Reporting Unit. Contract Reference May 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Jan. –Mar. 2005 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A May 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Jan. – Mar. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 May 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Jan. – Mar. 2005 BMHCP Hardcopy - no form By FQHC/RHC Art. III, D, 7 May 15 Coordination of Benefits Report (AFDC/HS & BC) Jan. – Mar. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Jun l Encounter File (AFDC/HS & BC) May 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Jul 1 Encounter File (AFDC/HS & BC) Jun. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Jul 15 **Dental Progress Report Apr. – Jun. 2005 BMHCP Hardcopy Dental Service Area Art. III, E, 8, c Jul 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Apr. – Jun. 2005 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Aug 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Aug 1 Encounter File (AFDC/HS & BC) Jul. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Aug 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 Aug 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Apr. – Jun. 2005 BMHCP Hardcopy -no form By FQHC/RHC Art. III, D, 7 Aug 15 Coordination of Benefits Report (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Sep l Encounter File (AFDC/HS & BC) Aug. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Oct 1 Performance Improvement Projects (AFDC/HS & BC) Jan. –Dec. 2004 BMHCP Hardcopy Per Improvement Project Art. IV, K Oct 1 Encounter File (AFDC/HS & BC) Sep. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Oct 15 **Dental Progress Report Jul. – Sep. 2005 BMHCP Hardcopy Dental Service Area Art III, E, 8 c Oct 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Jul. – Sep. 2005 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Nov l AIDS/Ventilator Dependent (AFDC/HS & BC) Jul. – Sep. 2005 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Nov l Encounter File (AFDC/HS & BC) Oct. 2005 Medicaid Fiscal Agent-MEDS Electronic File Entire HMO Art. VII, E and F Due Date* Type of Report Reporting Period Due to Report Format
Appears in 1 contract
Samples: Agreement (Centene Corp)
Reporting Unit. Contract Reference May 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Jan. –Mar. 2005 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A May 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Jan. – Mar. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 May 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Jan. – Mar. 2005 BMHCP Hardcopy - no form By FQHC/RHC Art. III, D, 7 May 15 Coordination of Benefits Report (AFDC/HS & BC) Jan. – Mar. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Jun l Encounter File (AFDC/HS & BC) May 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Jul Oct 1 Encounter File (AFDC/HS & BC) Jun. 2005 Sep. 2006 Medicaid Fiscal Agent-MEDS Electronic File Media Encounter Art. VII, D and E and F Jul Oct 10 Electronic list of HMO providers Jul. – Sep.. 2006 Enrollment Broker As Agreed Upon HMO Service Area Art. X, E, 3 Oct 15 **Dental Progress Report Apr. Jul. – Jun. 2005 Sep. 2006 BMHCP Hardcopy Dental Service Area Art. III, E, 8, c Jul 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Apr. – Jun. 2005 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Aug 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Aug 1 Encounter File (AFDC/HS & BC) Jul. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Aug 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 Aug 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Apr. – Jun. 2005 BMHCP Hardcopy -no form By FQHC/RHC Art. III, D, 7 Aug 15 Coordination of Benefits Report (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Sep l Encounter File (AFDC/HS & BC) Aug. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Oct 1 Performance Improvement Projects (AFDC/HS & BC) Jan. –Dec. 2004 BMHCP Hardcopy Per Improvement Project Art. IV, K Oct 1 Encounter File (AFDC/HS & BC) Sep. