SMMC Report Guide [614KB PDF]
ACA PCP Payment Increase Encounter Data File Layout - MMA [17KB MS Excel] Effective 6/1/14
ACA PCP Payment Increase MPA SFTP Instructions - MMA [199KB MS Word] Effective 6/1/14
ACA PCP Payment Increase Summary Information - MMA [27KB MS Excel] Effective 6/1/14
Administrative Subcontractors and Affiliates Report [649KB MS Excel] Effective 6/1/14
Annual Fraud and Abuse Activity Report [28KB MS Excel] Effective 4/1/15
Audited Annual and Unaudited Quarterly Financial Reports [437KB MS Excel] Effective 6/1/2014
Case Manager Caseload Report - SMMC [66KB MS Excel] Effective 4/1/15
Case Management File Audit Report - SMMC [39KB MS Excel] Effective 10/1/14
Case Manager Monitoring and Evaluation Report - SMMC [33KB MS Excel]
Child Health Check-Up - MMA [234KB Microsoft Excel] Effective 4/1/15
Claims Aging Report for SMMC [4.01MB MS Excel] Effective 6/1/14
Claims Aging Supplemental Filing Report for SMMC [2.45MB MS Excel] Effective 6/1/14
Code 15 Report [13KB MS Excel] Effective 4/1/15
Critical Incident Report [14KB MS Excel] Effective 4/1/15
Critical Incident Summary Report [47KB MS Excel] Effective 4/1/15
Denial, Reduction, Termination or Suspension of Services Report - SMMC [25KB MS Excel] Effective 4/1/15
Enrollee Complaints, Grievances and Appeals Report [1.90MB MS Excel] Effective 4/1/15
Enrollee Roster and Facility Residence Report - SMMC [20KB MS Excel] Effective 4/1/15
ER Visits without PCP Appointment Report [19KB MS Excel] Effective 1/1/15
Freedom of Choice Certification Report [55KB MS Excel] Effective 4/1/15
Healthy Behaviors Report [16KB MS Excel] Effective 1/1/15
Hernandez Settlement Agreement Log - MMA [238KB MS Excel] Effective 6/1/14
Hernandez Settlement Agreement Survey - MMA [31KB MS Excel] Effective 6/1/14
Insolvency Protection Multiple Signature Verification Agreement Form [106KB PDF] Effective 6/1/14
Marketing Agent Status Report [37KB MS Excel] Effective 4/1/15
Marketing Public Educational Events Report [175KB MS Excel] Effective 4/1/15
Missed Services Report - SMMC [24KB MS Excel] Effective 4/1/15
PASRR Report [14KB MS Excel] Effective 4/1/15
Patient Responsibility Report - SMMC [33KB MS Excel] Effective 6/1/14
Participant Directed Option Roster Report - SMMC [19KB MS Excel] Effective 4/1/15
Performance Measures Report SMMC & MMA [135KB MS Excel] Effective 6/1/14
Provider Complaint Report [865KB MS Excel] Effective 6/1/14
Provider Termination and New Provider Notification Report [123KB MS Excel] Effective 6/1/14
Timely Access PCP Wait Times Report - MMA [1.70KB MS Excel] Effective 6/1/14
Unable to Locate/Contact Enrollee Report [13KB MS Excel] Effective 1/1/15