Sec. 10.25.06.04. Process for Submitting Data  


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  • A. The Commission shall provide each reporting entity with an annual update to the MCDB Data Submission Manual, and each current submission update available as specified in Regulation .15 of this chapter.

    B. Each reporting entity shall provide each of the following reports, if applicable:

    (1) Professional Services Data Report;

    (2) Pharmacy Data Report;

    (3) Provider Directory Report;

    (4) Institutional Services Data Report;

    (5) Eligibility Data Report;

    (6) Plan Benefit Design Report;

    (7) Dental Data Report; and

    (8) Non-Fee-for-Service Medical Expenses Report.

    C. An MCO shall provide each required report to the Commission through the Maryland Medical Assistance Program, which will provide the MCO reports and related information to the Commission.