ATTACHMENT 20 Minimum Required Reporting List: OEIBA Program Notes: Separate reports are required for HMO/Medicare Supplement and MAPD of business. All reports should be submitted electronically. Recon should be sent to: and by secure email or enforced TLS. DBC recipient reports should be sent by secure to: EGIDVendorReporting@omes.ok.gov Recipient Report Frequency Report Name Due Date Tab Attachment 21: MAPD File and Changes Reports EGID ftp 21a Weekly MAPD Disenrollment Wednesday following the Changes” “MAPD and Changes week being reported 21b Monthly MAPD full file 10th of same month Full File” “MAPD Attachment 22: Premium Discrepancy Reports Recon 22a Monthly MAPD Premium 30 days after the premium Premium” “MAPD discrepancy remittance 22b Monthly HMO/MSP Premium 60 days after the premium Premium” “HMO.MSP discrepancy remittance Attachment 23: Member Services Reports DBC 23a Monthly Member Services 20th of following month “Telephone” Quarterly Telephone Assistance 60 days following the close of Annual the calendar quarter/year 23b Monthly MAPD Member 20th of following month Telephone” “MAPD Quarterly Services Telephone 60 days following the close of Annual Assistance the calendar quarter/year 23c Annual Member Satisfaction 60 days following close of “Survey” Survey Results calendar year 23d Annual MAPD Member 60 days following close of Survey” “MAPD Satisfaction Survey calendar year Results Attachment 24: HIPAA, FWA, and Grievance Reports DBC 24a Quarterly HIPAA Incident Report 60 days following the close of “HIPAA” the calendar quarter 24b Quarterly Waste, or Abuse 60 days following the close of “Fraud” Prevention Incident the calendar quarter Report 24c Quarterly Grievance Report 60 days following the close of “Grievance” the calendar quarter 24d Quarterly MAPD Grievance 60 days following the close of Grievance” “MAPD Report the calendar quarter Attachment 25: Utilization Reports DBC 25a Quarterly Executive Summary of 60 days following the close of Summary” “Exec Annual Findings the calendar quarter/year
ATTACHMENT 20 Minimum Required Reporting List: OEIBA Program Notes: Separate reports are required for HMO/Medicare Supplement and MAPD of business. All reports should be submitted electronically. Recon should be sent to: and by secure email or enforced TLS. DBC recipient reports should be sent by secure to: EGIDVendorReporting@omes.ok.gov Recipient Report Frequency Report Name Due Date Tab Attachment 21: MAPD File and Changes Reports EGID ftp 21a Weekly MAPD Disenrollment and Changes Wednesday following the week being reported “MAPD Changes” 21b Monthly MAPD full file 10th of same month “MAPD Full File” Attachment 22: Premium Discrepancy Reports Recon 22a Monthly MAPD Premium discrepancy 30 days after the premium remittance “MAPD Premium” 22b Monthly HMO/MSP Premium discrepancy 60 days after the premium remittance “HMO.MSP Premium” Attachment 23: Member Services Reports DBC 23a Monthly Quarterly Annual Member Services Telephone Assistance 20th of following month 60 days following the close of the calendar quarter/year “Telephone” 23b Monthly Quarterly Annual MAPD Member Services Telephone Assistance 20th of following month 60 days following the close of the calendar quarter/year “MAPD Telephone” 23c Annual Member Satisfaction Survey Results 60 days following close of calendar year “Survey” 23d Annual MAPD Member Satisfaction Survey Results 60 days following close of calendar year “MAPD Survey” Attachment 24: HIPAA, FWA, and Grievance Reports DBC 24a Quarterly HIPAA Incident Report 60 days following the close of the calendar quarter “HIPAA” 24b Quarterly Waste, or Abuse Prevention Incident Report 60 days following the close of the calendar quarter “Fraud” 24c Quarterly Grievance Report 60 days following the close of the calendar quarter “Grievance” 24d Quarterly MAPD Grievance Report 60 days following the close of the calendar quarter “MAPD Grievance” Attachment 25: Utilization Reports DBC 25a Quarterly Annual Executive Summary of Findings 60 days following the close of the calendar quarter/year “Exec Summary”
Solicitation0900000305Attachment20.docx