Data Requirements. Provider must provide to Subcontractor or Health Plan and/or the Department all information the Department requires under the applicable State Contract related to the performance of Provider’s responsibilities, including encounter data, as well as non- medical information for the purposes of research and evaluation, and any information the Department requires to comply with all applicable federal and State laws and regulations. Such data must include, but isn’t limited to, information pertaining to (a) substance use disorders, (b) births to Covered Persons, (c) clinical assessment and outcomes data, and (d) provider incentives. As applicable, Provider shall submit to Subcontractor or Health Plan all risk adjustment data as defined in 42 CFR 422.310(a). Provider shall send to Subcontractor or Health Plan all risk adjustment data and other Medicare Advantage program-related information as may be requested by Health Plan, within the timeframes specified and in a form that meets Medicare Advantage program requirements. By submitting data to Subcontractor or Health Plan, Provider represents, and upon Subcontractor’s request shall certify in writing, that the data is accurate, complete, and truthful, based on Provider’s best knowledge, information and belief.
Appears in 4 contracts
Samples: Massachusetts Government Programs Regulatory Requirements Appendix, Massachusetts Government Programs Regulatory Requirements Appendix, Massachusetts Government Programs Regulatory Requirements Appendix
