CCO Contract Forms Archive

Financial Reports

Other Reports

To view documents from past contract years, click the "Effective Date" field to display documents and due dates for a specific contract year.

For documents from older contract years, email the CCO Contract Administrator.

Exhibit D

For contract year 2024 due dates, please refer to Exhibit D, Attachment 1 of the 2024 contract.

Category	Effective date	URL
Other Reports	7/7/2026	Welcome Packet and Annual Letter Evaluation Criteria 2027
Other Reports	6/6/2026	CCO FAQ 06.06.2025
Other Reports	5/20/2026	Care Coordination Report_2026_Instructions for Care Coordination Report_FINAL
Other Reports	5/7/2026	CCO-LTSS MOU Annual Reporting Guidance CY 2025-2026
Other Reports	4/13/2026	PA Determinations for SUD Services_2026_Attestation
Other Reports	3/26/2026	Mental Health Parity Evaluation FAQ 2026
Other Reports	3/6/2026	Prior authorization processing timeframe and reporting requirements_Guidance
Other Reports	3/2/2026	Mental Health Parity Evaluation Data Submission Template 2026
Other Reports	3/2/2026	Mental Health Parity Treatment Limitation Guidance 2026
Other Reports	2/27/2026	Grievance and Appeal Logs Error list
Other Reports	2/2/2026	Directed Payments CCO Attestation_2026
Other Reports, Templates	12/19/2025	Language Self-Assessment_2025_Instructions and Response Template
Other Reports	12/19/2025	HRSN CCO Billing Guide _ 12.2025 clean
Other Reports	11/17/2025	DSN Provider Specialty Matrix, November 2025
Deliverable, Other Reports	10/13/2025	Reentry FCAA Service Guidance Document 2025
Deliverable, Other Reports	10/6/2025	PCPCH Reporting - Survey reference and evaluation criteria - 2025
Other Reports	10/3/2025	FWA Audit Report CY 2026
Other Reports	10/3/2025	FWA Referrals Investigations Report CY 2026
Other Reports	10/3/2025	Health-Related Social Needs Service Coordination Report Guidance_2026
Other Reports	9/15/2025	Copy of Grievance and Appeal System- Appeal Log 2025_V3 (Q4 2025)
Other Reports	8/21/2025	Care Coordination Report Data Log_2025_Data Log for Care Coordination Report (1)
Other Reports	8/21/2025	Care Coordination Report FAQ_8.21.25
Other Reports	8/21/2025	Care Coordination Report OAR Crosswalk_2025
Other Reports	8/15/2025	THW Payment Grid Template, 08-2025
Other Reports	8/15/2025	THW Deliverables Evaluation Criteria, 08-2025
Other Reports	8/15/2025	THW Deliverables Guidance, 08-2025
Other Reports	8/15/2025	THW Deliverables Guidance, 08-2025
Other Reports	8/15/2025	THW Integration and Utilization Plan Update Template, 08-2025
Other Reports	8/15/2025	THW Integration and Utilization Data Report Template, 08-2025
Other Reports	8/11/2025	CCO HRSN Guidance Document 8.8.25

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