Arizona MMIC Integrated Deliverables Ad Hoc High Profile Alerts of Incidents, Accidents and Deaths BQ&I Office Chief for Quality of Care Within one (1) day of awareness Ad Hoc PASRR Packet Including Invoice BQ&I Submitted upon completion of PASRR Level II evaluations Ad Hoc HCAC and OPPC BQ&I Upon Identification by Contractor Ad Hoc Credentialing and Re-credentialing Denials BQ&I Manual, or its successor Office Chief for Quality of Care & SharePoint site Within one (1) business day Ad Hoc Certificate of Necessity for Pregnancy Termination 15th day after month end (to accompany the Pregnancy Termination Report supporting documentation for each entry on that report) Ad Hoc Verification of Diagnosis by Contractor for Pregnancy Termination Request 15th day after month end (to accompany the Pregnancy Termination Report supporting documentation for each entry on that report) Ad Hoc Grievance or Request for Investigation and Grievance/ Investigation Decision Letter Concerning a Person in Need of Special Assistance Office of Human Rights Within five (5) business days of receipt or issuing decision Annually HIV Specialty Provider List BQ&I November 1st Annually Maternity Care Annual Plan and Evaluation November 1st Annually EPSDT Annual Plan and Evaluation November 1st Annually Dental Plan and Evaluation November 1st
Annually Licensed Midwife Specialty Provider List November 1st Annually Quality Management Plan and Work Plan BQ&I November 1st Annually MM/UM Plan and Work Plan BQ&I November 1st Annually Quality Management Evaluation BQ&I November 1st Annually MM/UM Evaluation BQ&I November 1st Annually Member Satisfaction Survey Report BQ&I As indicated in current year’s Survey Protocol, approx. July 26th for Survey Results and October 18th for Final Report Annually Attestation of Annual Review of Prior Authorization Criteria BQ&I Fifteen (15) days after the start of the contract year Annually Psychiatric Rehabilitation Progress Report Employment January 15th Annually Community Resource Guide Office of Individual and Family Affairs Thirty (30) days after contract start Annually Integrated Health Report Health Care Development Chief Medical Officer & October 1st High Need/High Cost Coordination Summary BQ&I January 1st July 1st Authorization Reliability Testing Report BQ&I April 30th October 30th Members on Provider and Pharmacy Restriction Snap Shot Report BQ&I September 15th March 15th Recipient and Provider Over and Utilization Report and Plan BQ&I July 31st January 31st
Monthly Outpatient Commitment COT Monitoring Data BQ&I Fifteen (15) days after month end Monthly Call Center Data Report BQ&I 15th day of each month Monthly Grievance System Report Grievance and Appeals Bureau of Consumer Rights, Office of Grievance and Appeals & Thirty (30) days post end of the month to be reported Monthly Seclusion/Restraint Summary Report Concerning Persons with SMI Office of Human Rights Office of Rights Ten (10) days after month end Monthly Report of Each Use of Seclusion/Restraint Concerning Persons with Serious Mental Illness Office of Human Rights Office of Human Rights Ten (10) days after month end Weekly Incident, Accident, and Death Reports for Behavioral Health Members BQ&I Weekly as per ADHS/DBHS/ BQ&I direction