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Oct 15 **Dental Progress Report Jul. – Sep. 2005 BMHCP Hardcopy Dental Service Area Art III, E, 8 c Oct 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Jul. – Sep. 2005 2006 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Nov l 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Jul. – Sep. 2005 Medicaid Fiscal Agent 2006 BMHCP Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Nov l 1 Encounter File (AFDC/HS & BC) Oct. 2005 2006 Medicaid Fiscal Agent-MEDS Electronic File Media Encounter Art. VII, D and E Nov 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Jul. – Sep. 2006 BMHCP Hardcopy - no form By FQHC/RHC Art. III, D, 7 Nov 15 Coordination of Benefits Report (AFDC/HS & BC) Jul. – Sep. 2006 BMHCP Hardcopy Entire HMO Art. VI, G; Add VIII, B Dec 1 Encounter File (AFDC/HS & BC) Nov. 2006 Medicaid Fiscal Agent–MEDS Electronic Media Encounter Art. VII, D and E YEAR 2007 Jan 1 Encounter File (AFDC/HS & BC) Dec. 2006 Medicaid Fiscal Agent-MEDS Electronic Media Encounter Art. VII, D and F E Jan 10 Electronic list of HMO providers Oct. – Dec. 2006 Enrollment Broker As Agreed Upon HMO Service Area Art. X, E, 3 Jan 15 **Dental Progress Report Oct. – Dec. 2006 BMHCP Hardcopy Dental Service Area Art. III, E, 8, c Jan 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Oct. – Dec. 2006 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Feb 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Oct. – Dec. 2006 BMHCP Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Feb 1 Encounter File (AFDC/HS & BC) Jan. 2007 Medicaid Fiscal Agent-MEDS Electronic Media Encounter Art. VII, D and E HMO Contract for February 1, 2006 - December 31, 2007 -109- Due Date* Type of Report Reporting Period Due to Report Format
Appears in 1 contract
Samples: Agreement (Centene Corp)
Reporting Unit. Contract Reference May 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Jan. –– Mar. 2005 2004 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. .VIII, A May 7 AbortionsAbortion/Sterilization/ Hysterectomies (AFDC/HS & BC) Jan. – Mar. 2005 2004 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 May 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Jan. – Mar. 2005 2004 BMHCP Hardcopy - – no form By FQHC/RHC Art. III, D, 7 May 15 Coordination of Benefits Report (AFDC/HS & BC) Jan. – Mar. 2005 2004 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Jun l Encounter File (AFDC/HS & BC) May 2005 2004 Medicaid Fiscal Agent-MEDS Electronic File Media Encounter Art. VII, E and F Jul 1 Encounter File (AFDC/HS & BC) Jun. 2005 2004 Medicaid Fiscal Agent-Agent – MEDS Electronic File Media Encounter Art. VII, E and F Jul 15 **Dental Progress Report Apr. Mar. – Jun. 2005 2004 BMHCP Hardcopy Dental Service Area Art. III, E, 8, c Jul 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Apr. – Jun. 2005 2004 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Aug 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Apr. – Jun. 2005 2004 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Aug 1 Encounter File (AFDC/HS & BC) Jul. 2005 2004 Medicaid Fiscal Agent-MEDS Electronic File Media Encounter Art. VII, E and F Aug 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Apr. – Jun. 2005 2004 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 Aug 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Apr. – Jun. 2005 2004 BMHCP Hardcopy -no form By FQHC/RHC Art. III, D, 7 Aug 15 Coordination of Benefits Report (AFDC/HS & BC) Apr. – Jun. 2005 2004 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Sep l Sept 1 Encounter File (AFDC/HS & BC) Aug. 2005 2004 Medicaid Fiscal Agent-MEDS Electronic File Media Encounter Art. VII, E and F Oct 1 Performance Improvement Projects (AFDC/HS & BC) Jan. –– Dec. 2004 2003 BMHCP Hardcopy Per Improvement Project Art. IV, K Oct 1 Encounter File (AFDC/HS & BC) Sep. 2005 2004 Medicaid Fiscal Agent-MEDS Electronic File Media Encounter Art. VII, E and F Oct 15 **Dental Progress Report Jul. – Sep. 2005 2004 BMHCP Hardcopy Dental Service Area Art Art. III, E, 8 8, c Oct 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Jul. – Sep. 2005 2004 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Nov l AIDS/Ventilator Dependent (AFDC/HS & BC) Jul. – Sep. 2005 2004 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Nov l Encounter File (AFDC/HS & BC) Oct. 2005 2004 Medicaid Fiscal Agent-MEDS Electronic File Entire HMO Media Encounter Art. VII, E and F Due Date* Type of Report Reporting Period Due to Report Format
Appears in 1 contract
Samples: Agreement (Centene Corp)
