Hernandez Settlement Ombudsman N/A Log Attestation PCP Appointment Report Exhibit II-A, Section V. 37 C 0191 Annually SMMC SFTP Site and XIV. PCP Appointment Report Attestation N/A Exhibit II-A, Timely Access/PCP Wait Section VI. 38 C 0172 Annually SMMC SFTP Site Report and XIV. Timely Access/PCP Wait Report N/A Attestation Supplemental HIV/AIDS Report Exhibit II-A, MDA SMMC 39 C 0174 Monthly Section XIV. SFTP Site Supplemental HIV/AIDS Report N/A Attestation Residential Psychiatric Treatment Exhibit II-A, 40 C 0188 Monthly SMMC SFTP Site Report Section V. Residential Psychiatric Treatment N/A Report Attestation MMA Physician Incentive Program Exhibit II-A, 41 F 0194 SMMC SFTP Site (MPIP) Report Section VIII.D annually MMA Physician Incentive Program N/A (MPIP) Report Attestation
Hernandez Settlement Ombudsman Log Attestation N/A PCP Appointment Report Exhibit II-A, Section V. and XIV. 37 C 0191 Annually SMMC SFTP Site PCP Appointment Report Attestation N/A Timely Access/PCP Wait Report Exhibit II-A, Section VI. and XIV. 38 C 0172 Annually SMMC SFTP Site Timely Access/PCP Wait Report Attestation N/A Supplemental HIV/AIDS Report Exhibit II-A, Section XIV. 39 C 0174 Monthly MDA SMMC SFTP Site Supplemental HIV/AIDS Report Attestation N/A Residential Psychiatric Treatment Report Exhibit II-A, Section V. 40 C 0188 Monthly SMMC SFTP Site Residential Psychiatric Treatment Report Attestation N/A MMA Physician Incentive Program (MPIP) Report Exhibit II-A, Section VIII.D 41 F 0194 SMMC SFTP Site MMA Physician Incentive Program (MPIP) Report Attestation N/A annually
SMMC_Report_Guide_effective_04012018.docx