Managed Care Resources

Member Enrollment Reports

Report Templates

Contract Section Report

	Attestation for Managed Care Reports
2	Delegated Authority Review
3	Call Center Performance
4	High Cost No Experience Drug
4	CGT Access Model Notification	New
4	Additional Services Template and Impact Report	Updated
5	Case Management	Updated
6	Provider Network
6	Network Adequacy Exception Form	New
7	Manual Maternity Kicker
7	PCMH
7	FQHC/RHC Wrap Detail Data
7	FQHC/RHC Wrap Summary Data
8	Service Authorization
8	Service Authorization by Benefit Type Report
9	Member Grievance and Appeal Report
9	Provider Dispute Log
10	TPL Cost Avoidance
10	TPL COB Savings
10	TPL Recoveries
10	TPL Casualty Cases
11	TPL (Medicare) COB Savings
11	TPL (Medicare) Cost Avoidance
11	TPL (Medicare) Recoveries
11	Pharmacy Lock In Member Letter
11	Pharmacy Lock In Member Removal Letter
11	Pharmacy Lock In Pharmacy Letter
12	MCO Material Minimal Change Attestation	Updated
12	Marketing Materials Notice of Submission	New
13	Claims Payment Accuracy
13	GME Report
14	Encounter Submission Summary
15	Performance Improvements Projects - Clinical
15	Performance Improvements Projects - Non-clinical
15	Alternative Payment Models
15	Member Incentives Template	New
16	Managed Care Question and Answer Grid