Exhibit II-B, Missed Services Report Section V. 26 C 0131 Monthly SMMC SFTP Site and XIV. Missed Services Report Attestation N/A Participant Direction Option (PDO) Exhibit II-B, Roster Report Section V. 27 C 0137 Monthly SMMC SFTP Site and XIV Participant Direction Option (PDO) N/A Roster Report Attestation Patient Responsibility Report Exhibit II-B, Section V. 28 K 0139 Annually SMMC SFTP Site and XIV. Patient Responsibility Report N/A Attestation Unable to Locate/Contact Enrollee Exhibit II-B, 29 C 0176 Monthly SMMC SFTP Site Report Section V.E.5 Unable to Locate/Contact Enrollee N/A Report Attestation Case Manager and Provider Exhibit II-B, 30 C N/A Annually SMMC SFTP Site Training Report Section VIII. Case Manager and Provider Training N/A Report Attestation Provider Network and Qualifications Exhibit II-B, 31 C N/A Quarterly SMMC SFTP Site Report Section VI. Provider Network and Qualifications N/A Report Attestation
Missed Services Report Exhibit II-B, Section V. and XIV. 26 C 0131 Monthly SMMC SFTP Site Missed Services Report Attestation N/A Participant Direction Option (PDO) Roster Report Exhibit II-B, Section V. and XIV 27 C 0137 Monthly SMMC SFTP Site Participant Direction Option (PDO) Roster Report Attestation N/A Patient Responsibility Report Exhibit II-B, Section V. and XIV. 28 K 0139 Annually SMMC SFTP Site Patient Responsibility Report Attestation N/A Unable to Locate/Contact Enrollee Report Exhibit II-B, Section V.E.5 29 C 0176 Monthly SMMC SFTP Site Unable to Locate/Contact Enrollee Report Attestation N/A Case Manager and Provider Training Report Exhibit II-B, Section VIII. 30 C N/A Annually SMMC SFTP Site Case Manager and Provider Training Report Attestation N/A Provider Network and Qualifications Report Exhibit II-B, Section VI. 31 C N/A Quarterly SMMC SFTP Site Provider Network and Qualifications Report Attestation N/A
SMMC_Report_Guide_effective_04012018.docx