Reporting Criteria. General Specifications Definition Column Label Description Sample Layout: Member Last Name Member First Name Member Medicaid # Facility NPI # Facility Name Facility State Level of Care Date of Admission Admitting Diagnosis ▇▇▇▇▇▇ Care Status Date of Last Review Discharge Date Discharge Disposition Aftercare Description: % NON PDL PSYCH RXS # PSYCH UTILIZERS % PSYCH UTILIZERS % PSYCH UTILIZERS/RX UTILIZERS # PSYCH RXS/PSYCH UTILIZER # RXS/MEMBER LESS PSYCHS PSYCH COST/PSYCH UTILIZER # TYPICAL ANTIPSYCH UTILIZERS % TYPICAL ANTIPSYCH UTILIZERS # MEMBERS ON ATYP TO TYP # HEP C UTILIZERS HEP C RX COST HEP B RXS # HEP B UTILIZERS HEP B RX COST HIV RXS # HIV UTILIZER HIV RX COST HIV COST/HIV UTILIZER COST/RX UTILIZER NON PDL PSYCH COST/MEMBER ATYP ANTIPSY COST/MEMBER PROVIDER PRESCRIBED OTC COST/MEMBER H2 BLOCKERS TOTAL COST NSAIDS TOTAL COST % CLAIMS DENIED # CONTROLS/ PRESCRIBER % CLAIMS DENIED # CONTROLS/ PRESCRIBER Reporting Criteria: Terminology Definition Row Label Definition Column Label Description Description: Sample Layout: Reporting Criteria: General Specifications Definition Column Label Description Description: Sample Layout:
Appears in 2 contracts
Sources: Medicaid Managed Care Contract, Medicaid Managed Care Contract