Monthly Reports
- IMD Services Report
- Grievance and Appeal Report: Member Issue Log
- Health Plan Hospital Services Reporting
Quarterly Reports
- Call Center Report
- Care Management Member Journey Report
- Care Management Self Report (Pregnancy Only)
- Complaint, Grievance, and Appeal Report: Provider Issues Log
- Disease Management Report
- Health Plan Financial Reporting Form (Unaudited)
- Improvement Plan Report
- FWA Activities Report: Case Log
- Overpayments Due to Fraud Reporting Template
- Prior Authorization and Denials Log
- Third Party Savings Reports
- Timeliness of Claims Adjudication Report
Semi-Annual Reports
Annual Reports
- Attachment 6: Federally Qualified Health Centers, Rural Health Clinics, Community Mental Health Centers, Safety Net Hospitals, Local Public Health Agencies, Family Planning and STD Providers
- FQHC and RHC M-1 Instructions and Form
- Health Care Management Member Survey
- Health Plan Financial Reporting Form (Audited)
- HEDIS Indicators
- Mental Health Parity Compliance Report
- Overpayments Due to Fraud Reporting Template
- Provider Preventable Conditions
- Subcontractor Oversight Annual Evaluation Report
- Trends in Missouri MO HealthNet Quality Indicators
- FY2020 EPSDT Self Report
Healthcare Quality Data Reports
- Healthcare Quality Data Instructions
- Healthcare Quality Data Template - Regional
- Healthcare Quality Data Template - Statewide
Medical Loss Ratio (MLR)
Quality Assessment and Improvement Evaluation Reports
- Quality Assessment and Improvement Evaluation Report Instructions
- Quality Assessment and Improvement Evaluation Report
Network Development and Management Report
- Network Development and Management Report Instructions
- Network Development and Management Attestation