MANAGED MEDICAL ASSISTANCE REPORTS CHCUP (CMS-416) and FL- 80% Exhibit II-A, Screening Section V. 32 F N/A Annually SMMC SFTP Site and XIV. CHCUP (CMS-416) and FL- 80% N/A Screening Attestation ER Visits for Enrollees without PCP Exhibit II-A, Appointment Report Section V. 33 C 0182 Annually SMMC SFTP Site and XIV. ER Visits for Enrollees without PCP N/A Appointment Report Attestation Healthy Behaviors Report Exhibit II-A, Section V. 34 C 0180 Quarterly SMMC SFTP Site and XIV. Healthy Behaviors Report Attestation N/A Hernandez Settlement Agreement Exhibit II-A, Survey Section V. 35 C 0168 Annually SMMC SFTP Site and XIV. Hernandez Settlement Agreement N/A Survey Attestation Hernandez Settlement Ombudsman Exhibit II-A, Log Section V. 36 C 0170 Quarterly SMMC SFTP Site and XIV.
MANAGED MEDICAL ASSISTANCE REPORTS CHCUP (CMS-416) and FL- 80% Screening Exhibit II-A, Section V. and XIV. 32 F N/A Annually SMMC SFTP Site CHCUP (CMS-416) and FL- 80% Screening Attestation N/A ER Visits for Enrollees without PCP Appointment Report Exhibit II-A, Section V. and XIV. 33 C 0182 Annually SMMC SFTP Site ER Visits for Enrollees without PCP Appointment Report Attestation N/A Healthy Behaviors Report Exhibit II-A, Section V. and XIV. 34 C 0180 Quarterly SMMC SFTP Site Healthy Behaviors Report Attestation N/A Hernandez Settlement Agreement Survey Exhibit II-A, Section V. and XIV. 35 C 0168 Annually SMMC SFTP Site Hernandez Settlement Agreement Survey Attestation N/A Hernandez Settlement Ombudsman Log Exhibit II-A, Section V. and XIV. 36 C 0170 Quarterly SMMC SFTP Site
SMMC_Report_Guide_effective_04012018.docx