UTILIZATION MANAGEMENT REPORTS. BEHAVIORAL HEALTH Behavioral health (BH) utilization management reports are required on a semi-annual basis with submission of data files that are, at a minimum, due to TDH or its designee, on a quarterly basis no later than 150 days following the end of the period. Refer to Appendix H for the standardized reporting format for each report and detailed instructions for obtaining the specific data required in the report and for data file submission specifications. The BH utilization report and data file submission instructions may periodically be updated by TDH to facilitate clear communication to the health plan.
UTILIZATION MANAGEMENT REPORTS. PHYSICAL HEALTH Physical health (PH) utilization management reports are required on a semi-annual basis. Refer to Appendix J for the standardized reporting format for each report and detailed instructions for obtaining specific data required in the report.
UTILIZATION MANAGEMENT REPORTS. BEHAVIORAL HEALTH -------------------------------------------------- Behavioral health (BH) utilization management reports are required on a semi-annual basis. [Deletion] Refer to Appendix H for the standardized reporting format for each report and detailed instructions for obtaining the specific data required in the report. [Deletion]
UTILIZATION MANAGEMENT REPORTS. PHYSICAL HEALTH Physical health (PH) utilization management reports are required on a semi-annual basis with submission of data files that are, at a minimum, due to TDH or its designee on a quarterly basis no later than 150 days following the end of the period. Refer to Appendix J for the standardized reporting format for each report and detailed instructions for obtaining specific data required in the report and for data file submission specifications. The PH Utilization Management Report and data file submission instructions may periodically be updated by TDH to facilitate clear communication to the health plan.
UTILIZATION MANAGEMENT REPORTS. The CONTRACTOR shall comply with 8.307.14.13 NMAC related to Utilization and Quality Management Reporting, including monthly utilization review activity reports that provide service-specific data related to requests, approval, clinical denials, termination of care, reductions of care, administrative denials and “pends,” reports related to all Member and provider appeals, expedited appeals, and Fair Hearings. HSD and CONTRACTOR shall agree on reporting elements, formats, and submission templates by an agreed upon date that will allow CONTRACTOR sufficient time to program such reports.
UTILIZATION MANAGEMENT REPORTS. PHYSICAL HEALTH ------------------------------------------------ Physical health (PH) utilization management reports are required on a semi-annual basis. [Deletion] Refer to Appendix J for the standardized reporting format for each report and detailed instructions for obtaining specific data required in the report. [Deletion]
UTILIZATION MANAGEMENT REPORTS. 56 ------------- (a) HEDIS Reporting......................................................................................56 (b) Physical Health......................................................................................56 (c) Behavioral Health....................................................................................56 SECTION 17.05
UTILIZATION MANAGEMENT REPORTS. 2.30.10.1 The CONTRACTOR shall submit its UM program policies and procedures, the annual evaluation (which includes an analysis of findings and actions taken) and the work plan approved by the CONTRACTOR’s oversight committee to TENNCARE on April 15 of each year.
UTILIZATION MANAGEMENT REPORTS. PHYSICAL HEALTH ------------------------------------------------ Physical health (PH) utilization management reports are required on a semi-annual basis with submission of data files that are, at a minimum, due to TDH or its designee on a quarterly basis no later than 150 days following the end of the period. Refer to Appendix J for the standardized reporting format for each report and detailed 1999 Renewal Contract Xxxxxx Service Area August 9, 1999 109 instructions for obtaining specific data required in the report and for data file submission specifications. The PH Utilization Management Report and data file submission instructions may periodically be updated by TDH to facilitate clear communication to the health plan.
UTILIZATION MANAGEMENT REPORTS. The CONTRACTOR shall: 37
