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2004-05 Mental Health Organization (MHO) Agreement
(Amendment - Effective 10/1/05)
The following files are in PDF format.
Part I: Contractor Data, Approvals and Signatures
Table of Contents for all ITS providers
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: MHO Complaint Log
Exhibit C: Solvency Plan and Financial Reporting
Exhibit D: Encounter Minimum Data Set Requirements Report
D1: Data Certification and Validation Signature Form
Report D2: 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: 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
----Archived 2003-04 MHO Agreement
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