Dataset Name: Chart/Visualization Name/s: Field Name Field Title Data type Description There are two types of Confidential Screening/Billing Report (PM-160) forms: 1) Standard PM-160 is used to bill and report preventive health services on a FFS basis rendered to Medi-Cal and non-Medi-Cal eligible children and youth; and, 2) Information Only PM-160 is used to meet Federal Medicaid Confidential requirements for reporting preventive health services Screening/Billing Alpha rendered to Medi-Cal recipients who are enrolled in a Report (PM-160) managed care plan in which CHDP services are capitated or receiving services from a Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC) or Indian Health Clinic (IHC) [also known as Tribal Health Clinics (THCs)] Total children Count of children and youth enrolled in CHDP receiving receiving CHDP Numeric services Total amount Total amount paid by all funding sources (Medi-Cal paid for CHDP Numeric Gateway, State only, and information only) services The State Fiscal Year (SFY) is represented by the beginning of the State Fiscal Year SFY Numeric SFY which begins July 1st and ends June 30th of the following year. Represents all funding sources, including: Fee-for-Service, Funding Source Fund_Source Alpha Gateway, State-Only, and Information Only. Describes data from CHDP participants whose service Medi-Cal Funding FFS Numeric providers render services to full-scope Medi-Cal children and Source youth and are reimbursed through Medi-Cal FFS. Describe data from CHDP participants whose service providers render services to children and youth who are Gateway Funding GFS Numeric Source in full-scope Medi-Cal through the Gateway process and are reimbursed through FFS.
Dataset Name: Chart/Visualization Name/s: Field Title Field Name Data type Description Confidential Screening/Billing Report (PM-160) Alpha There are two types of Confidential Screening/Billing Report (PM-160) forms: 1) Standard PM-160 is used to bill and report preventive health services on a FFS basis rendered to Medi-Cal and non-Medi-Cal eligible children and youth; and, 2) Information Only PM-160 is used to meet Federal Medicaid requirements for reporting preventive health services rendered to Medi-Cal recipients who are enrolled in a managed care plan in which CHDP services are capitated or receiving services from a Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC) or Indian Health Clinic (IHC) [also known as Tribal Health Clinics (THCs)] Total children receiving CHDP services Numeric Count of children and youth enrolled in CHDP receiving Total amount paid for CHDP services Numeric Total amount paid by all funding sources (Medi-Cal Gateway, State only, and information only) State Fiscal Year SFY Numeric The State Fiscal Year (SFY) is represented by the beginning of the SFY which begins July 1st and ends June 30th of the following year. Funding Source Fund_Source Alpha Represents all funding sources, including: Fee-for-Service, Gateway, State-Only, and Information Only. Medi-Cal Funding Source FFS Numeric Describes data from CHDP participants whose service providers render services to full-scope Medi-Cal children and youth and are reimbursed through Medi-Cal FFS. Gateway Funding Source GFS Numeric Describe data from CHDP participants whose service providers render services to children and youth who are in full-scope Medi-Cal through the Gateway process and are reimbursed through FFS.
himdopen-datadata-dictionary-chdp-children-receiving-other-tests-by-age-sfy-2008-12.docx