Common use of Encounter Data Validation Study for New Capitated Managed Care Plans Clause in Contracts

Encounter Data Validation Study for New Capitated Managed Care Plans. If the state contracts with new managed care organizations, the state shall conduct a validation study 18 months after the effective date of the contract to determine completeness and accuracy of encounter data. The initial study shall include validation through a sample of medical records of demonstration enrollees.

Appears in 4 contracts

Samples: dhss.delaware.gov, www.medicaid.gov, static-lobbytools.s3.amazonaws.com

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Encounter Data Validation Study for New Capitated Managed Care Plans. If the state contracts with new managed care organizations, the state shall must conduct a validation study 18 eighteen (18) months after the effective date of the contract to determine completeness and accuracy of encounter data. The initial study shall must include validation through a sample of medical records of demonstration enrollees.

Appears in 2 contracts

Samples: mmcp.health.maryland.gov, mmcp.health.maryland.gov

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Encounter Data Validation Study for New Capitated Managed Care Plans. If the state contracts with new managed care organizations, the state shall must conduct a validation study 18 months after the effective date of the contract to determine completeness and accuracy of encounter data. The initial study shall must include validation through a sample of medical records of demonstration enrollees.

Appears in 1 contract

Samples: health.maryland.gov

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