Reporting Unit. Contract Reference May Nov 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Jul. – Sep. 2004 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 Nov 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Jul. – Sep. 2004 BMHCP Hardcopy - no form By FQHC/RHC Art. III, D, 7 Nov 15 Coordination of Benefits Report (AFDC/HS & BC) Jul. – Sep. 2004 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Dec 1 Encounter File (AFDC/HS & BC) Nov. 2004 Medicaid Fiscal Agent-MEDS Electronic Media Encounter Art. VII, E and F YEAR 2005 Jan l Encounter File (AFDC/HS & BC) Dec. 2004 Medicaid Fiscal Agent-MEDS Electronic Media Encounter Art. VII, E and F Jan 15 **Dental Progress Report Oct. – Dec. 2004 BMHCP Hardcopy Dental Service Area Art. III, E, 8, c Jan 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Oct. – Dec. 2004 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Feb 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Jan. –Mar. 2005 Oct. – Dec. 2004 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A May 7 Abortions/Sterilization/ Hysterectomies Feb l Encounter File (AFDC/HS & BC) Jan. – Mar. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Agent-MEDS Electronic Media Encounter Art. VII, C; Art. X, D, 3 May E and F Feb 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Jan. Oct. – Mar. 2005 Dec. 2004 BMHCP Hardcopy - no form By FQHC/RHC Art. III, D, 7 May Feb 15 Coordination of Benefits Report (AFDC/HS & BC) Jan. Oct. – Mar. 2005 Dec. 2004 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Jun Mar l Encounter File (AFDC/HS & BC) May Feb. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Jul 1 Apr l Encounter File (AFDC/HS & BC) Jun. Mar. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Jul Apr 15 **Dental Progress Report Apr. Jan. – Jun. Mar. 2005 BMHCP Hardcopy Dental Service Area Art. III, E, 8, c Jul 31 Apr 30 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Apr. Jan. – Jun. Mar. 2005 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Aug May 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Apr. Neonatal ICU Patient Care Data Jan. – Jun. 2005 Medicaid Fiscal Agent Dec. 2004 BMHCP Hardcopy & Disc HMO Service Area By County Art. VI, JI; Add. VIII, A Aug E May 1 Encounter File (AFDC/HS & BC) Jul. Apr. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Aug 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 Aug 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Apr. – Jun. 2005 BMHCP Hardcopy -no form By FQHC/RHC Art. III, D, 7 Aug 15 Coordination of Benefits Report (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Sep l Encounter File (AFDC/HS & BC) Aug. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Oct 1 Performance Improvement Projects (AFDC/HS & BC) Jan. –Dec. 2004 BMHCP Hardcopy Per Improvement Project Art. IV, K Oct 1 Encounter File (AFDC/HS & BC) Sep. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Oct 15 **Dental Progress Report Jul. – Sep. 2005 BMHCP Hardcopy Dental Service Area Art III, E, 8 c Oct 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Jul. – Sep. 2005 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Nov l AIDS/Ventilator Dependent (AFDC/HS & BC) Jul. – Sep. 2005 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Nov l Encounter File (AFDC/HS & BC) Oct. 2005 Medicaid Fiscal Agent-MEDS Electronic File Entire HMO Art. VII, E and F Due Date* Type of Report Reporting Period Due to Report Formatto
Appears in 1 contract
Samples: Agreement (Centene Corp)
Reporting Unit. Contract Reference May 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Jan. –Mar. 2005 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A May 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Jan. – Mar. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 May 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Jan. – Mar. 2005 BMHCP Hardcopy - no form By FQHC/RHC Art. III, D, 7 May 15 Coordination of Benefits Report (AFDC/HS & BC) Jan. – Mar. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Jun l Encounter File (AFDC/HS & BC) May 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Jul 1 Encounter File (AFDC/HS & BC) Jun. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Jul 15 **Dental Progress Report Apr. – Jun. 2005 BMHCP Hardcopy Dental Service Area Art. III, E, 8, c Jul 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Apr. – Jun. 2005 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Aug 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent 2007 BMHCP Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Aug 1 Encounter File (AFDC/HS & BC) Jul. 2005 2007 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, D and E and F Aug 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 Aug 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Apr. – Jun. 2005 2007 BMHCP Hardcopy -no - no form By FQHC/RHC Art. III, D, 7 Aug 15 Coordination of Benefits Report (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent 2007 BMHCP Hardcopy Entire HMO Art. VI, G; Add VIII, B Sep l 1 Encounter File (AFDC/HS & BC) Aug. 2005 2007 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, D and E and F Oct 1 Performance Improvement Projects (AFDC/HS & BC) Jan. –– Dec. 2004 2006 BMHCP Hardcopy Per Improvement Project Art. IV, K Oct 1 Encounter File (AFDC/HS & BC) Sep. 2005 2007 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, D and E and F Oct 10 Electronic list of HMO providers Jul.