. Report #: 12A Created: 02/06/2012 Name: Geo Access Network Reports and Maps Last Revised: Group: Access/Delivery Network Report Status: Active Frequency: Annual Exhibits: Period: Ongoing Due Date: July 31st Submit To: Kentucky Department for Medicaid Services Description: MCO’s should provide the GEO Access Network Reports and Maps on an annual basis or upon request by the Department.

Column Label Description. Total All Incoming Calls/VDN Report a total for all incoming calls to the Main/Trunk line. <name of split> A separate column needs to be added to the report for each individual Split/VDN maintained for the Main/Trunk line. mm/yyyy The reporting period represented by a two character number for the month (mm) and a four character number for the year (yyyy). Example: January 2012 would be represented as 01/2012. Report #: 12 Created: 02/06/2012 Name: Provider Network File Layout Last Revised: Group: Access/Delivery Network Report Status: Active Frequency: Monthly Exhibits: Period: First day of the month through the last day of the month. Due Date: By the 15th of the month following the report period. Submit To: Kentucky Department for Medicaid Services Description: MCOs should provide MCO Provider Network File layouts as provided in Appendix L G of the MCO Contract Appendices. Sample Layout: MCO’s should produce monthly Network Provider files based on the layout requirements in Appendix L G of the MCO Contract Appendices. Report #: 12A Created: 02/06/2012 Name: Geo Access Network Reports and Maps Last Revised: Group: Access/Delivery Network Report Status: Active Frequency: Annual Exhibits: Period: Ongoing Due Date: July 31st August 28, 2013 MCO Reports Description Page | 84 Submit To: Kentucky Department for Medicaid Services Description: MCO’s should provide the GEO Access Network Reports and Maps on an annual basis or or upon request by the Department.