Every Friday Monthly list of COB until First working historical Prior 2 years of day of Authorizations history are following submitted by MCOs Weekly submitted week COB Last working First working day of day of Week by following Plan PCP Linkage file Weekly COB week COB MCO By Thursday 12:00 noon CT. Note that Encounter files NCPDP encounters may not be 837 and NCPDP submitted On Check MCO encounter submission on Write files Weekly Thursday Schedule Specially requested and LDH-approved Bayou Health linkage update (initial enrollment and SPECLNK_{DAILY8}.CSV disenrollment) transactions received When from Maximus, to be Specially applied to the LMMIS Requested system. by LDH 9/30/15, 10/25/15, 11/13/15 Specific MGLN-PA-YYYYYMMDD.txt then daily days then from daily from PA file Layout *Every Work Weeknight Every until Workday LTC CSoC Segment 12/1/15 then daily * File Layout then beginning nightly 12/1/15 (Monday thru Friday) NOTE: Subject to change by LDH
Monthly list of historical Prior Authorizations submitted by MCOs Weekly Every Friday COB until 2 years of history are submitted First working day of following week COB Plan PCP Linkage file Weekly Last working day of Week by COB First working day of following week COB MCO Encounter files 837 and NCPDP encounter submission files Weekly By Thursday 12:00 noon CT. Note that NCPDP encounters may not be submitted on Thursday On Check Write Schedule MCO SPECLNK_{DAILY8}.CSV Specially requested and LDH-approved Bayou Health linkage update (initial enrollment and disenrollment) transactions received from Maximus, to be applied to the LMMIS system. When Specially Requested by LDH MGLN-PA-YYYYYMMDD.txt PA file Layout 9/30/15, 10/25/15, 11/13/15 then daily from Specific days then daily from LTC CSoC Segment File Layout * Every Workday then daily beginning 12/1/15 *Every Work Weeknight until 12/1/15 then nightly (Monday thru Friday) NOTE: Subject to change by LDH
PIHP_CSoC_SystemsCompanionGuide-Sept2018_V12.docx