Report Contract Att. II, Reporting Report Submission SMMC Report Name Guide Submit To (or Exhibit) Year Type Code Frequency Location) Chapter CORE REPORTS Section IX. Annually Achieved Savings Rebate Financial 3 C N/A SMMC SFTP Site and XIV. Quarterly Reports Achieved Savings Rebate Financial N/A Reports Attestation Administrative Subcontractors and Section XII. 4 C 0100 Quarterly SMMC SFTP Site Affiliates Report and XIV. Administrative Subcontractors and N/A Affiliates Report Attestation Annual Fraud and Abuse Activity Section VIII. MPI-MC SFTP 5 S 0133 Annually Report and XIV. Site Annual Fraud and Abuse Activity N/A Report Attestation Claims Report & Supplemental Section VIII. 6 C Quarterly SMMC SFTP Site Filing Report and XIV. Capitated Claims Aging Report 0108 Fee-for–Service Claims Aging Report 0109 Claims Aging Report Attestation N/A Adverse and Critical Incident Section VII. 7 C 0120 Monthly SMMC SFTP Site Summary Report and XIV. Adverse and Critical Incident N/A Summary Report Attestation
SMMC Report Name Contract Att. II, (or Exhibit) Location) Report Guide Chapter Reporting Year Type Report Code Submission Frequency Submit To CORE REPORTS Achieved Savings Rebate Financial Reports Section IX. and XIV. 3 C N/A Annually Quarterly SMMC SFTP Site Achieved Savings Rebate Financial Reports Attestation N/A Administrative Subcontractors and Affiliates Report Section XII. and XIV. 4 C 0100 Quarterly SMMC SFTP Site Administrative Subcontractors and Affiliates Report Attestation N/A Annual Fraud and Abuse Activity Report Section VIII. and XIV. 5 S 0133 Annually MPI-MC SFTP Site Annual Fraud and Abuse Activity Report Attestation N/A Claims Report & Supplemental Filing Report Section VIII. and XIV. 6 C Quarterly SMMC SFTP Site Capitated Claims Aging Report 0108 Fee-for–Service Claims Aging Report 0109 Claims Aging Report Attestation N/A Adverse and Critical Incident Summary Report Section VII. and XIV. 7 C 0120 Monthly SMMC SFTP Site Adverse and Critical Incident Summary Report Attestation N/A