Reconciliation Request Format. All reconciliation requests shall be submitted in the format specified by ODM. Reconciliation requests submitted after the initial 60 calendar day due date may be rejected by ODM and will be processed at ODMs discretion. No reconciliation requests for enrollment and/or payment will be accepted beyond 18 months after the capitation/enrollment month. Reconciliations for ODM recoupment of capitation payments will always be processed. Newborn reconciliations where no Medicaid billing ID has been received on the 834 file will not be accepted beyond the month in which the newborn turns 13 months.
Appears in 11 contracts
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan
Reconciliation Request Format. All reconciliation requests shall be submitted in the format specified by ODM. Reconciliation requests submitted after the initial 60 calendar day due date may be rejected by ODM and will be processed at ODMs discretion. No reconciliation requests for enrollment and/or payment will be accepted beyond 18 months after the capitation/enrollment month. Reconciliations for ODM recoupment of capitation payments will always be processed. Newborn reconciliations where no Medicaid billing ID has been received on the 834 file will not be accepted beyond the month in which the newborn turns 13 15 months.
Appears in 4 contracts
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan
