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2005-06 Mental Health Organization (MHO) Agreement

 

The following files are in PDF format.

 

Part I: Contractor Data, Approvals and Signatures

Part II-1: Statement of work, terms and conditions

Part II-2: Statement of work, terms and conditions

 

Exhibit A: Mental Health Services Practitioner Report


Exhibit B: Mental Health Organization (MHO) Grievance Log
 

Exhibit C: Solvency Plan and Financial Reporting

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

Report C-3: Quarterly Balance Sheet

Report C-4: MHO Contractor's Quarterly Statement of Revenue and Expenses  

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

Report C-4b: Prevention/Education/Outreach Activities

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

 

Exhibit D: Encounter Minimum Data Set Requirements


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: Practitioner Incentive Plans


Exhibit J: Prevention/Detection of Fraud and Abuse


Exhibit K: Definitions


Exhibit M: Summary Report for Youth Services Survey


Exhibit N: Level of Need Determination Data

 

Exhibit O: Third Party Resources and Personal Injury Liens  

 

----Archived 2004-05 MHO Agreements

----Archived 2003-04 MHO Agreement

 
Page updated: September 21, 2007

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