Common use of Other Reporting Requirements Clause in Contracts

Other Reporting Requirements. The MCO must provide the STATE with the following information in a format and time frame determined by the STATE. The MCO shall submit information to the effect that no change has occurred since the prior year for reports which require an annual update and where no change has occurred since the prior year. With any new report required under this section, the STATE will provide the MCO the technical specifications for the report at least sixty (60) days prior to the effective date of when the report is to be submitted, unless the STATE determines that a shorter time period is necessary. This provision does not apply to ad hoc reports requested by the State. (A) Birth of Child to an Enrollee. The MCO may report to the STATE or the Local Agency the birth of any Child (except those in (2) below) to an Enrollee on a form approved by the STATE, as soon as reasonably possible after the MCO knows of the birth. No later than thirty (30) days after claim adjudication and in a form and manner determined by the STATE, MCO shall on a monthly basis report the birth of a Child or end of pregnancy to an undocumented woman identified by eligibility type “PC” in the capitation payment files. (B) Enrollment and Marketing Materials. Enrollment and Marketing Materials described in this Contract. (C) Service Delivery Plan. Any substantive changes in the Service Delivery Plan previously submitted with the MCO’s Request for Proposal (RFP) response to the most recent MHCP procurement shall be provided by the MCO to the STATE thirty (30) days prior to any changes made by the MCO. The STATE must approve all changes to the MCO’s Service Delivery Plan.

Other Reporting Requirements. The MCO must provide the STATE and CMS with the following information in a format and time frame determined by the STATESTATE and CMS. The MCO shall submit information to the effect that no change has occurred since the prior year for reports which require an annual update and where no change has occurred since the prior year. With any new report required under this section, the STATE will provide the MCO the technical specifications for the report at least sixty (60) 60 days prior to the effective date of when the report is to be submitted, unless the STATE State determines that a shorter time period is necessary. This provision does not apply to ad hoc reports requested by the StateSTATE. (A) Birth of Child to an Enrollee. The MCO may report to the STATE or the Local Agency the birth of any Child (except those in (2) below) to an Enrollee on a form approved by the STATE, as soon as reasonably possible after the MCO knows of the birth. No later than thirty (30) days after claim adjudication and in a form and manner determined by the STATE, MCO shall on a monthly basis report the birth of a Child or end of pregnancy to an undocumented woman identified by eligibility type “PC” in the capitation payment files. (B) Enrollment and Marketing Materials. Enrollment and Marketing Materials described in this Contract. (C) Service Delivery Plan. Any substantive changes in the Service Delivery Plan previously submitted with the MCO’s Request for Proposal (RFP) response to the most recent MHCP procurement shall be provided by the MCO to the STATE thirty (30) days prior to any changes made by the MCO. The STATE must approve all changes to the MCO’s Service Delivery Plan. (D) Care Management and Case Management Systems. The MCO will provide to the STATE descriptions of changes in Care Management and Case Management systems annually by September 15th of each year. Descriptions must include, but not be limited to a copy of the SNP Model of Care as submitted to CMS and the results of the annual review of case management systems. The MCO may use a delegate review reporting template developed jointly by the STATE and managed care organizations as required in section 9.3.8 below.

Other Reporting Requirements. The MCO must provide the STATE with the following information in a format and time frame determined by the STATE. The MCO shall submit information to the effect that no change has occurred since the prior year for reports which require an annual update and where no change has occurred since the prior year. With any new report required under this section, the STATE will provide the MCO the technical specifications for the report at least sixty (60) days prior to the effective date of when the report is to be submitted, unless the STATE determines that a shorter time period is necessary. This provision does not apply to ad hoc reports requested by the State. (A) Birth of Child to an Enrollee. . (1) The MCO may report to the STATE or the Local Agency the birth of any Child (except those in (2) below) to an Enrollee on a form approved by the STATE, as soon as reasonably possible after the MCO knows of the birth. . (2) No later than thirty (30) days after claim adjudication and in a form and manner determined by the STATE, MCO shall on a monthly basis report the birth of a Child or end of pregnancy to an undocumented woman identified by eligibility type “PC” in the capitation payment files. (B) Enrollment and Marketing Materials. Enrollment and Marketing Materials described in this Contract. (C) Service Delivery Plan. Any substantive changes in the Service Delivery Plan previously submitted with the MCO’s Request for Proposal (RFP) response to the most recent MHCP procurement shall be provided by the MCO to the STATE thirty (30) days prior to any changes made by the MCO. The STATE must approve all changes to the MCO’s Service Delivery Plan.