Reporting Requirements Submission Schedule: Operations
2006 Reporting Requirements Submission Schedule: Operations The Pennsylvania Department of Public Welfare requires operational reports for managed care. The reports are due either monthly, quarterly, or annually. Monthly reports include pharmacy trends and top ten requests, member requests for information, provider hotline activity. For the special needs population, monthly reports about the demographics, interventions, those with a specialist serving as a primary care provider, training, education, and outreach provided. Quarterly reports include appeals, complaints, and grievances, provider counts by county. Fraud and abuse activity must be reported quarterly. A provider satisfaction survey must be conducted annually . . .
