2007 Mental Health Organization (MHO) Agreement

All files are in PDF format.

Table of Contents

Part 1:  Contractor Data, Approvals and Signautres

Part 2-1:  Statement of Work, Terms and Conditions

Part 2-2:  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

Exhibit C2:  Current OHP Members with Third Party Resources (Quarterly Report)

Exhibit C3:  Quarterly Balance Sheet

Exhibit C4:  MHO Contractor's Quarterly Statement of Revenue and Expenses

Exhibit C4a:  Health Care Expenses by Service Type

Exhibit C4b:  Prevention, Education and Outreach Activities

Exhibit C5:  Fiscal Year Cash Flow Analysis for Corporate Activity - Indirect Method

Exhibit D:  Encounter Minimum Data Set Requirements

Report D1:  Data Certification and Validation Signature Form

Report D2:  Data Certification From

Exhibit E:  Client Process Monitoring System

Exhibit F:  Oregon Patient/Resident Care System

Exhibit G:  Oregon Health Plan Mental Health Services Client Notices, Grievance, Appeals and Hearing Processes

Exhibit H1:  Procedure for Long-Term Psychiatric Care Determinations for OHP Members Age 18-64.

Exhibit I:  Practitioner Incentive Plans

Exhibit J:  Prevention and Detection of Fraud and Abuse

Exhibit K:  Definitions

Exhibit L:  Calculation and Capitation of Payments

Exhibit N:  Level of Need Determination Data

Exhibit O:  Third Party Resources and Personal Injury Liens