Common use of FQHCs and RHCs Clause in Contracts

FQHCs and RHCs. The MCO shall provide to the STATE a quarterly report for the first quarter of Contract Year 2010, due no later than thirty (30) days following the end of the quarter. The report must identify MCO payments made to FQHCs and RHCs for all programs covered under this Contract. As of April 1st of Contract Year, reports shall be submitted monthly, with the first monthly report due no later than May 31, 2010. (1) The STATE will provide to the MCO no later than the third business day of each month a list of all Providers currently qualified to be designated FQHCs or RHCs. If a new list is not provided, the MCO shall use the prior monthly listing. Any new FQHC/RHC Providers identified after the third of the month will be added to the following monthly MCO report. (2) Pursuant to the State’s specifications in the document entitled “FQHC/RHC Payment Data Report,” MCO reports will be submitted no later than the last day of the following month. (3) Within eight (8) business days of receipt of this report, the STATE shall provide the MCO a return file that contains incorrect data lines that cannot be read by the system and loaded. The MCO must review the data lines and correct appropriately. Corrected data lines must be re-submitted with the next monthly report, and shall be reported separately as a corrected file. The MCO shall not re-submit data already submitted and accepted. (4) In the event that a FQHC/RHC contacts the MCO regarding payments made to the FQHC/RHC during the previous month, but not included in the submitted report, the MCO shall review, and if appropriate, must submit the missing data on the following monthly report.

FQHCs and RHCs. The MCO shall provide to the STATE a quarterly report for the first quarter of Contract Year 2010, due no later than thirty (30) days following the end of the quarter. The report must identify MCO payments made to FQHCs FQHCS and RHCs RHCS for all programs covered under this Contract. As of April 1st of Contract Year, reports shall be submitted monthly, with the first monthly report due no later than May 3131st, 2010. (1A) The STATE will provide to the MCO no later than the third business day of each month month, a list of all Providers currently qualified to be designated FQHCs or RHCs. If a new list is not provided, the MCO shall use the prior monthly listing. Any new FQHC/RHC Providers identified after the third of the month will be added to the following monthly MCO report. (2B) Pursuant to the StateSTATE’s specifications in the document entitled “FQHC/RHC Payment Data Report,” ”, MCO reports will be submitted no later than the last day of the following month. (3C) Within eight (8) business days of receipt of this report, the STATE shall provide the MCO a return file that contains incorrect data lines that cannot be read by the system and loaded. The MCO must review the data lines and correct appropriately. Corrected data lines must be re-submitted with the next monthly report, and shall be reported separately as a corrected file. The MCO shall not re-submit data already submitted and accepted. (4D) In the event that a FQHC/RHC contacts the MCO regarding payments made to the FQHC/RHC during the previous month, but not included in the submitted report, the MCO shall review, and if appropriate, must submit the missing data on the following monthly report.

FQHCs and RHCs. The MCO shall provide to the STATE a quarterly report for the first quarter of Contract Year 2010, due no later than thirty (30) days following the end of the quarter. The report must identify MCO payments made to FQHCs and RHCs for all programs covered under this Contract. As of April 1st of Contract Year, reports shall be submitted monthly, with the first monthly report due no later than May 3131st, 2010. (1) The STATE will provide to the MCO no later than the third business day of each month month, a list of all Providers currently qualified to be designated FQHCs or RHCs. If a new list is not provided, the MCO shall use the prior monthly listing. Any new FQHC/RHC Providers identified after the third of the month will be added to the following monthly MCO report. (2) Pursuant to the StateSTATE’s specifications in the document entitled “FQHC/RHC Payment Data Report,” ”, MCO reports will be submitted no later than the last day of the following month. (3) Within eight (8) business days of receipt of this report, the STATE shall provide the MCO a return file that contains incorrect data lines that cannot be read by the system and loaded. The MCO must review the data lines and correct appropriately. Corrected data lines must be re-submitted resubmitted with the next monthly report, and shall be reported separately as a corrected file. The MCO shall not re-submit resubmit data already submitted and accepted. (4) In the event that a FQHC/RHC contacts the MCO regarding payments made to the FQHC/RHC during the previous month, but not included in the submitted report, the MCO shall review, and if appropriate, must submit the missing data on the following monthly report.

