To browse current career opportunities at our hospitals, medical offices and corporate offices, use the advanced search option above. Namespaces Article Talk. Charles Medical Center — Madras St. Adventist Health is an equal opportunity employer and welcomes people of all faiths and backgrounds to apply for any position s avventist interest. Walla Walla University School of Nursing. In the mids it was determined that expansion and relocation was again necessary.
Media Inquiries: Contact Marc Williams. It allows public inspection of public records by any person. All record requests must be submitted in writing via regular mail, email, fax, courier, or CORA portal. Records requests made via social media will not be accepted and must be resubmitted. The Department shall make every effort to respond to the request within three business days. The Department may issue an extension of up to seven 7 business days in response to a request if extenuating circumstances exist, as described in C.
The requestor and the Department may agree to a longer response period. The three-day response time begins the first business day following the receipt of the request by the CORA Officer. A request received by the CORA officer after 4 p. Work to prepare records for inspection will begin once payment of the fees has been received by the Legal Division of Department unless alternative arrangements have been made.
If the actual cost exceeds the initial estimate provided by the Department, the actual cost will be billed to the requestor and the requestor will be required to pay that cost prior to production of the records.
A person who wishes access to public records held by this Department should send a written request via the CORA portal , letter, fax, courier, or email to:. Denver, CO Fax: E-mail: kathy. The Governor's Citizen Advocate may be able to help you resolve issues and learn about your benefits. The Governor's Citizen Advocate works closely with the Governor's office, citizens, and the Department. If you have been unable to receive the help you need through our customer service center or your case manager, please contact the Governor's Advocate.
If you have comments about this website please see our Website Feedback form. Member Contacts. Provider Contacts. General Contacts. Email: CBMS. Note: It is advised that you do not email forms with protected health information or personally identifiable information to protect your confidentiality.
If you choose to return your forms by email, it is advised that you send the email securely i. When unencrypted emails are sent over the Internet the email may be accessible by a third party and read. DOM will make every effort to accommodate all Speaker Requests as is allowed based on staff availability and funding. However, due to current budgetary constraints some requests may not be approved.
To request a speaker, please fill out the Speaker Request form. To submit, fax to or email to RFI Medicaid. The topics of interest are categorized by the Medicaid division responsible for those areas.
Beneficiary eligibility appeals Beneficiary medical services appeals Provider appeals. Beneficiary relations — concerns about unpaid bills, service limits, covered services, how to find a provider Provider claims — concerns about unpaid, denied or suspended claims resolution Medicaid outreach speaker requests — how to request a Medicaid representative at your event Provider relations — how to request a provider representative, education, workshops, site visits Language Line — access for Limited English Speaking beneficiaries Deaf services — contract management, access for service scheduling Main DOM switchboard Discrimination complaints — from beneficiaries or providers.
Other ways you can contact us Note: It is advised that you do not email forms with protected health information or personally identifiable information to protect your confidentiality. Appeals Beneficiary eligibility appeals Beneficiary medical services appeals Provider appeals.
Implement interventions to address racial and ethnic disparities in maternal health, complementing policies outside of the demonstration including month postpartum eligibility and coverage of doula services.
Expand the Flexible Services and Community Supports Programs to address health-related social needs such as nutrition and housing, and to provide post-release transition supports for justice-involved members.
Implement the expanded hospital assessment recently signed into law to fund these important initiatives and other hospital programs e. Make targeted updates to MassHealth eligibility to support coverage and equity, including: A simplified process for adults with disabilities to qualify for CommonHealth; 3-month retroactive eligibility for pregnant individuals and children; At least 12 months of continuous eligibility for members experiencing homelessness and members recently released from a correctional institution; and Expanded access to Medicare Savings Programs for members with MassHealth Standard.
Office of Governor Charlie Baker and Lt. Governor Karyn Polito and the Baker-Polito Administration are committed to serving the people of Massachusetts and making the Commonwealth a great place to live, work and raise a family. Our efforts are focused on the health, resilience, and independence of the one in four residents of the Commonwealth we serve.
