FUTURE ELECTRONIC ENCOUNTER SUBMISSION REQUIREMENTS. At the present time, the Centers for Medicare and Medicaid Services (CMS) continue to add and update electronic data standards for all health care information, including encounter data. The Contractor shall be responsible for completing and paying for any modifications required to submit encounter data electronically, according to the same specifications and timeframes outlined by CMS for the New Jersey MMIS.
FUTURE ELECTRONIC ENCOUNTER SUBMISSION REQUIREMENTS. At the present time, the Health Care Financing Administration (HCFA) is pursuing a standardization of all electronic health care information, including encounter data. The contractor shall be responsible for completing and paying for any modifications required to submit encounter data electronically, according to the same specifications and timeframes outlined by HCFA for the New Jersey MMIS.
FUTURE ELECTRONIC ENCOUNTER SUBMISSION REQUIREMENTS. At the present time, the Health Care Financing Administration (HCFA) is pursuing a standardization of all electronic health care information, including encounter data. The contractor shall be responsible for completing and paying for any modifications required to submit encounter data electronically, according to the same specifications and timeframes outlined by HCFA for the New Jersey MMIS. ARTICLE FOUR: PROVISION OF HEALTH CARE SERVICES
4.1 COVERED SERVICES For enrollees who are eligible through Title XIX or the NJ FamilyCare program the contractor shall provide or arrange to have provided comprehensive, preventive, and diagnostic and therapeutic, health care services to enrollees that include all services that Medicaid beneficiaries are entitled to receive under Medicaid, subject to any limitations and/or excluded services as specified in this Article. Provision of these services shall be equal in amount, duration, and scope as established by the Medicaid program, in accordance with medical necessity and without any predetermined limits, unless specifically stated, and as set forth in 42 C.F.R. Part 440; 42 C.F.R. Part 434; the Medicaid State Plan; the Medicaid Provider Manuals: The New Jersey Administrative Code, Title 10, Department of Human Services Division of Medical Assistance and Health Services; Medicaid/NJ FamilyCare Alerts; Medicaid/NJ FamilyCare Newsletters; and all applicable federal and State statutes, rules, and regulations.
FUTURE ELECTRONIC ENCOUNTER SUBMISSION REQUIREMENTS. III-20 ARTICLE FOUR: PROVISION OF HEALTH CARE SERVICES
