RFP 250000002670 - Schedule E - Reporting Requirements.docx

Michigan.gov/MiProcurement

SCHEDULE E – REPORTING REQUIREMENTS

Request for Proposal No. 250000002670 Prepaid Inpatient Health Plan (PIHP)

FINANCIAL PLANNING, REPORTING AND SETTLEMENT

For items whose “Due Dates” fall on Saturdays, Sundays, or State of Michigan Holidays, the established” Due Date” is the next business day (non-weekend or State of Michigan Holiday) following the stated “Due Date.”

Submissions are due into the “Reporting Mailbox” by Midnight on the established “Due Dates”.

Acceptance of the Report Submission as being “received” into the “Reporting Mailbox” does NOT imply MDHHS’ acceptance or approval regarding the timeliness of the submission, or content of the submission document.

Individual requests to MDHHS for submission “Due Date” extensions are considered by MDHHS on a case-by-case basis, at MDHHS’ sole discretion, and are considered “Not Approved” by MDHHS unless and until such requests are approved/granted affirmatively in writing by MDHHS.

Submissions which are received into the named “Reporting Mailbox” after the established “Due Date” are considered “late” unless an extension has been approved/granted by MDHHS, OR MDHHS has deemed the submission acceptable, at MDHHS’ sole discretion.

Submissions which are considered “late” due to untimely submission are also deemed “late” for purposes of determining PIHP eligibility for Contractor Performance Bonus Payments.

MDHHS reserves the right to review the content of any submitted report, and reject the submission for any reason, at MDHHS’ sole discretion.

Rejected submissions are not considered “accepted” by MDHHS, and may be returned to the Contractor, with corrections requested, for subsequent re-submission to MDHHS. MDHHS reserves the right to consider rejected reports “late” for purposes of determining PIHP eligibility for Contractor Performance Bonus Payments.

MDHHS reserves the right to consider previously rejected reports that are re-submitted/accepted after the established due date, “late” for purposes of determining PIHP eligibility for Contractor Performance Bonus Payments.

Mental Health and Substance Use Disorder (Non- Medicaid) Reporting Requirements, which includes forms, instructions, and other essential resources, are located on the MDHHS website at: https://www.michigan.gov/mdhhs/keep- mi- healthy/mentalhealth/reporting. All policies, guidelines, standards, technical requirements, instructions, processes, and other documents listed on the MDHHS Reporting Requirements website are an extension of this contract and must be adhered to by Contractor. MDHHS reserves the right to modify the materials on the MDHHS Reporting Requirements.

October 1 to September 30 MDHHS-BCCHPS-Reporting@michigan.gov

October 1 to September 30 MDHHS- BHDDA- Contracts- MGMT@michigan.gov

FSR Bundle) October 1 to September 30 MDHHS- BHDDA- Contracts- MGMT@michigan.gov

October 1 to September 30 QMPMeasures@michigan.gov

October 1 to September 30 MDHHS- BHDDA- Contracts- MGMT@michigan.gov

October 1 to March 31 MDHHS- BHDDA- Contracts- MGMT@michigan.gov

October to January QMPMeasures@michigan.gov

October 1 to September 30 MDHHS- BHDDA- Contracts- MGMT@michigan.gov

October 1 to September 30 (Due 9 months after close of fiscal year) MDHHS- AuditReports@michigan.gov

tab in FSR Bundle) October 1 to September 30 MDHHS- BHDDA- Contracts- MGMT@michigan.gov

October to May QMPMeasures@michigan.gov

October 1 to September 30 MDHHS- BHDDA- Contracts- MGMT@michigan.gov

October 1 to September 30 - Interim MDHHS- BHDDA- Contracts- MGMT@michigan.gov

To cover the current fiscal year MDHHS- BHDDA- Contracts- MGMT@michigan.gov

October 1 to September 30 MDHHS- AuditReports@michigan.gov

October 1 to September 30 MDHHS- AuditReports@michigan.gov

NON-FINANCIAL REPORTING REQUIREMENTS SCHEDULE

Contractor must provide the following reports to the State as listed below.

Mental Health and Substance Use Disorder (Non-Medicaid) Reporting Requirements, which includes forms, instructions, and other essential resources, are located on the MDHHS website at: https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/reporting

prior fiscal year Submit through: DCH-File Transfer

Notify Kim Heinicke at HeinickeK@michigan.gov

Current Fiscal Year Contractor’s MDHHS OIG sFTP Area

Current Fiscal Year MDHHS-BHDDA-Contracts-MGMT@michigan.gov

See resources at: https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/reporting Submit via DEG at:

https://milogintp.michigan.gov

See resources at: https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/reporting Submit via DEG at:

https://milogintp.michigan.gov

1. Quality Improvement

October 1 to September 30. See resources at:

https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/reporting MDHHS-BHDDA-Contracts-MGMT@michigan.gov

For Technical Difficulties:

mdhhs-bh-crm@michigan.gov

*Reports required if Contractor is participating in pilot and/or optional programs.

NOTE: To submit via Data Exchange Gateway (DEG) to the State/MIS Operations Client Admission and Discharge client records must be sent electronically to:

Michigan Department of Health and Human Services Michigan Department of Technology, Management & Budget Data Exchange Gateway (DEG) For admissions: use c:/4823 4823@dchbull For discharges: use c:/4824 4824@dchbull

Behavioral Health-Treatment Episode Data Set (BH-TEDS) collection/recording and reporting requirements including technical specifications, file formats, error descriptions, edit/error criteria, and explanatory materials on record submission are located on MDHHS’s website at: https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/reporting

The PIHP Policies and Practice Guidelines are located on the MDHHS website at https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mentalhealth/practiceguidelines

Optional Benefit Program Reporting Requirements Contractor must provide the following reports to the State as listed below.

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