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Medicaid Managed Care Risk Stratification Data Submission Specifications as of January 1, 2017, Appendix K, Medicaid Managed Care Provider Agreement Effective: January 1, 2017, Issued: February 17,
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Step 1: Gather all the necessary data that needs to be submitted for risk stratification.
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Who needs risk stratification data submission?

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Healthcare providers
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Healthcare regulatory bodies
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Risk stratification data submission is the process of submitting data related to the assessment and categorization of individuals or entities based on their level of risk.
Entities or individuals who are subject to risk assessment and stratification requirements must file risk stratification data submission.
Risk stratification data submission can be filled out by providing necessary information and data regarding risk assessment and categorization in the designated forms or platforms.
The purpose of risk stratification data submission is to ensure accurate assessment and categorization of risks, which can help in making informed decisions and taking appropriate actions.
Information such as risk factors, assessment methodologies, categorization criteria, and relevant data must be reported on risk stratification data submission.
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