Ohio Health Plans

Request For Applications: Medicaid Managed Care Program for Covered Families and Children, November 30, 2005 All documents in .pdf format September 2005 Applicants Conference Materials Interested Health Plan Q&A CFC RFA November 30, 2005 Q&A RFA Cover Letter RFA Applicant Library Rate Ohio Methodology Letter Appendix E Appendix F Appendix G Appendix H Appendix I Appendix J Minimum Provider Panel Requirements Practitioner Requirements PCP Capacity Requirements Hospital Requirements Ohio Medicaid Report Managed Care Program Rules Provider Agreement Ohio Medicaid Managed Care Reports CY 2004 Clinical Performance Measures CY 2004 Consumer Assessment of Health Plans (CAHPS) Performance Measures Methods 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 Methods for Encounter Data Quality Measures 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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