2007 Mental Health Organization (MHO) Agreement
All files are in PDF format.
Table
of Contents
Part
1:
Contractor Data, Approvals and Signautres
Part
2-1:
Statement of Work, Terms and Conditions
Part
2-2:
Statement of Work, Terms and Conditions
Exhibit
A:
Mental Health Services Practitioner Report
Exhibit
B: Mental
Health Organization (MHO) Grievance Log
Exhibit
C:
Solvency Plan and Financial Reporting
Exhibit
C2:
Current OHP Members with Third Party Resources (Quarterly Report)
Exhibit
C3:
Quarterly Balance Sheet
Exhibit
C4: MHO Contractor's Quarterly Statement of Revenue and Expenses
Exhibit
C4a:
Health Care Expenses by Service Type
Exhibit
C4b:
Prevention, Education and Outreach Activities
Exhibit
C5:
Fiscal Year Cash Flow Analysis for Corporate
Activity - Indirect Method
Exhibit
D:
Encounter Minimum Data Set Requirements
Report
D1: Data Certification and Validation Signature Form
Report
D2: Data Certification From
Exhibit
E:
Client Process Monitoring System
Exhibit
F:
Oregon Patient/Resident Care System
Exhibit
G:
Oregon Health Plan Mental Health Services
Client Notices, Grievance, Appeals and Hearing Processes
Exhibit
H1:
Procedure for Long-Term Psychiatric Care
Determinations for OHP Members Age 18-64.
Exhibit
I:
Practitioner Incentive Plans
Exhibit
J:
Prevention and Detection of Fraud and
Abuse
Exhibit
K:
Definitions
Exhibit
L:
Calculation and Capitation of Payments
Exhibit
N: Level of Need Determination Data
Exhibit
O: Third Party Resources and Personal Injury
Liens
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