Data Submission for Supplemental Maternity Payment. A. Contractor shall submit birth notification data, in the form and manner specified by DHCS, within fifteen months of the delivery date of a child born to a Member.
B. DHCS will conduct a reconciliation of the data utilizing Encounter Data and vital records.
1. General Requirement Contractor shall implement an effective Quality Improvement System (QIS) in accordance with the standards in Title 28, CCR, Section 1300.70. Contractor shall monitor, evaluate, and take effective action to address any needed improvements in the quality of care delivered by all providers rendering services on its behalf, in any setting. Contractor shall be accountable for the quality of all Covered Services regardless of the number of contracting and subcontracting layers between Contractor and the provider. This provision does not create a cause of action against the Contractor on behalf of a Medi-Cal beneficiary for malpractice committed by a subcontractor.
