Ohio Medicaid

ODJFS Methods and Specifications for Data Quality and Performance Measures for the Covered Families and Children Medicaid Managed Care Program

Provider Agreement Effective July 1, 2008 to June 30, 2009

   

   Appendix H

•  Managed Care Provider Network File Specifications

   Appendix L

• ODJFS Encounter Data File Submission and Specifications
• ODJFS Methods for Encounter Data Quality Measures
• ODJFS Methods for Children with Special Health Care Needs Data Quality Measures
• ODJFS Care Management File and Submission Specifications
• ODJFS Methods for Independent External Quality Review Data Quality Measure
• ODJFS Methods for the Designated PCP for Newly Enrolled Members Measure
• ODJFS Members' PCP Data File and Submission Specifications
• ODJFS Appeal File and Submission Specifications
• ODJFS Grievance File and Submission Specifications
• ODJFS Specifications for Reporting Payment Information on Encounter Data

   Appendix M

• ODJFS Methods for Children with Special Health Care Needs Performance Measures
• ODJFS Methods for Medicaid Managed Health Care Covered Families & Children (CFC) Program Clinical Performance Measures
• ODJFS Methods for Access Performance Measures
• ODJFS Methods for Consumer Satisfaction Performance Measures
• ODJFS Methods for Administrative Capacity Performance Measures

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