SMMC Report Guide (Effective 10/1/2016)
Report Guide [580KB PDF]
SMMC Report Guides Templates:
Adverse and Critical Incident Summary Report [17KB MS Excel] Effective 4/1/16
ASR Claim Lags Template SMMC [1.55MB MS Excel] Effective 4/1/16
ASR Financial Report SMMC [1.55MB MS Excel] Effective 10/1/16
Administrative Subcontractors and Affiliates Report [649KB MS Excel] Effective 6/1/14
Annual Fraud and Abuse Activity Report [30KB MS Excel] Effective 4/1/16
Case Manager Caseload Report - SMMC [88KB MS Excel] Effective 10/1/16
Case Management File Audit Report - SMMC [30KB MS Excel] Effective 10/1/16
Case Manager Monitoring and Evaluation Report - SMMC [33KB MS Excel] Effective 6/1/14
Child Health Check-Up - MMA [211KB Microsoft Excel] Effective 7/1/17
Claims Aging Report for SMMC [33KB MS Excel] Effective 7/1/16
Critical Incident Report [14KB MS Excel] Effective 1/1/16
Custody Arrangement Multiple Signature Verification Agreement Form [290KB PDF] Effective 10/1/16
Denial, Reduction, Termination or Suspension of Services Report - SMMC [36KB MS Excel] Effective 4/1/16
Enhanced Care Coordination Report [74KB MS Excel]  Effective 1/1/16
Enrollee Complaints, Grievances and Appeals Report [13.58MB MS Excel]  Effective 3/15/17
Enrollee Roster and Facility Residence Report - SMMC [30KB MS Excel] Effective 10/1/16
ER Visits without PCP Appointment Report [20KB MS Excel] Effective 1/1/16
Healthy Behaviors Report [15KB MS Excel] Effective 7/1/15
Hernandez Settlement Agreement Log - MMA [238KB MS Excel] Effective 6/1/14
Hernandez Settlement Agreement Survey - MMA [31KB MS Excel] Effective 6/1/14
HIV/AIDS DM Algorithm [53KB MS Excel] Effective 10/1/16
HIV/AIDS Performance Measures Attachment [21KB MS Excel] Effective 7/1/2017
Insolvency Protection Multiple Signature Verification Agreement Form [166KB PDF] Effective 7/1/16
LTC Performance Measure Specifications [63KB MS Word] Effective 7/1/2017
MMA Performance Measure Specifications [36KB PDF] Effective 7/1/2017
Marketing Agent Status Report [40KB MS Excel] Effective 1/1/16
Marketing Public Educational Events Report [171KB MS Excel] Effective 10/1/16
Missed Services Report - SMMC [33KB MS Excel] Effective 4/1/16
PASRR Report [44KB MS Excel] Effective 7/1/16
Patient Responsibility Report - SMMC [33KB MS Excel] Effective 6/1/14
Participant Directed Option Roster Report - SMMC [93KB MS Excel] Effective 10/1/16
Performance Measures Report SMMC & MMA [270KB MS Excel] Effective 7/1/17
Provider Complaint Report [13.95MB MS Excel] Effective 3/15/17
Provider Termination and New Provider Notification Report [123KB MS Excel] Effective 6/1/14
Residential Psychiatric Treatment Report – MMA [22KB Microsoft Excel] Effective 4/1/16
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