Chapter 6: Claims Aging Report SMMC PLAN TYPES The following Managed Care Plans must submit this report: Plan Type Comprehensive LTC Plan MMA HMO MMA Capitated PSN MMA Specialty Plan MMA CMS Plan REPORT PURPOSE: The purpose of this report is to provide the Agency with assurance that claims are processed timely and payment systems comply with the federal and State requirements, whichever is more stringent. FREQUENCY & DUE DATES: This report is due monthly, within thirty (30) calendar days after the end of each month. SUBMISSION: Using the file naming convention described in Chapter 2, the Managed Care Plan must submit the following to the SMMC SFTP site: For the monthly submissions: The completed claims aging report template, which must be submitted as an XLSX file and named using the file naming convention as described in Chapter 2. A report attestation described in Chapter 2. INSTRUCTIONS: The Managed Care Plan must complete the monthly Claims Aging Report(s) using the report template provided on the Agency website (see the Template” “Report section of this chapter). Claims data must be Medicaid only.
Chapter 6: Claims Aging Report SMMC PLAN TYPES The following Managed Care Plans must submit this report: Plan Type Comprehensive LTC Plan MMA HMO MMA Capitated PSN MMA Specialty Plan MMA CMS Plan REPORT PURPOSE: The purpose of this report is to provide the Agency with assurance that claims are processed timely and payment systems comply with the federal and State requirements, whichever is more stringent. FREQUENCY & DUE DATES: This report is due monthly, within thirty (30) calendar days after the end of each month. SUBMISSION: Using the file naming convention described in Chapter 2, the Managed Care Plan must submit the following to the SMMC SFTP site: For the monthly submissions: The completed claims aging report template, which must be submitted as an XLSX file and named using the file naming convention as described in Chapter 2. A report attestation described in Chapter 2. INSTRUCTIONS: The Managed Care Plan must complete the monthly Claims Aging Report(s) using the report template provided on the Agency website (see the “Report Template” section of this chapter). Claims data must be Medicaid only.
SMMC_Report_Guide_effective_04012018.docx