Letter to CMS - Medicaid Managed Care Policies - Agency for ...

Agency For Health Care Administration
Managed Care Organizations
Provider Contract Audit Tool
Provider Contracts Review Tool
Item Number Standard Standard Met Reference Comments
The provider contracts:
The health plan’s contracts with hospitals:
43
a. Include a clause that states whether the health plan or the hospital
will complete the DCF Excel spreadsheet for unborn activation and
submit it to the appropriate DCF Customer Call Center.
a. Y
b. Y
N
N
N/A
N/A
CC-III.B.5
CC-XVI.P
b. Indicate that the health plan’s name is indicated as the referring
agency when the DCF Excel spreadsheet is completed.
Total # Applicable Elements
Total # Compliant Elements
Total Percent Compliant
Managed Care Organizations Page 6
Provider Contract Audit Tool F1_03_10
Florida Medicaid