Encounter Data Certification. (A) By electronically submitting its Encounter Data to the Department, the Contractor is certifying that the Encounter Data in accordance with 42 CFR 438.606.
Encounter Data Certification. This certification requires the responsible party to attest that the submitted Encounter Data is accurate, complete and truthful to the best of his/her knowledge. This is required by 42 C.F.R. § 438.600 (e.g.) and the managed long-term care contract. It is the responsibility of the certifying party to assure the necessary internal checks, audits, and testing procedures have been conducted to ensure the integrity of the data. After the MCO receives the submission status report indicating that the MCO’s data has been accepted and free of batch reject errors, certification shall be made via the automated data certification method or, when the automated function is not available, via the Data Certification Form. The form is provided by DHS in accordance with 42 C.F.R. § 438.600. If it is necessary to use the form, it shall be emailed to the Department (XXXXXX@xxxxxxxxx.xxx).
Encounter Data Certification. The Provider agrees by encounters submission, and certifies under penalty of perjury, that all services for which encounters are submitted electronically have been personally provided to the patient by the Provider or under his or her direction/supervision by another provider eligible under the Medi-Cal program to render such services, and such person(s) are designated in the encounter data. The Provider also certifies by encounter data submission that the services were, to the best of the Provider's knowledge, medically indicated and necessary to the health of the patient, and that the patient is eligible to receive these services under the Medi-Cal Program. The Provider also certifies that all information submitted electronically is accurate and complete. The Provider understands that payment of these encounters will be from federal and/or state funds, and that any falsification or concealment of a material fact may be prosecuted under federal and/or state laws. The Provider/Xxxxxx agrees to keep for a minimum period of ten years from the date of service an electronic archive of all records necessary to disclose the extent of services furnished to the patient. A printed representation of those records shall be produced upon request of the Department during that period of time. The Provider/Xxxxxx agrees to furnish these records and any information regarding payments claimed for providing the services, on request, within the State of California to the California Department of Health Care Services; California Department of Justice; Office of the State Controller; U.S. Department of Health and Human Services; or their duly authorized representative(s). The Provider also agrees that dental care services are offered and provided without discrimination based on race, religion, color, national or ethnic origin, sex, sexual orientation, gender, age, physical or mental disability. The Provider/Xxxxxx agrees that when applicable using his or her Medi-Cal Dental Remote ID plus DHCS-issued password when submitting an electronic encounter will identify the submitter and shall serve as acceptance of the terms and conditions of the Department’s Telecommunications Provider and Xxxxxx Application/Agreement (ENBPROV). The Provider/Xxxxxx further acknowledges the necessity of maintaining the privacy of the DHCS- issued password and agrees to bear full responsibility for use or misuse of the Medi-Cal Dental Remote ID and password should privacy not be maintained.
Encounter Data Certification. In a format determined by the Department, the Contractor shall certify by the 5th day of each month that all electronic data submitted during the previous calendar month is accurate, complete and true.