-Sep. 2007 Enrollment Broker As Agreed Upon HMO Service Area Art. X, E, 3 Oct 15 **Dental Progress Report Jul. – Sep. 2005 2007 BMHCP Hardcopy Dental Service Area Art III, E, 8 c Oct 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Jul. – Sep. 2005 2007 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Nov l 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Jul. – Sep. 2005 Medicaid Fiscal Agent 2007 BMHCP Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Nov l 1 Encounter File (AFDC/HS & BC) Oct. 2005 2007 Medicaid Fiscal Agent-MEDS Electronic File Entire HMO Art. VII, D and E Nov 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Jul. – Sep. 2007 BMHCP Hardcopy - no form By FQHC/RHC Art. III, D, 7 Nov 15 Coordination of Benefits Report (AFDC/HS & BC) Jul. – Sep. 2007 BMHCP Hardcopy Entire HMO Art. VI, G; Add VIII, B Dec 1 Encounter File (AFDC/HS & BC) Nov. 2007 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, D and F Due DateE Any reports that are due on a weekend or holiday are due the following business day. ** Type Only HMOs that are certified to provide dental services are required to submit dental progress reports for the service area in which the HMO is certified to provide dental. HMO Contract for February 1, 2006 - December 31, 2007 Report Mailing Addresses: Medicaid Fiscal Agent -MEDS 00 X. Xxxx Street, Suite 200 Madison, WI 53703 *BMHCP Department of Report Reporting Period Due to Report FormatHealth and Family Services Bureau of Managed Health Care Programs X.X. Xxx 000 Xxxxxxx, XX 00000-0000 Medicaid Fiscal Agent Managed Care Xxxx X.X. Xxx 0000 Xxxxxxx, XX 00000-0000 Department of Health and Family Services Affirmative Action/Civil Rights Compliance Office X.X. Xxx 0000 Xxxxxxx ,XX 53707-7850 HMO Contract for February 1, 2006 - December 31, 2007
Appears in 1 contract
Samples: Agreement (Centene Corp)
Reporting Unit. Contract Reference Apr 30 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Jan. – Mar. 2006 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G May 1 Neonatal ICU Patient Care Data Jan. – Dec. 2005 BMHCP Hardcopy HMO By County Art. VI, I; Add VIII, E May 1 Encounter Data File (AFDC/HS & BC) Apr. 2006 Medicaid Fiscal Agent-MEDS Electronic Media Encounter Art. VII, D and E May 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Jan. –– Mar. 2005 Medicaid Fiscal Agent 2006 BMHCP Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A May 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Jan. – Mar. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 May 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Jan. – Mar. 2005 2006 BMHCP Hardcopy - no form By FQHC/RHC Art. III, D, 7 May 15 Coordination of Benefits Report (AFDC/HS & BC) Jan. – Mar. 2005 Medicaid Fiscal Agent 2006 BMHCP Hardcopy Entire HMO Art. VI, G; Add VIII, B Jun l 1 Encounter File (AFDC/HS & BC) May 2005 2006 Medicaid Fiscal Agent-MEDS Electronic File Media Encounter Art. VII, D and E and F Jul 1 Encounter File (AFDC/HS & BC) Jun. 2005 2006 Medicaid Fiscal Agent-Agent – MEDS Electronic File Media Encounter Art. VII, D and E and F Jul 10 Electronic list of HMO providers Apr.– Jun.. 2006 Enrollment Broker As Agreed Upon HMO Service Area Art. X, E, 3 Jul 15 **Dental Progress Report Apr. Mar. – Jun. 2005 2006 BMHCP Hardcopy Dental Service Area Art. III, E, 8, c Jul 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Apr. – Jun. 2005 2006 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Aug 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent 2006 BMHCP Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Aug 1 Encounter File (AFDC/HS & BC) Jul. 2005 2006 Medicaid Fiscal Agent-MEDS Electronic File Media Encounter Art. VII, D and E and F Aug 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 Aug 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Apr. – Jun. 2005 2006 BMHCP Hardcopy -no - no form By FQHC/RHC Art. III, D, 7 Aug 15 Coordination of Benefits Report (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent 2006 BMHCP Hardcopy Entire HMO Art. VI, G; Add VIII, B Sep l Sept 1 Encounter File (AFDC/HS & BC) Aug. 2005 2006 Medicaid Fiscal Agent-MEDS Electronic File Media Encounter Art. VII, D and E and F Oct 1 Performance Improvement Projects (AFDC/HS & BC) Jan. –– Dec. 2004 2005 BMHCP Hardcopy Per Improvement Project Art. IV, K Oct 1 Encounter File (AFDC/HS & BC) Sep. