Common use of UTILIZATION MANAGEMENT REPORTS Clause in Contracts

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. 12.9.1 In addition, data files are due to the TDH External Quality Review Organization five working days following the end of each State Quarter. See Appendix J for submission instructions. The PH utilization report and data file submission instruction 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 basisbasis with submission of data files that are, at a minimum, due to TDHS or its designee on a quarterly basis no later than 150 days following the end of the period. Refer to Appendix J for The State will provide the standardized reporting format for each report and detailed instructions for obtaining specific data required in the report. 12.9.1 In addition, report and for data files are due to the TDH External Quality Review Organization five working days following the end of each State Quarter. See Appendix J for file submission instructionsspecifications. The PH utilization report Utilization Management Report and data file submission instruction instructions may periodically be updated by TDH TDHS 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 basisquarterly basis and are due 120 days following the end of the State Fiscal Quarter and are to be provided in hard copy and in a format specified by TDH. Refer to Appendix J for the standardized reporting format for each report and detailed instructions for obtaining specific data required in the report. 12.9.1 In addition, data files are due to the TDH External Quality Review Organization five working days following the end of each State Quarter. See Appendix J for submission instructions. The PH utilization report and data file submission instruction Utilization Management Report instructions may periodically be updated by TDH to include new codes and 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 basisbasis 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. 12.9.1 In addition, report and for data files are due to the TDH External Quality Review Organization five working days following the end of each State Quarter. See Appendix J for file submission instructionsspecifications. The PH utilization report Utilization Management Report and data file submission instruction instructions may periodically be updated by TDH to facilitate clear communication to the health plan.