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LDH Resources
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Details:
- Medicaid
- Managed Care
Keywords: SCG, Managed Care 3.0, CSoC, DBPM, Transportation Manager, TM, system companion guide
Downloadable Assets:
System Companion Guide Change Control Table Appendix A: Acronyms, Definitions and Data Elements Appendix B: Frequently Asked Questions Appendix C: Code Sets Appendix D: MCE Onboarding and Encounter Testing - How to be an MCE Appendix E: EDI Test Plan and File Exchange Schedule Appendix F: System Generated Files and Reports Appendix G: Helpful Websites Appendix H: 820 File - FI to MCO Appendix I: MCE SCG Links to Other Documents Appendix J: Medicaid MMIS Claims and Encounter Inquiry Procedure Dental Plan Comparison Chart Behavioral Health Provider Types and Specialties Non-EDI File Layout Behavioral Health and SMO Non-EDI File Layout Transportation Non-EDI File Layout EDI Annual Certification of Electronic Files Form Annual EDI Cover Letter Encounter Data Certification Form EDI Transmission Research Request Form - Gainwell MCE Registration To Do List MCE Testing Protocol MCO Registration Packet MES Inquiry Request Form TPL Links to Update Recipient Insurance Edits Comprehensive, Repairable and Non-Repairable MCE Tables Behavioral Health and Dental SMO non-EDI File Layout MCE Taxonomy Crosswalk January – April MCE Taxonomy Crosswalk April – June MCE Taxonomy Crosswalk July – September MCE Taxonomy Crosswalk September – December Change Control Table 2025