Common Contracts

3 similar Provider Agreement contracts

MyCare Ohio
Provider Agreement • November 29th, 2021

This document describes the file layout, data field definitions, and submission procedures to be used for the reporting of the MCOP’s care management status 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 MCOP-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 2022 must also appear in the MCOP’s care management status data file submission.

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Provider Agreement Effective July 1, 2020, to June 30, 2021
Provider Agreement • November 30th, 2020

This document describes the file layout, data field definitions, and submission procedures to be used for the reporting of the MCOP’s care management status 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 wil supply MCOP-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 2021 must also appear in the MCOP’s care management status data file submission.

MyCare Ohio
Provider Agreement • December 10th, 2019

This document describes the file layout, data field definitions, and submission procedures to be used for the reporting of the MCOP’s care management status 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 MCOP-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 MCOP’s care management status data file submission.

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