Ohio Health Plans

Request For Applications: Medicaid Managed Care Program for Aged, Blind or Disabled [ABD] Population, May 31, 2006 All documents in .pdf format Rate Setting Mandatory Conference Attendees Mandatory Applicant Conference Attendees Final Applicant Questions and Answers ABD RFA Amendment #1 ABD RFA Amendment #2 RFA Cover Letter RFA Applicant Library Rates Ohio ABD Methodology and Appendices ABD Rate Methodology Certification Letter ABD Risk Adjusted Rate Overview ABD Risk Adjustment Methodology Glossary of Terms Minimum Provider Panel Requirements Practitioner Requirements (amended August 10, 2006) PCP Capacity Requirements Hospital Requirements Ohio Medicaid Report Managed Care Program Rules Provider Agreement for the Covered Families and Children Ohio Medicaid Managed Care Reports CY 2004 Clinical Performance Measures CY 2004 Consumer Assessment of Health Plans (CAHPS) CFC Performance Measures Methods (for reference only) [The following methods are for the CFC program; ABD Performance Measures Methods are to be developed] ODJFS Methods for Children with Special Health Care Needs Performance Measures ODJFS Methods for Children with Special Health Care Needs Data Quality Measures ODJFS Methods for Clinical Performance Measures ODJFS Methods for Access Performance Measures ODJFS Methods for Consumer Satisfactions Performance Measures ODJFS Methods for Administrative Capacity Performance Measures Data File Specifications ODJFS Screening and Assessment, and Case Management File and Submission ODJFS Methods for Independent External Quality Review Data Quality Measure ODJFS Members' PCP Data File and Submission Specifications Appeal File and Submission Specifications Grievance File and Submission Specifications Provider Verification System File and Submission Specifications Encounter Data File Submission and Specifications EDI 820 and 834 HIPAA Companion Guides RFA Applicant Information Conference Registration Potential Applicant Registration Form Interested Parties Registration Form

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