Common use of Enrollment, Cost and Utilization Reports Clause in Contracts

Enrollment, Cost and Utilization Reports. (A) The Contractor shall submit Enrollment, Cost and utilization reports in an electronic format designated by the Department. The reports shall be in Excel, and the Contractor shall utilize the Excel template provided by the Department. The Contractor is not allowed to customize or change the format of this report. The template of the report can be found in Attachment E of this Contract. The Department may amend Attachment E at its discretion. (B) The Contractor shall certify, in writing, the accuracy and completeness, to the best of its knowledge, of all cost and utilization data provided to the Department on Attachment E. (C) Two Attachment E reports shall be submitted covering the dates of service for each Contract year. The reports shall be submitted as follows: (1) Attachment E is due May 1 for the preceding six month reporting period (July through December). (2) Attachment E is due November 1 for the preceding 12 month reporting period (July through June). (D) The Contractor may request, in writing, an extension of the due date up to 30 days beyond the required due date. The Department shall approve or deny the extension request within seven calendar days of receiving the request. (E) The Contractor shall make available upon request from the Department, claims detail supporting their Attachment E data.

Enrollment, Cost and Utilization Reports. (A) The Contractor shall submit Enrollment, Cost and utilization reports in an electronic format designated by the Department. The reports shall be in Excel, and the Contractor shall utilize the Excel template provided by the Department. The Contractor is not allowed to customize or change the format of this report. The template of the report can be found in Attachment E of this Contract. The Department may amend Attachment E at its discretion. (B) The Contractor shall certify, in writing, the accuracy and completeness, to the best of its knowledge, of all cost and utilization data provided to the Department on Attachment E. (C) Two Attachment E reports shall be submitted covering the dates of service for each Contract year. The reports shall be submitted as follows: (1) Attachment E is due May 1 for the preceding six month reporting period (July through December). (2) Attachment E is due November 1 for the preceding 12 month reporting period (July through June). (D) The Contractor may request, in writing, an extension of the due date up to 30 days beyond the required due date. The Department shall approve or deny the extension request within seven calendar days of receiving the request. (E) The Contractor shall make available upon request from the Department, claims detail supporting their Attachment E data.