TPHI Reporting. The Contractor shall report TPHI activities through the Medicaid Encounter Data System (MEDS III) or its successor system and Medicaid Managed Care Operating Report (MMCOR) in accordance with instructions provided by SDOH. To prevent duplicative efforts, the Contractor shall, on a quarterly basis, share claim specific TPHI disposition (paid, denied, or recovered) information with the State. If no information is received from the Contractor, the State will assume there are no retroactive recoveries being pursued by the Contractor and will initiate recovery processing.
Appears in 3 contracts
Sources: Medicaid Managed Care Contract, Medicaid Managed Care Contract, Medicaid Managed Care Contract
TPHI Reporting. The Contractor shall report TPHI activities through the Medicaid Encounter Data System (MEDS IIIMEDS) or its successor system and Medicaid Managed Care Operating Report (MMCOR) in accordance with instructions provided by SDOH. To prevent duplicative efforts, the Contractor shall, on a quarterly basis, share claim specific TPHI disposition (paid, denied, or recovered) information with the State. If no information is received from the Contractor, the State will assume there are no retroactive recoveries being pursued by the Contractor and will initiate recovery processing.
Appears in 2 contracts
Sources: Hiv Special Needs Plan Model Contract, Hiv Special Needs Plan Model Contract