List and Information. By the tenth (10th) calendar day of each month DHS/OHA shall transmit an electronic file of all Adult Xxxxxx Care Home Providers in the bargaining unit that have a Provider Enrollment Agreement with and received payment from DHS/OHA in the previous month. If applicable, the file shall include: Service Period Begin Date; Service Period End Date; Provider Unique Identification Number; Provider Name; Provider Street Address; Provider Telephone Number; Provider City; State; Zip; Provider e-mail addresses (if available centrally in electronic format); Medicaid payment made by DHS/OHA for each Adult Xxxxxx Care resident, to include separately the total service rate and the DHS/OHA-paid portion.
Appears in 5 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
List and Information. By the tenth (10th) calendar day of each month DHS/OHA shall transmit an electronic file of all Adult Xxxxxx Care Home Providers in the bargaining unit that have a Provider Enrollment Agreement with and received payment from DHS/OHA in the previous month. If applicable, the file shall include: Service Period Begin Date; Service Period End Date; Provider Unique Identification Number; Provider Name; Provider Street Address; Provider Telephone Number; Provider City; State; Zip; Provider e-mail addresses (if available centrally in electronic format); Medicaid payment made by DHS/OHA for each Adult Xxxxxx Care resident, to include separately the total service rate and the DHS/OHA-paid portion.
Appears in 1 contract
Samples: Collective Bargaining Agreement