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VIIHMO Contract for February 1, E and F Oct 15 **Dental Progress Report Jul. – Sep. 2005 BMHCP Hardcopy Dental Service Area Art III2006 - December 31, E, 8 c Oct 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Jul. – Sep. 2005 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Nov l AIDS/Ventilator Dependent (AFDC/HS & BC) Jul. – Sep. 2005 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Nov l Encounter File (AFDC/HS & BC) Oct. 2005 Medicaid Fiscal Agent-MEDS Electronic File Entire HMO Art. VII, E and F 2007 -108- Due Date* Type of Report Reporting Period Due to Report Formatto
Appears in 1 contract
Samples: Agreement (Centene Corp)
Reporting Unit. Contract Reference May Within 15 days of contract signing Civil Rights Compliance Plan: Affirmative Action Plan and Civil Rights Plan components Contract period DHFS Affirmative Action/Civil Rights Compliance Office Art. III, C, 4, a and b Within 30 days of contract signing Disclosure Statements As of present time BMHCP Add. I, Part A, III YEAR 2004 Jan 1 Encounter Data File (AFDC/HS & BC) Dec. 2003 Medicaid Fiscal Agent-MEDS Electronic Media Encounter Art. VII, E and F Jan 15 **Dental Progress Report Oct. – Dec. 2003 BMHCP Hardcopy Dental Service Area Art. III, E, 8, c Jan 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Oct. – Dec. 2003 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Feb 1 Encounter Data File (AFDC/HS & BC) Jan. 2004 Medicaid Fiscal Agent – MEDS Electronic Media Encounter Art. VII, E and F Feb 1 AIDS/Ventilator Dependent (AFDC/HS & BC) Jan. –Mar. 2005 Oct. – Dec. 2003 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A May 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Jan. – Mar. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 May Feb 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Jan. Oct. – Mar. 2005 Dec. 2003 BMHCP Hardcopy - – no form By FQHC/RHC Art. , III, D, 7 May Feb 15 Coordination of Benefits Report (AFDC/HS & BC) Jan. Oct. – Mar. 2005 Dec. 2003 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Jun Mar l Encounter Data File AFDC/HS and BC) Feb. 2004 Medicaid Fiscal Agent-MEDS Electronic Media Encounter Art. VII, E and F Apr l Encounter Data File (AFDC/HS & BC) May 2005 March 2004 Medicaid Fiscal Agent-Agent – MEDS Electronic File Media Encounter Art. VII, E and F Jul 1 Encounter File (AFDC/HS & BC) Jun. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Jul Apr 15 **Dental Progress Report Apr. Jan. – Jun. 2005 Mar. 2004 BMHCP Hardcopy Dental Service Area Art. III, E, 8, c Jul 31 Apr 30 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Apr. Jan. – Jun. 2005 Mar. 2004 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Aug May 1 AIDS/Ventilator Dependent Neonatal ICU Patient Care Data Jan. – Dec. 2003 BMHCP Hardcopy HMO By County Art. VI, I; Add VIII, E May 1 Encounter Data File (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Aug 1 Encounter File (AFDC/HS & BC) Jul. 2005 2004 Medicaid Fiscal Agent-MEDS Electronic File Media Encounter Art. VII, E and F Aug 7 Abortions/Sterilization/ Hysterectomies (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VII, C; Art. X, D, 3 Aug 15 Federally Qualified Health Centers & Rural Health Centers (AFDC/HS & BC) Apr. – Jun. 2005 BMHCP Hardcopy -no form By FQHC/RHC Art. III, D, 7 Aug 15 Coordination of Benefits Report (AFDC/HS & BC) Apr. – Jun. 2005 Medicaid Fiscal Agent Hardcopy Entire HMO Art. VI, G; Add VIII, B Sep l Encounter File (AFDC/HS & BC) Aug. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Oct 1 Performance Improvement Projects (AFDC/HS & BC) Jan. –Dec. 2004 BMHCP Hardcopy Per Improvement Project Art. IV, K Oct 1 Encounter File (AFDC/HS & BC) Sep. 2005 Medicaid Fiscal Agent-MEDS Electronic File Encounter Art. VII, E and F Oct 15 **Dental Progress Report Jul. – Sep. 2005 BMHCP Hardcopy Dental Service Area Art III, E, 8 c Oct 31 Formal/Informal Grievance Experience Summary report (AFDC/HS & BC) Jul. – Sep. 2005 BMHCP Hardcopy Entire HMO Art. IX; Add. VIII, G Nov l AIDS/Ventilator Dependent (AFDC/HS & BC) Jul. – Sep. 2005 Medicaid Fiscal Agent Hardcopy & Disc HMO Service Area Art. VI, J; Add. VIII, A Nov l Encounter File (AFDC/HS & BC) Oct. 2005 Medicaid Fiscal Agent-MEDS Electronic File Entire HMO Art. VII, E and F Due Date* Type of Report Reporting Period Due to Report Formatto
Appears in 1 contract
Samples: Agreement (Centene Corp)