Our public health programs touch every community in the Commonwealth. Feedback Did you find what you were looking for on this webpage? Do you have anything else to tell us? Please tell us what you were looking for. Do not include sensitive information, such as Social Security or bank account numbers. Your feedback will not receive a response. Once a claim is filed for a beneficiary, the intermediary or carrier forwards the data to the appropriate host for authorization.
After authorizing payment, the host transmits the "processed" claims data to the NCH for monthly loading. NOTE: Additional subsets of the Nearline file are created on an ongoing basis generated monthly as a prospective tap based on specific criteria :.
Within CMS, data can be released based on a user's "need-to-know. Under Medicare claims processing procedures, when an error is discovered on a claim, a duplicate claim is submitted indicating that the prior claim was an error. A subsequent claim containing the corrected information may then be submitted. The SAFs contain only the final action claims. All adjustment claims have been resolved. The SAFs are obtained by processing the NCH Nearline raw claims through final action algorithms that match original claim with adjusted claims to resolve any adjustments.
Annual files are created each July for services incurred in the prior calendar year and processed through June of the current year 18 month window.
Current year's data is created after 6 months and then updated quarterly and finalized after 18 months. Magnetic tape reel; magnetic tape cartridge. Other Federal agencies or outside requesters can receive identifiable data when they are needed for a project. Study protocols will be reviewed by CMS.
It is designed to serve the needs of the Department of Health and Human Services in support of program analysis, policy development, and epidemiologic research. The principal sources of beneficiary-specific information are the Medicare billing records and incidence-specific medical information forms that report onset of ESRD, characteristics and status of a kidney transplant, and cause of death for an ESRD beneficiary.
The principal sources of hospital and facility information are the Medicare certification approval notices and an annual survey of these organizations. Patient specific data are restricted to special requests subject to the Privacy Act. A report covers the Federal fiscal year which begins October 1 and ends September The report has 14 sections that contain aggregate data on Medicaid eligibles, recipients, and vendor payments broken down by service types and demographic categories.
Effective FY , this standardized report set will be replaced with a state summary datamart that allows creation of a number of tables using multidimensional analytic tools, and an updated set of standardized hard-copy summary reports. This periodic annual data collection is active. Summary files are created using each State's: 1 quarterly validated Eligible file; 2 quarterly validated inpatient file; 3 quarterly validated Long Term Care file; 4 quarterly validated Other claim file; 5 prior year fourth-quarter Summary File; and 6 previous quarter Summary File when processing quarters two through four.
Each Summary file contains one record for each unique MSIS identification number and provides roll-ups of eligibility and claim data for each individual. The first files were produced for fiscal year with 10 states participating. It is to be noted that the State Medicaid Research Files SMRFs which are person and claim-detail files are oriented by date of eligibility and service. Several others are limited in their ability to provide this information because of the nature of their electronic data collection system.
This periodic quarterly data collection is active. These files are generally available approximately 2 years after the MSIS summary file. In most cases, personal identifying information is either omitted or scrambled to prevent the possibility of identifying individual records.
If personal ID's or other identifiable data are provided, a data release agreement is necessary to insure compliance with the Privacy Act. The goal of ORDI is to learn about the health care beneficiaries receive, how much that care costs, and who pays for it. Although the survey is focused on the financing of health care, the initial interview collects a variety of basic information including demographic characteristics, health status, insurance, institutionalization, and living arrangements.
The sample a rotating panel is designed to provide annual data for 12, respondents. Interviews are conducted three times a year. Questions about medical services, costs, and payments are asked in every interview after the initial interview.
Some basic information is updated at every interview insurance or once a year health status , as appropriate. Other information education, race, sex is collected only once. ORDI links Medicare claims and other administrative data to the survey data. The "Access to Care" files are available for ; these are generally released in October, about 10 months after data collection ends.
