Common use of Data Certification Clause in Contracts

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. a. MCP Submissions: MCPs must submit the appropriate ODJFS-developed certification concurrently with the submission of the following data or documents: i. Encounter Data [as specified in the Data Quality Appendix (Appendix L)] ii. Prompt Pay Reports [as specified in the Fiscal Performance Appendix (Appendix J)] iii. Cost Reports [as specified in the Fiscal Performance Appendix (Appendix J)]

Appears in 2 contracts

Sources: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)

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. a. MCP Submissions: MCPs must submit the appropriate ODJFS-developed certification concurrently with the submission of the following data or documents: i. Encounter Data [as specified in the Data Quality Appendix (Appendix L)]] Appendix I ii. Prompt Pay Reports [as specified in the Fiscal Performance Appendix (Appendix J)] iii. Cost Reports [as specified in the Fiscal Performance Appendix (Appendix J)]

Appears in 1 contract

Sources: Ohio Medical Assistance Provider Agreement for Managed Care Plan Abd Eligible Population (Wellcare Health Plans, Inc.)

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. a. MCP Submissions: MCPs must submit the appropriate ODJFS-developed certification concurrently with the submission of the following data or documents: i. Encounter Data [as specified in the Data Quality Appendix (Appendix L)] ii. Prompt Pay Reports [as specified in the Fiscal Performance Appendix (Appendix J)] iii. Cost Reports [as specified in the Fiscal Performance Appendix (Appendix J)]] Appendix I Aged, Blind or Disabled (ABD) population Page 4

Appears in 1 contract

Sources: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)