2023
Provider Agreement Effective July 1, 2022
Appendix G
Appendix H
Appendix J
Appendix K
Appendix L
Appendix M
Appendix O
2022
Provider Agreement Effective July 1, 2021 to June 30, 2022
Appendix G
Appendix H
Appendix J
Appendix K
- MCP Population Stream Data Submission Specifications January - June 2022
- MCP Care Management Status Data Submission Specifications January - June 2022
- MCP Risk Stratification Data Submission Specifications January - June 2022
- MCP Health Risk Assessment Data Submission Specifications January June - 2022
Appendix L
- MCP Self Reported Audited HEDIS Results Submission Specifications SFY 2022
- SFY-2022 Managed Care Plan Encounter Volume Methods
Appendix M
- Minimum Performance Standards Outliers (MPSO) Methodology MY 2022
- ODM SFY 2022 Non-HEDIS Performance Measures Methods
Appendix O
2021
Provider Agreement Effective July 1, 2020 to June 30, 2021
Appendix G
Appendix H
Appendix J
Appendix K
- MCP Population Stream Data Submission Specifications CY 2021
- MCP Care Management Status Data Submission Specifications CY 2021
- MCP Risk Stratification Data Submission Specifications CY 2021
- MCP Health Risk Assessment Data Submission Specifications CY 2021
Appendix L
- SFY2021 Managed Care Plan Encounter Volume Methods
- ODM CAHPS Survey Administration and Data Submission Specifications for MY2020, surveys fielded early 2021
- SFY 2021 MCP Self Reported Audited HEDIS Results Submission Specifications
Appendix M
- ODM SFY 2021 Non-HEDIS Performance Measures Methods
- Minimum Performance Standards Outliers (MPSO) Methodology
Appendix O
2020
Provider Agreement Effective July 1, 2019 to June 30, 2020
Appendix G
Appendix H
Appendix J
Appendix K
- MMC Health Risk Assessment Data Submission Specifications CY 2020
- MMC Care Management Status Data Submission Specifications CY 2020
- MMC Population Stream Data Submission Specifications CY 2020
- MMC Risk Stratification Data Submission Specifications CY 2020
Appendix L
- SFY 2020 Managed Care Plan Encounter Volume Methods
- ODM CAHPS Survey Administration and Data Submission Specifications for 2020
- MCP Self Reported Audited HEDIS Results Submission Specifications SFY 2020
Appendix M
Appendix O
2019
Provider Agreement Effective July 1, 2018 to June 30, 2019
Appendix G
Appendix H
Appendix J
Appendix K
Appendix L
- ODM CAHPS Survey Administration and Data Submission Specifications for 2019
- MCP Self Reported Audited HEDIS Results Submission Specifications
- ODM Managed Care Encounter Data Volume Report Methodology SFY19
Appendix M
- Managed Care Non-HEDIS Measure Reconciliation Process Methodology
- ODM SFY 2019 Non-HEDIS Performance Measures Methods
- Quality Based Auto-Assignment Measures Methodology
- Quality Based Auto-Assignment Methodology
Appendix O
2018
Provider Agreement Effective July 1, 2017 to June 30, 2018
Appendix H
Appendix J
Appendix K
- ODM Primary Care Provider Data Submission Specifications SFY18
- MMC Population Stream Data Submission Specifications
- MMC Risk Stratification Data Submission Specifications
- MMC Care Management Status Data Submission Specifications
Appendix L
- ODM CAHPS Survey Administration and Data Submission Specifications
- ODM Managed Care Addition and Deletion Enrollment Data File Specifications SFY18
- ODM Managed Care Encounter Data Quality Measures Methodology
- MCP Self Reported Audited HEDIS Results Submission Specifications
Appendix M
- Quality Based Auto-Assignment Measures Methodology
- Quality Based Auto-Assignment Methodology
- ODM Methods for the Retrospective Adjustment of Quality and P4P Measure Standards
- Managed Care Non-HEDIS Measure Reconciliation Process Methodology
Appendix O
2017
Provider Agreement Effective July 1, 2016 to June 30, 2017
Appendix H
Appendix J
Appendix K
- MMC Population Stream Data Submission Specifications
- MMC Risk Stratification Data Submission Specifications
- MMC Care Management Status Data Submission Specifications
- ODM Methods for MMC Care Management Contract Measures: Intensive Risk Level
- ODM Methods for MMC Care Management Contract Measures: Intensive Risk Level January – June 2017
- ODM Methods for MMC Care Management Contract Measures: High Risk Level
- ODM Methods for MMC Care Management P4P Measures as of July 1, 2017
Appendix L
- ODM Encounter Data Quality Measures Methodology
- ODM CAHPS Survey Administration and Data Submission Specifications
- MCP Self Reported Audited HEDIS Results Submission Specifications
Appendix M