Encounter Data – Format Sample Clauses

Encounter Data – Format. The MCO shall assure member-specific data is reported to the Department in an encounter-data format specified by the Department and according to any HIPAA deadlines, standards and requirements applicable to the MCO. The specifications and HIPAA deadlines, standards and requirements are identified in documents found on the Department’s website at: xxxxx://xxx.xxx.xxxxxxxxx.xxx/ies/index.htm. The MCO shall meet certification standards that demonstrate it has the ability to meet the Department’s reporting requirements in the formats and timelines prescribed by the Department. The MCO will provide data extracts, as necessary, for testing the reporting processes and will assist with and participate in the testing processes. The Department will provide MCOs with reasonable advance notice of required changes to encounter reporting standards, formats and MIS capacity necessary to meet federal and state requirements.
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Related to Encounter Data – Format

  • Encounter Data Party shall provide encounter data to the Agency of Human Services and/or its departments and ensure further that the data and services provided can be linked to and supported by enrollee eligibility files maintained by the State.

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