Common use of Health Information Systems Clause in Contracts

Health Information Systems. The Contractor shall maintain, and shall require subcontractors to maintain, a health information system that complies with the requirements of 42 CFR 438.242 and provides the information necessary to meet the Contractor’s obligations under this Contract. The Contractor shall have in place mechanisms to verify the health information received from subcontractors. The health information system must: 8.9.1. Collect, analyze, integrate, and report data. The system must provide information on areas including but not limited to, utilization, grievance and appeals, and terminations of enrollment for other than loss of Medicaid eligibility. 8.9.2. Ensure data received from providers is accurate and complete by: 8.9.2.1. Verifying the accuracy and timeliness of reported data; 8.9.2.2. Screening the data for completeness, logic, and consistency; and 8.9.2.3. Collecting service information on standardized formats to the extent feasible and appropriate. 8.9.3. The Contractor shall make all collected data available to DSHS and the Center for Medicare and Medicaid Services (CMS) upon request.

Health Information Systems. The Contractor shall maintain, maintain and shall require subcontractors to maintain, maintain a health information system that complies with the requirements of 42 CFR 438.242 and provides the information necessary to meet the Contractor’s obligations under this Contract. The Contractor shall have in place mechanisms to verify the health information received from subcontractors. The health information system must: 8.9.1. 12.20.1 Collect, analyze, integrate, and report data. The system must provide information on areas including but not limited to, utilization, grievance and appeals, and terminations of enrollment disenrollments for other than loss of Medicaid eligibility. 8.9.2. 12.20.2 Ensure data received from providers is accurate and complete by: 8.9.2.1. 12.20.2.1 Verifying the accuracy and timeliness of reported data; 8.9.2.2. 12.20.2.2 Screening the data for completeness, logic, and consistency; and 8.9.2.3. 12.20.2.3 Collecting service information on standardized formats to the extent feasible and appropriate. 8.9.3. 12.20.3 The Contractor shall make all collected data available to HCA, DSHS and the Center for Medicare and Medicaid Services (CMS) upon request.

Health Information Systems. The Contractor shall maintain, maintain and shall require subcontractors to maintain, maintain a health information system that complies with the requirements of 42 CFR 438.242 and provides the information necessary to meet the Contractor’s obligations under this Contract. The Contractor shall have in place mechanisms to verify the health information received from subcontractors. The health information system must: 8.9.112.19.1. Collect, analyze, integrate, and report data. The system must provide information on areas including but not limited to, utilization, grievance and appeals, and terminations of enrollment disenrollments for other than loss of Medicaid eligibility. 8.9.212.19.2. Ensure data received from providers is accurate and complete by: 8.9.2.112.19.2.1. Verifying the accuracy and timeliness of reported data; 8.9.2.212.19.2.2. Screening the data for completeness, logic, and consistency; and 8.9.2.312.19.2.3. Collecting service information on standardized formats to the extent feasible and appropriate. 8.9.312.19.3. The Contractor shall make all collected data available to DSHS and the Center for Medicare and Medicaid Services (CMS) upon request.