Common Contracts
1 similar Medicaid Managed Care Provider Agreement contracts
Appendix K, Medicaid Managed Care Provider Agreement Effective: January 1, 2020Medicaid Managed Care Provider Agreement • December 9th, 2019
This document describes the file layout, data field definitions, and submission procedures to be used for the reporting of the MCP’s risk stratification data. Quarterly (Q1: January 1–March 31, Q2: April 1–June 30, Q3: July 1–September 30, and Q4: October 1–December 31), full replacement files must be submitted to IPRO, on behalf of the ODM, by the last calendar day of the month following the end of a quarter (January, April, July, and October). Prior to this date, the ODM/IPRO will supply MCP-specific enrollment files containing all members by enrollment month; every member that appears in the enrollment file provided by the ODM with an enrollment span that includes dates within calendar year 2020 must also appear in the MCP’s risk stratification data file submission.
