Common use of UTILIZATION MANAGEMENT REPORTS Clause in Contracts

UTILIZATION MANAGEMENT REPORTS. PHYSICAL HEALTH ------------------------------------------------ Physical health (PH) utilization management reports are required on a semi-annual basis with submission of data files that are, at a minimum, due to TDH or its designee on a quarterly basis no later than 150 days following the end of the period. Refer to Appendix J for the standardized reporting format for each report and detailed instructions for obtaining specific data required in the report and for data file submission specifications. The PH Utilization Management Report and data file submission instructions may periodically be updated by TDH to facilitate clear communication to the health plan.

Appears in 1 contract

Sources: Contract for Services (Centene Corp)

UTILIZATION MANAGEMENT REPORTS. PHYSICAL HEALTH ------------------------------------------------ Physical health (PH) utilization management reports are required on a semi-annual basis with submission of data files that are, at a minimum, due to TDH or its designee on a quarterly basis no later than 150 days following the end of the period. Refer to Appendix J for the standardized reporting format for each report and detailed instructions for obtaining specific data required in the report and for data file submission specifications. The PH Utilization Management Report and data file submission instructions may periodically be updated by TDH to facilitate clear communication to the health plan.

Appears in 1 contract

Sources: Contract for Services (Amerigroup Corp)

UTILIZATION MANAGEMENT REPORTS. PHYSICAL HEALTH ------------------------------------------------ Physical health (PH) utilization management reports are required on a semi-annual basis with submission of data files that are, at a minimum, due to TDH or its designee on a quarterly basis no later than 150 and are due 120 days following the end of the periodState Fiscal Quarter and are to be provided in hard copy and in a format specified by TDH. Refer to Appendix J for the standardized reporting format for each report and detailed instructions for obtaining specific data required in the report and for data file submission specificationsreport. The PH Utilization Management Report and data file submission instructions may periodically be updated by TDH to include new codes and to facilitate clear communication to the health plan.

Appears in 1 contract

Sources: Contract for Services (Amerigroup Corp)

UTILIZATION MANAGEMENT REPORTS. PHYSICAL HEALTH ------------------------------------------------ Physical health (PH) utilization management reports are required on a semi-annual basis with submission of data files that are, at a minimum, due to TDH TDHS or its designee on a quarterly basis no later than 150 days following the end of the period. Refer to Appendix J for The State will provide the standardized reporting format for each report and detailed instructions for obtaining specific data required in the report and for data file submission specifications. The PH Utilization Management Report and data file submission instructions may periodically be updated by TDH TDHS to facilitate clear communication to the health plan.

Appears in 1 contract

Sources: Star+plus Contract (Amerigroup Corp)

UTILIZATION MANAGEMENT REPORTS. PHYSICAL HEALTH ------------------------------------------------ Physical health (PH) utilization management reports are required on a semi-annual basis with submission of data files that are, at a minimum, due to TDH or its designee on a quarterly basis no later than 150 days following the end of the periodbasis. Refer to Appendix J for the standardized reporting format for each report and detailed instructions for obtaining specific data required in the report and report. 12.9.1 In addition, data files are due to the TDH External Quality Review Organization five working days following the end of each State Quarter. See Appendix J for data file submission specificationsinstructions. The PH Utilization Management Report utilization report and data file submission instructions instruction may periodically be updated by TDH to facilitate clear communication to the health plan.

Appears in 1 contract

Sources: Contract for Services (Amerigroup Corp)