24.5.7 CMS-64 Implementation Log Exhibit The following exhibit documents changes implemented to the CMS-64 reporting subsystem. Implementation Ticket Number Project Memo Description Date Modify logic to Report a new FCOS 17D RAT2855 151344 12/1/2015 for crossover claims Modify to reset indicator when CCare Claim RAT2677 assigned BASE Report Id; Added FRC116 to 88 10/1/2015 Level Modify CMS64 logic related to HCBW COEs and RAT2655 150791 10/1/2015 report assignment Modify CMS64 to report Waiver related Financial RAT2583 150651 10/1/2015 claims according to FRC Modify CMS64 to add Column Id for Miscellaneous RAT2569 150600 10/1/2015 Reports Modify CMS64 to remove DEX and Admit Date from RAT2549 150564 logic to determine CC vs BASE and prevent SCHP 6/29/2015 Report ID Modify CMS64 to report expenditures for Renal RAT2558 150588 6/22/2015 Dialysis Clinics in FCOS 10 instead of 49 Modify CMS64 to include financial transactions for RAT2398 150298 4/3/2015 report MVNA the correction I found an RAT2240B 141807 Added COE 054 to COEs to report to BASE report 4/3/2015 omission in my code installed 3/6/2015. This was corrected. Modify to include financial transactions for RAT2398 150298 4/3/2015 report MVNA Modify cost center assignment percentage for cost RAT2343 150194 3/6/2015 center 86702 Modify to include Column E for MEG Waiver RAT2325 150136 3/6/2015 Reporting RAT2240 141807 Added COE 054 to COEs to report to BASE report 3/6/2015 Corrected for prior period processing in financial RAT1957 01/23/2014 FCOS assignment RAT2125 Corrected errors in Family Planning Split Logic 11/17/2014 ICD10 ICD10 Changes 10/01/2014
24.5.7 CMS-64 Implementation Log Exhibit The following exhibit documents changes implemented to the CMS-64 reporting subsystem. Ticket Number Project Memo Description Implementation Date RAT2855 151344 Modify logic to Report a new FCOS 17D for crossover claims 12/1/2015 RAT2677 Modify to reset indicator when CCare Claim assigned BASE Report Id; Added FRC116 to 88 Level 10/1/2015 RAT2655 150791 Modify CMS64 logic related to HCBW COEs and report assignment 10/1/2015 RAT2583 150651 Modify CMS64 to report Waiver related Financial claims according to FRC 10/1/2015 RAT2569 150600 Modify CMS64 to add Column Id for Miscellaneous Reports 10/1/2015 RAT2549 150564 Modify CMS64 to remove DEX and Admit Date from logic to determine CC vs BASE and prevent SCHP Report ID 6/29/2015 RAT2558 150588 Modify CMS64 to report expenditures for Renal Dialysis Clinics in FCOS 10 instead of 49 6/22/2015 RAT2398 150298 Modify CMS64 to include financial transactions for report MVNA 4/3/2015 RAT2240B 141807 Added COE 054 to COEs to report to BASE report 4/3/2015 the correction I found an omission in my code installed 3/6/2015. This was corrected. RAT2398 150298 Modify to include financial transactions for report MVNA 4/3/2015 RAT2343 150194 Modify cost center assignment percentage for cost center 86702 3/6/2015 RAT2325 150136 Modify to include Column E for MEG Waiver Reporting 3/6/2015 RAT2240 141807 Added COE 054 to COEs to report to BASE report 3/6/2015 RAT1957 Corrected for prior period processing in financial FCOS assignment 01/23/2014 RAT2125 Corrected errors in Family Planning Split Logic 11/17/2014 ICD10 ICD10 Changes 10/01/2014
XEROX%20CMS-64%20Reporting%2024D-5exhb-B.docx