Data Certification. Pursuant to 42 CFR 438.604 and 42 CFR 438.606, MCPs are required to provide certification as to the accuracy, completeness, and truthfulness of data and documents submitted to ODJFS which may affect MCP payment.
Data Certification. 4.15.4.1 The Contractor shall certify all data pursuant to 42 CFR 438.606. The data that must be certified include, but are not limited to, Enrollment information, Encounter Data, and other information required by the State and contained in Contracts, proposals and related documents. The data must be certified by one of the following: the Contractor’s Chief Executive Officer, the Contractor’s Chief Financial Officer, or an individual who has delegated authority to sign for, and who Reports directly to the Contractor’s Chief Executive Officer or Chief Financial Officer. The certification must attest, based on best knowledge, information, and belief, as follows:
Data Certification. The Contractor must comply with the required format as described in this Agreement and published by GCBH and/or DSHS. Data includes encounters documenting services paid for by GCBH and delivered to Individuals through the Contractor during a specified reporting period as well as other data per the GCBH and/or DSHS Data Dictionary and Service Encounter Reporting Instructions (SERI). This data is used for: federal reporting (42 CFR 438.242(b) (1)); rate setting and risk adjustment; service verification, managed care quality improvement program; utilization patterns and access to care; DSHS hospital rate setting; and research studies.
Data Certification a. By July 1 of each year, the Health Plan shall deliver to the Agency a certification by an independent auditor that the PM data reported for the previous year (Measurement Year) have been fairly and accurately presented. This certification should accompany the PM data.
Data Certification. 10.6.1. The Contractor must comply with the required format provided in the Encounter Data Transaction Guide published by HCA. Data includes encounters documenting services paid for by Great Rivers and delivered to clients during a specified reporting period, as well as other data set out in the Great Rivers and HCA Data Dictionary and Service Encounter Reporting Instructions (SERI). This data is used for federal reporting (42 CFR 438.242(b) (1)); rate setting and risk adjustment; service verification; managed care quality improvement program; utilization patterns and access to care; HCA hospital rate setting; and research studies.
Data Certification. 15.4.1 The Contractor shall certify all data that (i) is the basis of ASES payments under this Contract pursuant to 42 CFR 438.604 and 42 CFR 438.606 or (ii) that is otherwise required to be certified by ASES. The data that must be certified include, but are not limited to, Enrollment information, Encounter Data, Claims Reports, reconciliation reports and other information reasonably required on a timely basis by ASES as a basis for payment. The data must be certified by the Authorized Signatory. The certification must attest, based on best knowledge, information, and belief, as follows:
Data Certification. 8.7.1. The Contractor shall comply with the required format provided in the Encounter Data Transaction Guide published by HCA. Data includes encounters documenting services provided by the Contractor, or a Subcontractor, and delivered to clients during a specified reporting period as well as other data set out in the Great Rivers and DBHR Data Dictionary and Service Encounter Reporting Instructions.
Data Certification. The Contractor shall certify that financial and encounter data submitted to AHCCCS is complete, accurate and truthful. Certification of financial and encounter data must be submitted concurrently with the data. Certification may be provided by the Contractor CEO, CFO or an individual who is delegated authority to sign for, and who reports directly to the CEO or CFO [42 CFR 438.604 et seq.].
Data Certification. Require that the Contractor certify data provided by the Contractor that will be used by the State to determine payment rates to the Contractor in accordance with Title 42, CFR, Section 438.604 and 438.606.
Data Certification. NDCHealth shall provide Client with Level I Certifications in accordance with the Data Security Requirements.
