Idaho Admin. Code r. 16.03.13.311

Current through September 2, 2024
Section 16.03.13.311 - FISCAL EMPLOYER AGENT DUTIES AND RESPONSIBILITIES: REPORTS
01.Account Summary Statements. This report provides an overview of each participant account and includes the services accessed and the remaining dollar amount in the budget. In addition to the provider providing this report each month, a participant may request this report for a specified timeframe. Each month, the provider must mail a hard copy of the report to each participant and also make the report available on a secure website for those who prefer to access the information electronically. The provider must generate the report after every payroll and post it on a secure SFTP site for the Department to access. This SFTP site must have a user name and password protection.
a. Report Format: The provider must provide the account summary statement in Microsoft Excel.
b. Report Due Date: The provider must post the account summary statement by the 10th day of each month.
02.Medicaid Billing Report. This report provides a detailed breakdown of community support worker services rendered by service date per employee, per employer. Each line on this report must provide, at a minimum, the following information: employee name, employee ID number, hours worked, period start, period end, pay rate, service date, check number, check date, participant's name, participant's date of birth, participant's ID number, service code, taxes, and billing amount. This report collects information based on the timeframe specified by the user. The provider must generate the report after every payroll and post it on a secure SFTP site for the Department to access. This SFTP site must have a user name and password protection.
a. Report Format: The provider must provide the Medicaid Billing Report in Microsoft Excel.
b. Report Due Date: The provider must post the Medicaid Billing Report by the 10th day of each month.
03.Demographic Report. This report provides general client demographics in the region and the employee count per participant for each participant in the database. The provider must generate the report after every payroll and post it on a secure SFTP site for the Department to access. This SFTP site must have a user name and password protection.
a. Report Format: The provider must provide the demographic report in Microsoft Excel.
b. Report Due Date: The provider must post the demographic report by the 10th day of each month.
04.Criminal History Check Report. This report provides a breakdown, by participant, of which employees the participant waived the background check, which employees passed or failed the background check, the criminal history reference number, and the date the background check was submitted. This report does not include support brokers. The provider must generate the report after every payroll and post it on a secure SFTP site for the Department to access. This SFTP site must have a user name and password protection.
a. Report Format: The provider must provide the criminal history report in Microsoft Word, Microsoft Excel, or PDF.
b. Report Due Date: The provider must post the criminal history report by the 10th day of each month.
05.Medicaid Billing Report. This report provides a list and count of the unduplicated participants and expenditures by services code based on the time frame specified by the user. The provider must generate the report after every payroll and post it on a SFTP site. Additionally, the provider must provide a quarterly Medicaid Billing Report that can been reconciled quarterly and work with the Department to reconcile the annual report.
a. Report Format: The provider must provide the Medicaid Billing Report in Microsoft Excel.
b. Report Due Date: The provider must post the Medicaid Billing Report by 10th day of each month.
06.Complaint and Resolution Summary Report. The provider must analyze complaints received on a quarterly basis to determine the quality of services to participants and identify any corrective actions and program improvements needed and implemented. The provider must post the report on a secure SFTP site for Department review.
a. Report Format: The provider must provide the complaint and resolution summary report in Microsoft Word, Microsoft Excel, or PDF.
b. Report Due Date: The provider must post the complaint and resolution summary report by the 10th day of the month following the end of each annual quarter.
07.Customer Satisfaction Survey Report. The provider must provide a comprehensive report summarizing the results of the customer satisfaction survey completed by each participant.
a. Report Format: The provider must provide the customer satisfaction survey report in Microsoft Word, Microsoft Excel, or PDF.
b. Report Due Date: The provider must post the customer satisfaction survey report by December 1 of each year.
08.Quarterly Financial Statements. The provider must provide the Department a quarterly balance sheet and income statement that shows the provider's quarterly financial status and cash management plan cash reserve.
a. Report Format: The provider must provide the quarterly balance sheet and income statement in Microsoft Word, Microsoft Excel, or PDF.
b. Report Due Date: The provider must provide the quarterly balance sheet and income statement on the 25th day of the month following the end of each annual quarter.

Idaho Admin. Code r. 16.03.13.311

Effective March 17, 2022