THSTEPS REPORTS. Minimum reporting requirements. HMO must submit, at a minimum, 80% of all THSteps checkups on HCFA 1500 claim forms as part of the encounter file submission to the TDH Claims Administrator no later than thirty (30) days after the date of final adjudication (finalization) of the claims. Failure to comply with these minimum reporting requirements will result in Article XVIII sanctions and money damages.
THSTEPS REPORTS. 113 ARTICLE XIII PAYMENT PROVISIONS.................................................114
THSTEPS REPORTS. 135 12.14 MEMBER HOTLINE PERFORMANCE REPORT..................................................................... 135 12.15 SUBMISSION OF STAR DELIVERABLES/REPORTS............................................................... 135 ARTICLE 13
THSTEPS REPORTS. 113 ---------------
THSTEPS REPORTS. 55 Section 2.58 Modification of Section 12.14, CBA Status Report............................................. 55 Section 2.59 Modification of Section 12.15, Submission of STAR+PLUS Deliverables/Reports.................. 56 Section 2.60 Addition to Article 12, Reporting Requirements............................................... 57 Section 2.61 Modification to Section 13.2, Capitation Amounts............................................. 57 Section 2.62 Modification to Section 13.2, Experience Rebate to State..................................... 57 Section 2.63 Modification to Section 13.3, Adjustments to Premium......................................... 59 Section 2.64 Modification to Section 13.4, CBA Reassessment Packet........................................ 59 Section 2.65 Addition to Article 13, Payment Provisions................................................... 60 Section 2.66 Modification of Section 14.1, Eligibility Determination...................................... 60 Section 2.67 Modification of Section 14.3, Plan Changes from HMO and Disenrollment from Managed Care............................................................................ 62 Section 2.68 Modification of Section 14.4, Automatic Re-enrollment........................................ 62 Section 2.69 Modification of Section 14.5, Enrollment Reports............................................. 63 Section 2.70 Addition to Article 14, Eligibility, Enrollment, and Disenrollment........................... 63 Section 2.71 Addition to Article 15, General Provisions................................................... 63 Section 2.72 Modification of Section 16.3, Default by HMO................................................. 64 Section 2.73 Modification to Appendix A, Value Added Services............................................. 64 Section 2.74 Modification of Appendix E, Cost Principles for Administrative Expenses...................... 64 Section 2.75 Modification to Appendix K, Performance Objectives........................................... 64 Section 2.76 Addition of Appendix L, Value Added Services................................................. 64 Section 2.77 Addition of Appendix M, Cost Principles for Administrative Expenses.......................... 64 Section 2.78 Addition of New Appendix O, Standard for Medical Records..................................... 64 STAR+PLUS Amendment HHSC CONTRACT NO. 65M1015HPC STATE OF TEXAS COUNTY OF XXXXXX AMENDMENT 5 TO THE AGREEMENT BETWEEN...
THSTEPS REPORTS. Section 12.13 THSteps Reports, is deleted.
THSTEPS REPORTS. 105 12.13 REPORTING REQUIREMENTS DUE DATES.................................. 105 ARTICLE XIII PAYMENT PROVISIONS....................................... 105
