Common use of Health Information System Clause in Contracts

Health Information System. Pursuant to 42 CFR 438.242, the Contractor shall maintain a health information system that collects, analyzes, integrates, and reports data. The system shall provide information on areas including, but not limited to, utilization, grievances, disenrollments, and appeals. 1) The Contractor’s health information system shall, at a minimum: a) Collect data on beneficiary and provider characteristics as specified by DHCS, and on services furnished to beneficiaries as specified by DHCS in the Cal OMS Data Collection Guide (attached as Document 3J); ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇.▇▇▇/provgovpart/Documents/CalOMS_Tx_Data_Collection_ Guide_JAN%202014.pdf b) Ensure that data received from providers is accurate and complete by: i. Verifying the accuracy and timeliness of reported data; ii. Screening the data for completeness, logic, and consistency; and iii. Collecting service information in standardized formats to the extent feasible and appropriate. c) Make all collected data available to DHCS and, upon request, to CMS.

Health Information System. Pursuant to 42 CFR 438.242, the Contractor shall maintain a health information system that collects, analyzes, integrates, and reports data. The system shall provide information on areas including, but not limited to, utilization, grievances, disenrollments, and appeals. 1) The Contractor’s health information system shall, at a minimum: a) Collect data on beneficiary and provider characteristics as specified by DHCS, and on services furnished to beneficiaries as specified by DHCS in the Cal OMS Data Collection Guide (attached as Document 3J); ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇.▇▇▇/provgovpart/Documents/CalOMS_Tx_Data_Collection_ Guide_JAN%202014.pdf_ b) Ensure that data received from providers is accurate and complete by: i. Verifying the accuracy and timeliness of reported data; ii. Screening the data for completeness, logic, and consistency; and iii. Collecting service information in standardized formats to the extent feasible and appropriate. c) Make all collected data available to DHCS and, upon request, to CMS.

Health Information System. Pursuant to 42 CFR 438.242, the Contractor shall maintain a health information system that collects, analyzes, integrates, and reports data. The system shall provide information on areas including, but not limited to, utilization, grievances, disenrollments, and appeals. 1) The Contractor’s health information system shall, at a minimum: a) Collect data on beneficiary and provider characteristics as specified by DHCS, and on services furnished to beneficiaries as specified by DHCS in the Cal OMS Data Collection Guide (attached as Document 3J); ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇.▇▇▇/provgovpart/Documents/CalOMS_Tx_Data_Collection_ Guide_JAN%202014.pdfGuide_JAN%202014.pdf‌ b) Ensure that data received from providers is accurate and complete by: i. Verifying the accuracy and timeliness of reported data; ii. Screening the data for completeness, logic, and consistency; and iii. Collecting service information in standardized formats to the extent feasible and appropriate. c) Make all collected data available to DHCS and, upon request, to CMS.