Joint Communication Bulletins 2016 JUNE Files Appendices A-D Federal Required Assurances final 053116.doc application/msword • 58 KB - June 02, 2016 Attachment A Contracted Services final 053116.doc application/msword • 34 KB - June 02, 2016 Attachment B Provider Disclosure Form final 053116.docx Microsoft Word • 24.65 KB - June 02, 2016 Appendix E - Outcomes and Reporting Requirements for Agencies final 053116.doc application/msword • 53 KB - June 02, 2016 Appendix F Mixed Services Payment Protocol final 053116.docx Microsoft Word • 18.3 KB - June 02, 2016 Appendix G Provider Specialty Practice Information final 053116.docx Microsoft Word • 16.13 KB - June 02, 2016 LIP Provider Contract final 053116.docx Microsoft Word • 66.73 KB - June 02, 2016 Provider Agency Contract final 053116.docx Microsoft Word • 87.91 KB - June 02, 2016 INSTRUCTIONS FOR COMPLETING PROVIDER DISCLOSURE STATEMENT final 053116.docx Microsoft Word • 18.2 KB - June 02, 2016 Medicaid Capitation ICD 10 codes for Managed Care 060216-1.xlsx Medicaid Capitation ICD 10 codes application/vnd.openxmlformats-officedocument.spreadsheetml.sheet • 42.98 KB - June 28, 2016
Joint Communication Bulletins 2016 JUNE Files Appendices A-D Federal Required Assurances final 053116.doc application/msword • 58 KB - June 02, 2016 Attachment A Contracted Services final 053116.doc application/msword • 34 KB - June 02, 2016 Attachment B Provider Disclosure Form final 053116.docx Microsoft Word • 24.65 KB - June 02, 2016 Appendix E - Outcomes and Reporting Requirements for Agencies final 053116.doc application/msword • 53 KB - June 02, 2016 Appendix F Mixed Services Payment Protocol final 053116.docx Microsoft Word • 18.3 KB - June 02, 2016 Appendix G Provider Specialty Practice Information final 053116.docx Microsoft Word • 16.13 KB - June 02, 2016 LIP Provider Contract final 053116.docx Microsoft Word • 66.73 KB - June 02, 2016 Provider Agency Contract final 053116.docx Microsoft Word • 87.91 KB - June 02, 2016 INSTRUCTIONS FOR COMPLETING PROVIDER DISCLOSURE STATEMENT final 053116.docx Microsoft Word • 18.2 KB - June 02, 2016 Medicaid Capitation ICD 10 codes for Managed Care 060216-1.xlsx Medicaid Capitation ICD 10 codes application/vnd.openxmlformats-officedocument.spreadsheetml.sheet • 42.98 KB - June 28, 2016
Appendices A-D Federal Required Assurances final 053116.doc application/msword • 58 KB - June 02, 2016
Appendix E - Outcomes and Reporting Requirements for Agencies final 053116.doc application/msword • 53 KB - June 02, 2016
Appendix F Mixed Services Payment Protocol final 053116.docx Microsoft Word • 18.3 KB - June 02, 2016
Appendix G Provider Specialty Practice Information final 053116.docx Microsoft Word • 16.13 KB - June 02, 2016
INSTRUCTIONS FOR COMPLETING PROVIDER DISCLOSURE STATEMENT final 053116.docx Microsoft Word • 18.2 KB - June 02, 2016
Medicaid Capitation ICD 10 codes for Managed Care 060216-1.xlsx Medicaid Capitation ICD 10 codes application/vnd.openxmlformats-officedocument.spreadsheetml.sheet • 42.98 KB - June 28, 2016
