Specifications include, but are not limited to: provide and maintain a database to support reporting requirements as outlined below. Reports must include data current through the respective reporting timeframe and must be submitted within the required timeframes. The Contractor must submit weekly reports by 5:00 p.m. MST on the first (1st) Friday following the end of the week in which activities occurred. Monthly and quarterly reports must be submitted by 5:00 p.m. MST on the fifteenth (15th) calendar day of the month following the month in which activities occurred or the end of the quarter, respectively. Quality of Care (QoC) reviews and annual reports must be submitted per the specifications below. Report Description: Hospital Late Notification Report - This report lists QIO reviews identified by the Contractor as meeting the late penalty criteria. The report must identify the time period covered, and include the following information for each late review listed: Case ID Medicaid participant name and identification number Provider name, National Provider Identifier (NPI), and location Date of admission Date provider should have notified the Contractor.
