Common use of Denial, Termination, or Reduction Notice Reporting Clause in Contracts

Denial, Termination, or Reduction Notice Reporting. (1) Provides the completed Denial, Termination or Reduction Notice (DTR) report as required in section 8.7 for SNBC, MSHO, and MSC+ combined and as stated below, and (2) Reports that the MCO has no DTR activity for a given quarter, and notifies the STATE’S Ombudsman Office by e-mail or in writing by the 15th day of the month following the quarter, or (3) Correctly completes as an aggregate at least ninety percent (90%), calculated out to two decimal places with no rounding, of the required data fields on DTRS submitted electronically in a report format designated by the STATE. The STATE agrees to provide a report to the MCO, on a quarterly basis, of the MCO’s status on completion of required data fields. The MCO shall have sixty (60) days from receipt of the quarterly report to resubmit DTR data.

Appears in 2 contracts

Samples: Contract for Minnesota Special Needs Basiccare Program Services, Contract for Minnesota Special Needs Basic Care Program Services

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Denial, Termination, or Reduction Notice Reporting. (1) Provides the completed Denial, Termination or Reduction Notice (DTR) report as required in section 8.7 for SNBC8.7, MSHO, and MSC+ combined and as stated below, ; and (2) Reports that the MCO it has no DTR activity for a given quarter, and notifies the STATE’S ’s Ombudsman Office by e-mail or in writing by the 15th day of the month following the end of a quarter, ; or (3) Correctly completes as an aggregate at least ninety percent (9090.00%), calculated out to two decimal places with no rounding, of the required data fields on DTRS DTRs submitted electronically in a report format designated by the STATE. The STATE agrees to provide a report to the MCO, on a quarterly basis, of the MCO’s status on completion of required data fields. The MCO shall have sixty (60) days from receipt of the quarterly report to resubmit DTR data.

Appears in 1 contract

Samples: Contract for Medical Assistance, General Assistance and Minnesotacare Medical Care Services

Denial, Termination, or Reduction Notice Reporting. (1) Provides the completed Denial, Termination or Reduction Notice (DTR) report as required in section 8.7 for SNBC, MSHO, MSHO and MSC+ combined and as stated below, andand Section 20.2 to 20.2.8 73 (2) Reports that the MCO it has no DTR activity for a given quarter, and notifies the STATE’S Ombudsman Office by e-mail or in writing by the 15th day of the month following the quarter, or (3) Correctly completes as an aggregate at least ninety percent (90%), ) calculated out to two decimal places with no rounding, of the required data fields on DTRS DTRs submitted electronically in a report format designated by the STATE. The STATE agrees to provide a report to the MCO, on a quarterly basis, of the MCO’s status on completion of required data fields. The MCO shall have sixty (60) days from receipt of the quarterly report to resubmit DTR data.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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Denial, Termination, or Reduction Notice Reporting. (1) Provides the completed Denial, Termination or Reduction Notice (DTR) report as required in section 8.7 for SNBC, MSHO, MSHO and MSC+ combined and as stated below, and (2) Reports that the MCO it has no DTR activity for a given quarter, and notifies the STATE’S Ombudsman Office by e-mail or in writing by the 15th day of the month following the quarter, or (3) Correctly completes as an aggregate at least ninety percent (90%), ) calculated out to two decimal places with no rounding, of the required data fields on DTRS DTRs submitted electronically in a report format designated by the STATE. The STATE agrees to provide a report to the MCO, on a quarterly basis, of the MCO’s status on completion of required data fields. The MCO shall have sixty (60) days from receipt of the quarterly report to resubmit DTR data.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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