Request For Applications: Medicaid Managed Care Program for
Covered Families and Children,  November 30, 2005

All documents in .pdf format

September 2005 Applicants Conference Materials

Interested Health Plan Q&A

CFC RFA November 30, 2005 Q&A

RFA Cover Letter

RFA

Applicant Library

• Rate
  • Ohio Methodology Letter
  • Appendix E
  • Appendix F
  • Appendix G
  • Appendix H
  • Appendix I
  • Appendix J

• Minimum Provider Panel Requirements
  • Practitioner Requirements
  • PCP Capacity Requirements
  • Hospital Requirements
  • Ohio Medicaid Report
  • Managed Care Program Rules
  • Provider Agreement

• Ohio Medicaid Managed Care Reports
  • CY 2004 Clinical Performance Measures
  • CY 2004 Consumer Assessment of Health Plans (CAHPS)
  • Performance Measures Methods
  • ODJFS Methods for Children with Special Health Care Needs Performance Measures
  • ODJFS Methods for Children with Special Health Care Needs Data Quality Measures
  • ODJFS Methods for Clinical Performance Measures
  • ODJFS Methods for Access Performance Measures
  • ODJFS Methods for Consumer Satisfactions Performance Measures
  • ODJFS Methods for Administrative Capacity Performance Measures

• Data File Specifications
  • ODJFS Methods for Encounter Data Quality Measures
  • ODJFS Screening and Assessment, and Case Management File and Submission
  • ODJFS Methods for Independent External Quality Review Data Quality Measure
  • ODJFS Members' PCP Data File and Submission Specifications
  • Appeal File and Submission Specifications
  • Grievance File and Submission Specifications
  • Provider Verification System File and Submission Specifications
  • Encounter Data File Submission and Specifications
  • EDI 820 and 834 HIPAA Companion Guides

• RFA Applicant Information Conference Registration
  • Potential Applicant Registration Form
  • Interested Parties Registration Form
    

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