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Network Adequacy Quarterly Report Template Managed Care Entity: Colorado Community Health Alliance Line of Business: RAE Contract Number: 19107518A12 Contact Name: Cara Hebert Report Submitted by:
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CC-IT-03 OEHI Social Health is a form used to report social health information as part of the Ohio Employer Health Initiative.
Employers in Ohio who provide health benefits and are subject to the Ohio Employer Health Initiative must file the CC-IT-03.
To fill out the CC-IT-03, complete the required sections with accurate employer and employee health information, and ensure all data is supported by documentation.
The purpose of the CC-IT-03 is to collect data on employee health benefits and to assess and improve health outcomes in the Ohio workforce.
Information such as the number of employees, types of health benefits provided, and health improvement initiatives must be reported on the form.
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