These "snapshots" of the initial interview and annual updates can be compared with each other as a time series. Although these releases include a full year's worth of Medicare bills and claims for the individuals surveyed, they do not include any information about non-Medicare services or costs. Weights for this file inflate estimates to an annual "always enrolled" Medicare population. The "Calendar Year and Use" files are available for In addition to the information that appears in the "Access to Care" file, this file will also contain detailed data about non-Medicare services drugs, nursing homes and costs paid by other sources Medicaid, private insurance, out-of-pocket.
Weights for this file inflate estimates to annual "ever enrolled" and July 1 midpoint" Medicare population. Through , respondents were asked whether they were of Hispanic origin; the wording was changed beginning in to ask whether they were of of Hispanic or Latino Origin. Interviewers are prohibited from making suggestions and from explaining or defining any of the groups. If the answer is not one of the categories listed, the interviewer codes the response "91" Other and records the verbatim response.
Names of ethnic groups or nationalities such as Irish or Cuban are not recorded; interviewers are instructed to direct the respondent back to the card and to probe for one of those categories. If multiple responses are given, interviewers probe for a response that fits into one of the categories.
If the respondent is hostile to the idea of being classified in one of the groups provided, the interviewer records the response verbatim and continues with the interview.
C Baltimore, Maryland FEppig cms. Only inpatient records with discharge dates are included in MEDPAR; SNF records are included even if discharge data are not present because discharge information is not always present. Each MEDPAR record may represent one claim or multiple claims, depending on the length of a beneficiary's stay and the amount of inpatient services used throughout the stay.
Within CMS, data can be released based on a user's "need to know. N Baltimore, Maryland mrappaport cms. In , CMS began administering this nationwide satisfaction survey to Medicare beneficiaries in managed care plans.
Each year a cross-section of Medicare managed care enrollees stratified by plan are surveyed to assess their level of satisfaction with access, quality of care, plans' customer services, resolution of complaints, and utilization experience. In , CMS expanded this effort to include beneficiaries in Medicare fee-for-service. Each year a cross-section of beneficiaries in fee-for-service are given the same CAHPS survey stratified across geographic units designed to match managed care service areas in order to facilitate comparison across delivery systems.
One component is a stratum for the Medicare Satisfaction Survey for managed care enrollees discussed above. The second component assesses beneficiaries' reasons for leaving their Medicare managed care plan. The primary purpose of Medicare CAHPS is to provide information to Medicare beneficiaries to help them make more informed choices among managed care plans. One question on race is included as well. STATUS: Started in , the summary data from round 5 of the Medicare Satisfaction Survey for managed care enrollees, and round 2 of the Medicare Satisfaction Survey for beneficiaries in fee-for-service and disenrollees, are in the process of being uploaded to Medicare Health Plan Compare , a tool on www.
Round 6 of the Medicare Satisfaction Survey for managed care enrollees, and round 3 of the Medicare Satisfaction Survey for beneficiaries in fee-for-service and disenrollees are currently in the field. Plans receive detailed reports describing the findings from the survey.
QIO's receive patient-level files and reports for beneficiaries in their area. See also the CMS data website for further information. Each year, additional beneficiaries are added to the file from the EDB to maintain a five percent sample of the total Medicare population. Once a beneficiary is included in the sample, he or she remains in the file regardless of utilization activity or death. These characteristics are based on data from the midpoint of the year. Since CWF implementation, claims records are used instead of bill and payment records.
For further discussion of race data limitations, see Arday, Arday, et. C Baltimore, Maryland mkapp cms. It is the only file that contains only hospice claims.
Included in the file are drugs for symptom control and pain relief, short-term respite care, care in a hospice facility, hospital, or nursing home when necessary, and other services not otherwise covered by Medicare.
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WebFeb 9, · Centers for Medicare and Medicaid Services Division Key Personnel. Associate General Counsel, Janice L. Hoffman. Phone: . WebA federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Security Boulevard, Baltimore, MD MEDICARE () For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1 .