Common use of List and Information Clause in Contracts

List and Information. ‌ By the tenth (10th) calendar day of each month ODHS/OHA shall transmit an electronic file of all Adult Xxxxxx Home Providers in the bargaining unit that have a Provider Enrollment Agreement with and received payment from ODHS/OHA in the previous month. The file shall include: Service Period Begin Date; Service Period End Date; Provider Unique Identification Number; Number of Medicaid residents; 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 ODHS/OHA/State Contractor for each Adult Xxxxxx Care resident, to include separately the total service rate and the ODHS/OHA/State Contractor-paid portion.

Appears in 2 contracts

Samples: Letter of Agreement, Letter of Agreement

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List and Information. ‌ By the tenth (10th) calendar day of each month ODHSDHS/OHA shall transmit an electronic file of all Adult Xxxxxx Home Providers in the bargaining unit that have a Provider Enrollment Agreement with and received payment from ODHSDHS/OHA in the previous month. The file shall include: Service Period Begin Date; Service Period End Date; Provider Unique Identification Number; Number of Medicaid residents; 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 ODHSDHS/OHA/State Contractor for each Adult Xxxxxx Care resident, to include separately the total service rate and the ODHSDHS/OHA/State Contractor-paid portion.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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List and Information. By the tenth (10th) calendar day of each month ODHSDHS/OHA shall transmit an electronic file of all Adult Xxxxxx Home Providers in the bargaining unit that have a Provider Enrollment Agreement with and received payment from ODHSDHS/OHA in the previous month. The file shall include: Service Period Begin Date; Service Period End Date; Provider Unique Identification Number; Number of Medicaid residents; 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 ODHSDHS/OHA/State Contractor for each Adult Xxxxxx Care resident, to include separately the total service rate and the ODHSDHS/OHA/State Contractor-paid portion.

Appears in 1 contract

Samples: Letter of Agreement

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