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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.

Category
  
  
  
Other Reports6/7/2024Health Related Social Needs Guidance Document
Other Reports4/19/2024DSN Provider Specialty Matrix, April 2024
Other Reports2/27/2024Health Related Social Needs Guidance for March 2024 implementation
Other Reports2/14/2024DSN Provider Specialty Matrix, February 2024
Other Reports1/1/2024Subcontractor and Delegated Work Report Attestation, 01-2024
Other Reports1/1/2024Subcontractor Performance Report Evaluation Criteria, 2024
Deliverable, Other Reports1/1/2024Member Notice Template Self-Evaluation Checklist for CY 2024
Deliverable, Other Reports12/27/2023Grievance and Appeal System member notice templates attestation, 12-27-2023
Deliverable, Other Reports12/27/2023Grievance and Appeal System P&Ps Attestation, 12-27-2023
Other Reports12/8/2023Indian Health Care Provider Reimbursement Guidance for 2024, 12-2023
12/1/2023DSN Provider Specialty Matrix, 12-2023
Other Reports11/30/2023Attestation for PA Determinations for SUD Services - 2023
Other Reports8/15/2023Member Handbook Submission and Review Guidelines 2024, updated: 08/15/2023
Other Reports8/15/2023Member Handbook CCO Model Handbook 2024, updated: 08/15/2023
Other Reports8/15/2023Member Handbook Evaluation Criteria 2024, updated: 08/15/23
Other Reports8/15/2023Member Handbook CCO Model Member Handbook Redline Changes List 2024, updated: 08/15/2023
Other Reports6/2/2023Member Handbook CCO Model Handbook 2024
Other Reports6/2/2023Member Handbook Submission and Review Guidelines 2024
Other Reports6/2/2023Member Handbook CCO Model Member Handbook Redline Changes List 2024
Other Reports6/2/2023Member Handbook Evaluation Criteria 2024
Other Reports5/31/2023DSN Narrative Evaluation Q&A, CY 2023
Other Reports5/25/2023Indian Health Care Provider Reimbursement Guidance for 2023, 05-2023
Other Reports5/1/2023DSN Narrative Evaluation Tool and Reporting Template, CY 2023
4/28/2023System of Care Statewide Steering Committee Quarterly Report Template, 04-2023
Other Reports4/14/2023Health Equity Plan Training and Education Reporting Template, 05-2021
Other Reports4/14/2023Health Equity Plan Template, 04-2023
Other Reports4/14/2023Health Equity Plan Guidance Document, 04-2023
Other Reports4/14/2023Health Equity Plan Evaluation Tool, 04-2023
Other Reports3/10/2023NOABD and Prior Authorization Sample Evaluation Criteria 2023
Other Reports2/14/2023DSN Provider Capacity Report Template and Instructions, CY 2023
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