Reporting Criteria. The CAISO shall comply with the reporting requirements of the WECC, NERC, NRC and regulatory bodies having jurisdiction over it. Participating TOs shall provide the CAISO with information that the CAISO may require to meet this obligation.
Reporting Criteria. The ISO shall comply with the reporting requirements of the WSCC, NERC, NRC and regulatory bodies having jurisdiction over it. Participating TOs shall provide the ISO with information that the ISO may require to meet this obligation.
Reporting Criteria. The County agrees to provide to the State, by September 30th of the calendar year, an Interim Report listing the projected impact of the increased funding in the current calendar year regarding the number of audits completed; assessment appeals defended, ownership changes and new construction reassessed and the percentage of completion for Projects 3, and 4. The County will also provide to the State by January st of the following calendar year a report listing the actual workload number of audits, assessment appeals, ownership changes and new construction completed and the average increment of assessed value change associated with Projects 3 and 4, of Section 6 of this contract. This report will be verified by the County’s Auditor-Controller.
Reporting Criteria. General Specifications Definition Date Format All report dates not otherwise specified are to be in the following format: mm/dd/yyyy <List Other by Name> The report is to include all Main/Trunk lines that the MCO or the MCO subcontractors maintain. Additional sections of the report are to be added as needed. Row Label Description Number of Calls Number of calls received including answered, abandoned and blocked. Number of Calls Abandoned Calls into the call centers that are terminated by the persons originating the call before answer by a staff person. (URAC standards measure this as the calls that disconnect after 30 seconds when a live individual would have answered the call. If there is a pre-recorded message or greeting for the caller, the 30-second measurement begins after the message/greeting has ended). % Abandoned Calls The percentage of calls into the call center that are terminated by the persons originating the call before answer by a staff person. (URAC standards measure this as the percentage of calls that disconnect after 30 seconds when a live individual would have answered the call. If there is a pre-recorded message or greeting for the caller, the 30-second measurement begins after the message/greeting has ended) Average Speed to Answer (seconds) The average delay in seconds that inbound telephone calls encounter waiting in the telephone queue of a call center before answer by a staff person (URAC measures the speed of answer starting at the point when a live individual would have answered the call. If there is a pre-recorded message or greeting for the caller, the time it takes to respond to the call – average speed of answer – begins after the message/greeting has ended). Highest Maximum Delay (minutes) The one call during the reporting period that had the greatest delay in speed to answer measured in minutes. % Calls Answered on or before 4th Ring The percentage of calls answered on or before the fourth ring. % Calls Receiving Busy Signal The percentage of incoming telephone calls ‘blocked’ or not completed because switching or transmission capacity is unavailable, as compared to the total number of calls encountered. Blocked calls usually occur during peak call volume periods and result in callers receiving a busy signal. % Calls Answered within 30 Seconds The percentage of calls answered within thirty seconds. Average Length of Call (minutes) The average length of all calls answered measured in minutes.
Reporting Criteria. Terminology Definition Date Format All report dates not otherwise specified are to be in the following format: mm/dd/yyyy Row Label Description COS Two character designation for a state specific category of service. Crosswalk may be found in Exhibit D. Category of Service (COS) Description A description for the ‘COS’. Medicaid Mandatory Services State covered Medicaid services required by federal law. Subtotal: Mandatory Services Calculated field. Sum total of all services listed as mandatory services For columns with Average Days it is the average days of resolution for all mandatory services. Medicaid Optional Services State covered Medicaid services in addition to the mandatory covered services the state has chosen to cover. Subtotal: Optional Services Calculated field. Sum total of all services listed as optional services. For columns with Average Days it is the average days of resolution for all optional services. Total: Mandatory and Optional Calculated field. Total of all mandatory and optional services. For columns with Average Days it is the average days of resolution for all mandatory and optional services. Provider Type/Category Crosswalk of Provider Type and Provider Specialty to each Provider Description listed is provided in Exhibit A: Provider Type and Specialty Crosswalk. Crosswalk of Provider Type Categories for General Hospital and Pharmacy are provided in Exhibit B: Billing Provider Type Category Crosswalk Total Calculated field. Total of all Provider Type/Category listed in the report. For columns with Average Days it is the average days of resolution for all Provider Type/Category listed in the report.
