2003-04 Mental Health Organization (MHO) Agreement

The following files are in PDF format.

Part I: Signature pages only

Part II: Statement of work, terms and conditions (for all ITS providers)
Part II: Statemenk of work, terms and conditions (for providers who do not haven an ITS program)

Exhibit B: MHO Complaint Log

Exhibit C: Solvency Plan and Financial Reporting

Report C-2: Current OHP Members with Third Party Resources

Report C-3: Quarterly Balance Sheet

Report C-4: MHO Contractor's Quarterly Statement of Revenue and Expenses (Language)
Report C-4: MHO Contractor's Quarterly Statement of Revenue and Expenses (Form)

Report C-4A: Health Care Expenses by Service Type

Report C-5: Fiscal Year Cash Flow Analysis for Corporate Activity (Indirect Method)

Exhibit D: Encounter Minimum Data Set Requirements

Report D-1: Data Certification and Validation Signature Form

Report D-2: Data Certification Form

Exhibit E: Client Process Monitoring System

Exhibit F: Oregon Patient/Resident Care System

Exhibit G: Client Notices, Grievances, Appeals and Hearings Process

Exhibit H: Procedure for Long-Term Psychiatric Care Determinations for OHP Members Age 18-64

Exhibit I-1: Practitioner Incentive Plans

Exhibit I-2: Practitioner Incentive Plan Detail (Form)

Exhibit I-3: Practitioner Incentive Plan Detail (Definitions)

Exhibit J: Prevention/Detection of Fraud and Abuse

Exhibit K: Definitions