FQHCs and RHCs. The MCO shall provide to the STATE a quarterly report for the first quarter of Contract Year 2010, due no later than thirty (30) days following the end of the quarter. The report must identify MCO payments made to FQHCs and RHCs for all programs covered under this Contract. As of April 1st of Contract Year, reports shall be submitted monthly, with the first monthly report due no later than May 31, 2010. (1) The STATE will provide to the MCO no later than the third business day of each month a list of all Providers currently qualified to be designated FQHCs or RHCs. If a new list is not provided, the MCO shall use the prior monthly listing. Any new FQHC/RHC Providers identified after the third of the month will be added to the following monthly MCO report. (2) Pursuant to the State’s specifications in the document entitled “FQHC/RHC Payment Data Report,” MCO reports will be submitted no later than the last day of the following month. (3) Within eight (8) business days of receipt of this report, the STATE shall provide the MCO a return file that contains incorrect data lines that cannot be read “read” by the system and loaded. The MCO must review the data lines and correct appropriately. Corrected The corrected data lines must will be re-submitted with the next monthly report, and which shall be reported separately as a corrected file. The MCO shall not re-submit data already submitted and accepted. (4) In the event that a Provider FQHC/RHC contacts the MCO regarding missing data payments made to the FQHC/RHC during a prior month and not submitted on the previous month, but not included in on the submitted report, the MCO shall review, and if appropriate, must submit the missing data lines on the following monthly report.

FQHCs and RHCs. The MCO shall provide to the STATE a quarterly report for the first quarter of Contract Year 2010, due no later than thirty (30) days following the end of the quartermonthly report. The report must identify MCO payments made to FQHCs and RHCs for all programs covered under this Contract. As of April 1st of Contract Year, reports shall be submitted monthly, with the first monthly report due no later than May 31, 2010. (1) The STATE will provide to the MCO no later than the third business day of each month a list of all Providers currently qualified to be designated FQHCs or RHCs. If a new list is not provided, the MCO shall use the prior monthly listing. Any new FQHC/RHC Providers identified after the third of the month will be added to the following monthly MCO report. (2) Pursuant to the State’s specifications in the document entitled “FQHC/RHC Payment Data Report,” MCO reports will be submitted no later than the last day of the following month. (3) Within eight (8) business days of receipt of this report, the STATE shall provide the MCO a return file that contains incorrect data lines that cannot be read by the system and loaded. The MCO must review the data lines and correct appropriately. Corrected data lines must be re-submitted with the next monthly report, and shall be reported separately as a corrected file. The MCO shall not re-submit data already submitted and accepted. (4) In the event that a FQHC/RHC contacts the MCO regarding payments made to the FQHC/RHC during the previous month, but not included in the submitted report, the MCO shall review, and if appropriate, must submit the missing data on the following monthly report.

FQHCs and RHCs. The MCO shall provide to the STATE a quarterly report for the first quarter of Contract Year 2010, due no later than thirty (30) days following the end of the quarter. The report must identify 2010 that identifies MCO payments made to FQHCs FQHCS and RHCs RHCS for all programs covered under this Contractcontract. As of April 1st of Contract Year, reports shall be submitted monthly, with the first monthly report due no later than May 3131st, 2010. (1A) The STATE will provide to the MCO no later than the third business day of each month month, a list of all Providers currently qualified to be designated FQHCs or RHCs. If a new list is not provided, the MCO shall use the prior monthly listing. Any new FQHC/RHC Providers identified after the third of the month will be added to the following monthly MCO report. (2B) Pursuant to the StateSTATE’s specifications in the document entitled “FQHC/RHC Payment Data Report,” ”, MCO reports will be submitted no later than the last day of the following month. (3C) Within eight (8) business days of receipt of this report, the STATE shall provide the MCO a return file that contains incorrect data lines that cannot be read by the system and loaded. The MCO must review the data lines and correct appropriately. Corrected data lines must be re-submitted with the next monthly report, and shall be reported separately as a corrected file. The MCO shall not re-submit data already submitted and accepted. (4D) In the event that a FQHC/RHC contacts the MCO regarding payments made to the FQHC/RHC during the previous month, but not included in the submitted report, the MCO shall review, and if appropriate, must submit the missing data on the following monthly report.

FQHCs and RHCs. The MCO shall provide to the STATE a quarterly monthly report for the first quarter of Contract Year 2010, due no later than thirty (30) days following the end of the quarter. The report must to identify MCO payments made to FQHCs and RHCs for all programs covered under this Contract. As of April 1st of Contract Year, reports shall be submitted monthly, with the first monthly report due no later than May 31, 2010. (1) The STATE will provide to the MCO no later than the third business day of each month a list of all Providers currently qualified to be designated FQHCs or RHCs. If a new list is not provided, the MCO shall use the prior monthly listing. Any new FQHC/RHC Providers identified after the third of the month will be added to the following monthly MCO report. (2) Pursuant to the StateSTATE’s specifications in the document entitled “FQHC/RHC Payment Data Report,” MCO reports will be submitted no later than the last day of the following month. (3) Within eight (8) business days of receipt of this report, the STATE shall provide the MCO a return file that contains incorrect data lines that cannot be read by the system and loaded. The MCO must review the data lines and correct appropriately. Corrected data lines must be re-submitted resubmitted with the next monthly report, and shall be reported separately as a corrected file. The MCO shall not re-submit resubmit data already submitted and accepted. (4) In the event that a FQHC/RHC contacts the MCO regarding payments made to the FQHC/RHC during the previous month, but not included in the submitted report, the MCO shall review, and if appropriate, must submit the missing data on the following monthly report.