Reporting Criteria. General Specifications Definition Claim Claim is defined as an original clean claim that has been paid/denied/suspended. Claim Count A claim count of one is applied to each paid/denied/suspended claim. Therefore a header paid claim that is paid/denied/suspended and a detailed paid claim that is paid/denied/suspended on all details will both have a count of one. Date Format All report dates are to be in the following format: mm/dd/yyyy Row Label Description Total All Claims Paid Includes all clean claims that have been paid in the reporting period Total All Claims Denied Includes all clean claims that have been denied in the reporting period Total All Claims Suspended Includes all clean claims that have been suspended in the reporting period Column Label Description
Reporting Criteria. In addition to any details specified above, the reports will summarize at minimum: (i) each Error occurring during the applicable period to which the report applies; (ii) any Failure with respect to any Service Level during the applicable period to which the report applies (including the applicable Service Level, root cause of the problem resulting in such Failure, immediate solution to such Failure, and proposed permanent correction of such Failure); (iii) all Credits, if any, imposed for any such Failures; and (iv) the raw calculation data for all such Service Levels and Credits. Each report shall include all detail and back-up information reasonably required for the State to verify the cause, impact, extent, and resolution of any Failure. Contractor shall be responsible for the cost of all software, hardware, and other equipment necessary to perform the required measurements necessary to generate all reports and for all labor and other personnel costs associated with measuring and reporting performance of the System and the Services against all Service Levels and in accordance with all documentation, specifications and other requirements in this Contract. Contractor shall provide detailed supporting information for each report to the State electronically (in a form agreed to by the State) as well as in hard copy format.
Reporting Criteria. COUNTY will also provide to STATE, by January 15 of the following fiscal year, a report showing the schools’ share of added revenue as calculated in Section 5.
Reporting Criteria. Row Label Description Columns 1-50 Ranking from 1 = most quantity to 50 = least quantity Column Label Description Drug Name/Strength/Dosage Form Name of Drug, Strength of Drug, and Dosage Form of Drug Cost/Month The total cost (reimbursement) for the ranked drug for specified time period 48 Created: 01/09/2012 Name: Organizational Changes Last Revised: Group: Other Activities Report Status: Active Frequency: Quarterly Exhibits: Period: First day of quarter through the last day of the quarter. Due Date: 30 calendar days following the report period. Submit To: Kentucky Department for Medicaid Services Description: Identify any organization changes relating to the MCO during the report period. Sample Layout: Kentucky Department for Medicaid Services MCO Report # 48: Organizational Changes MCO Name: DMS Use Only Report Date: Received Date: Report Period From: Reviewed Date: Report Period To: Reviewer: I. Organizational Change II. Organizational Change III. Organizational Change Report #: 49 Created: 01/09/2012 Name: Administrative Changes Last Revised: Group: Other Activities Report Status: Active Frequency: Quarterly Exhibits: Period: First day of quarter through the last day of the quarter. Due Date: 30 calendar days following the report period. Submit To: Kentucky Department for Medicaid Services Description: Identify any administrative changes relating to the MCO during the report period. Sample Layout: Kentucky Department for Medicaid Services MCO Report # 49: Administrative Changes MCO Name: DMS Use Only Report Date: Received Date: Report Period From: Reviewed Date: Report Period To: Reviewer:
Reporting Criteria. General Specifications Definition Date Format All report dates are to be in the following format: mm/dd/yyyy Sort Order The report is to be sorted in ascending order by ‘Member Name’. Row Label Description NA NA Column Label Description Member Name Concatenate the Medicaid Member’s ‘Last Name’, ‘First Name’, ‘Middle Initial’ Member Medicaid ID The Member’s Medicaid ID reported as a text string. Date of Injury The date of the actual injury/accident. Subrogation/Liable Party Indicator Valid values are S for Subrogation or LP for Liable Party Attorney/Member Letter Sent Date This is the date that either an attorney or Member letter is sent. Attorney/Liable Party Information The attorney/liable party name, address and contact information. Lien Claim Amount The MCO lien or claim amount. Recovered Amount The MCO recovered amount from the attorney/liable party. State Notified Value of Y if DMS is notified of a claim. Date Closed The date the case is closed due to either recovery or no case. Report #: 58 Created: 08/20/2011 Name: Original Claims Processed Last Revised: 08/29/2011 Group: Claims Processing Report Status: Active Frequency: Monthly Exhibits: A, B Period: First day of month through the last day of the month. Due Date: By the 15th of the month following the report period. Submit To: Kentucky Department for Medicaid Services Description: Provides the number of original clean claims processed during a reporting period reported by Billing Provider Type and claim status. There are four claim statuses to be included in the report:
