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.
Appears in 3 contracts
Samples: Business Associate Agreement, State Mental Health Agreement, Mental Health Agreement
Data Certification. The Contractor must shall comply with the required format as described provided in this Agreement and the Encounter Data Transaction Guide published by GCBH and/or DSHS. Data includes encounters documenting services paid for by GCBH the Contractor and delivered to Individuals consumers 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 DSHS collects and uses this data is used forfor many reasons such as: 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.
Appears in 1 contract
Samples: Purpose of Agreement
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) (11 )); 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.
Appears in 1 contract
Samples: State Mental Health Agreement
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) (11 )); 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.
Appears in 1 contract
Samples: Mental Health Agreement