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2006
 Reporting Requirements Submission Schedule: Operations
The Pennsylvania Department of Public Welfare requires operational
reports for managed care. The reports are due either monthly,
quarterly, or annually. Monthly reports include pharmacy trends and
top ten requests, member requests for information, provider hotline
activity. For the special needs population, monthly reports about
the demographics, interventions, those with a specialist serving as
a primary care provider, training, education, and outreach provided.
Quarterly reports include appeals, complaints, and grievances,
provider counts by county. Fraud and abuse activity must be reported
quarterly. A provider satisfaction survey must be conducted
annually. 
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