Common use of Data and Reports Clause in Contracts

Data and Reports. Subcontractor shall, and shall ensure Provider submits to United all reports and clinical information which United or LDH may require for reporting purposes pursuant to the State Contract, including but not limited to encounter data, HEDIS, AHRQ and EPSDT data and reports, where applicable. Provider shall utilize LDH’s Louisiana Immunization Network for Kids Statewide (LINKS) web-based immunization reporting system for the reporting of all adult and child vaccinations. As applicable, if United has entered into alternative reimbursement arrangements with Subcontractor and/or Provider (with prior approval by the Department), Subcontractor and Provider are required to submit all encounter data to the same standards of completeness and accuracy as required for proper adjudication of fee-for-service claims by United. Subcontractor shall require that by submitting data to United, Provider represents and attests to United and the State that the data is accurate, complete and truthful, and upon United’s request Provider shall certify in writing, that the data is accurate, complete, and truthful, based on Provider’s best knowledge, information and belief. NOTE: United is not allowed to enter into alternative reimbursement arrangements with FQHCs or RHCs.

Appears in 4 contracts

Samples: ldh.la.gov, ldh.la.gov, ldh.la.gov

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