Appendices K, L, M, O Medicaid Managed Care Provider AgreementMedicaid Managed Care Provider Agreement • September 20th, 2017
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.
Appendix K, Medicaid Managed Care Provider Agreement Effective: January 1, 2017Medicaid Managed Care Provider Agreement • March 16th, 2017
Medicaid Managed CareMedicaid 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 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 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 care management status data file submission.
Appendix K, Medicaid Managed Care Provider Agreement Effective: January 1, 2017Medicaid Managed Care Provider Agreement • March 16th, 2017
Medicaid Managed CareMedicaid Managed Care Provider Agreement • March 16th, 2017
MEDICAID MANAGED CARE PROVIDER AGREEMENTMedicaid Managed Care Provider Agreement • September 5th, 2019 • Florida
This Medicaid Managed Care Provider Agreement consists of: I) the Signature Page; II) the Standard Terms & Conditions; III) the Schedules, IV) Product Specific Addenda; V) the State-Product Specific Appendices to the Product Specific Addenda, VI) the State-Product Specific Attachments to the Appendices, and VII), all references incorporated therein (collectively, the “Agreement”). Provider must sign the Signature Page and Appendices and Attachments where indicated. This Agreement will become effective on the date indicated below (the “Effective Date”).
ODM Methods forMedicaid Managed Care Provider Agreement • March 16th, 2017
Numerator: The number of members assigned to the high risk care management stratification level, who were also classified as having an engaged or passive care management status, as of the measurement period specified below.
Appendix K, Medicaid Managed Care Provider Agreement Effective: January 1, 2018Medicaid Managed Care Provider Agreement • January 18th, 2018
Medicaid Managed CareMedicaid Managed Care Provider Agreement • January 18th, 2018
Appendix K, Medicaid Managed Care Provider Agreement Effective: January 1, 2020Medicaid Managed Care Provider Agreement • January 13th, 2020
This document describes the file layout, data field definitions, and submission procedures to be used for the reporting of the MCP’s population stream 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, October).
