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5.3.1.7 – CHIP Perinatal FSR Template for transactions occurring prior to 3/1/12 (withdrawn 9/1/13).5.3.1.6 – STAR+PLUS FSR Instructions for transactions occurring prior to 3/1/12 (withdrawn 9/1/13).5.3.1.5 – STAR+PLUS FSR Template for transactions occurring prior to 3/1/12 (withdrawn 9/1/13).5.3.1.4 – STAR FSR Instructions for transactions occurring prior to 3/1/12 (withdrawn 9/1/13).5.3.1.3 – STAR FSR Template for transactions occurring prior to 3/1/12 (withdrawn 9/1/13).5.3.1.2 – CHIP FSR Instructions for transactions occurring prior to 3/1/12 (withdrawn 9/1/13).5.3.1.1 – CHIP FSR Template for transactions occurring prior to 3/1/12 (withdrawn 9/1/13).5.0.1 – Deliverable Requirements Matrix.5.0 – Consolidated Deliverables Matrix (withdrawn 10/01/19).4.12.2 – Medicaid/CHIP Managed Care Alleged Marketing Violation FormĬhapter 5: Deliverables, Report Formats, Due Dates.4.12.1 – Medicaid/CHIP Managed Care Alleged Marketing Violation Form Instructions.4.11 – MMP Rewards and Incentives Instructions.4.10 – MMP Rewards and Incentives Template.4.9 – MMP Flexible Benefits Template Instructions.4.7 – Value-Added Services Instructions.4.6.2 – MMC, CHIP, and DMO Marketing, Member, and Provider Materials Form.4.6.1 – MMC, CHIP, and DMO Marketing, Member, and Provider Materials Form Instructions.4.5 – Physical and Behavioral Health Value-Added Services Template.4.4 – Dental Value-Added Services Template.4.3.2 – MCO Notification of a Medicaid Other Event Form.4.3.1 – MCO Notification of a Medicaid Other Event Form Instructions.4.3 – Marketing and Member Materials Policy.4.2 – CHIP Marketing Policies and Procedures (withdrawn 10/15/07).4.1 – MMC Marketing Policies and Procedures (withdrawn 10/15/07).3.35 – Uniform Critical Elements RequirementsĬhapter 4: Marketing Policies and Procedures.3.34 – MMC-CHIP Online Provider Directory.3.32 – MMC/CHIP Website Critical Elements.
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1.1 – Materials Submitted for HHSC Review.People needing accessibility assistance with these documents should send an email to Uniform Managed Care Manual Chapter 1 The manual below defines procedures that Managed Care Organizations (MCOs) must follow in order to meet certain requirements in the HHSC managed care contracts, and to provide interpretation on contractual provisions that need clarification. Managed care is a system where the overall care of a patient is overseen by a single provider or organization as a way to improve quality and control costs.
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Medicaid Supplemental Payment & Directed Payment Programs.
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