Common use of Managed Care Data Requirements Clause in Contracts

Managed Care Data Requirements. All managed care organizations shall maintain an information system that collects, analyzes, integrates and reports data as set forth at 42 CFR 438.242. This system shall include encounter data that can be reported in a standardized format. Encounter data requirements shall include the following:

Managed Care Data Requirements. All managed care organizations shall must maintain an information system that collects, analyzes, integrates and reports data as set forth at 42 CFR 438.242438.242 and 42 CFR 438.818. This system shall must include encounter data that can be reported in a standardized format. Encounter data requirements shall must include the following: a. Encounter Data (Health Plan Responsibilities) – The health plan must collect, maintain, validate and submit data for services furnished to enrollees as stipulated by the state in its contracts with the health plans.

Managed Care Data Requirements. All managed care organizations shall maintain an information system that collects, analyzes, integrates and reports data as set forth at 42 CFR 438.242. This system shall include encounter data that can be reported in a standardized format438. Encounter data requirements shall include the following: