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OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 1
HCSIS OLTL Reports Guide
Table of Contents
*Note: Reports marked with an asterisk are online reports. All other reports are offline.
Introduction .......................................................................................................................... 2
Repeated Report Parameters ............................................................................................... 3 All Reports .......................................................................................................................... 3 Offline Reports .................................................................................................................... 3
Financial Reports ................................................................................................................. 4 Individual Benefit Detail Report ........................................................................................... 4 Utilization Summary Report ................................................................................................ 4 Provider Service Details Report .......................................................................................... 5 Provider Service Status Report ........................................................................................... 7
Individual Service Plan Reports .......................................................................................... 9 ISP Plan Status ................................................................................................................... 9 *OMAP/OSP Over 60 Report .............................................................................................10 OLTL Approved Plans Report ............................................................................................11
Service Coordination Reports ............................................................................................13 *SC- Caseload Analysis Report .........................................................................................13 *Service Notes Detailed Report ..........................................................................................14 Case Closure Report .........................................................................................................14 Case Transfer Report.........................................................................................................15 Cases Pending Assignment Report....................................................................................16 Provider Choice Report ......................................................................................................17 FMS Waiver Participant Demographic Report ....................................................................18 Service Notes Extract Report .............................................................................................20
Registration Reports ...........................................................................................................22 Registration- Individual Waiver/Program Report.................................................................22
HCSIS-SAMS Validation Errors Report ..............................................................................23 HCSIS-SAMS Validation Errors Report ..............................................................................23
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 2
Introduction
This document has been created to assist OLTL Central Office and SC Entity HCSIS users with the reports offered within the Reports Subsystem of the HCSIS Tools module. Also included are a report and an extract provided as part of the redesigned HCSIS-SAMS Interface. The reports that follow are listed in the sequence they appear on the screen displayed when you follow the path: Tools Reports Reports Request. For each report, a brief description is provided along with the organization of the output, the data elements, an explanation of the mandatory and optional parameters to help you get the results you want, and the roles that have access to each report. If a particular report is not displayed on your screen, it means you do not have access to run that report. All requested OLTL HCSIS Reports will be scheduled and run at night except for the following:
OMAP/OSP Over 60 Report
SC- Caseload Analysis Report
Service Notes Detailed Report For more details on the offline reporting process, including screen prints, please refer to the Offline Reporting Communication available on the Learning Management System (LMS) website by clicking the HCSIS Information link. If you have any questions or difficulty running a report or receive unexpected results, please call the Help Desk at 1-866-444-1264.
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 3
Repeated Report Parameters
All Reports
When requesting any HCSIS report (online or offline), the same mandatory Report Format parameter option will be used for each report. Below are a sample screen print and a description of the Report Format parameter:
Parameter Description Mandatory or Optional
Report Format Select how the report should appear from the list:
Rich text format and Adobe Acrobat (PDF) – display report results with graphics and a user-friendly layout. Plain text – displays report results without graphics and a standard layout Microsoft Excel® (XLS) – display report results in an excel spreadsheet
Mandatory
Offline Reports
When requesting an offline HCSIS report, in addition to the Report Format parameter, each report contains an optional User Label parameter. Below are a sample screen print and a description of the User Label parameter:
Parameter Description Mandatory or Optional
User Label Enter a name for the report to help identify it on the Reports Inbox screen
Optional
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 4
Financial Reports
Individual Benefit Detail Report
This report details every financial transaction for a consumer. The report lists the Transaction Type, Chart of Account, Transaction Date, Units and amount for each financial transaction. The report summarizes the key information about the consumer, such as the consumer’s name, Waiver or Program, plan dates, MCI number, and the total authorized, expensed, and the remaining amount of service dollars on the consumer’s plan. HCSIS roles that can access the Individual Benefit Detail Report:
OSP State Financial Supervision
OSP State Financial User
HCSIS Reviewer The search parameters are:
Parameter Description Mandatory or Optional
Fiscal Year Select a Fiscal Year from the drop-down list Optional
Begin & End Dates Enter a transaction date span to limit the results to a specific period
Optional
Identifier Type Select SSN, BSU # (ODP-only) or MCI # from the drop-down list
Mandatory
Identifier Enter the SSN, BSU # (ODP-only) or MCI # depending on the Identifier Type selected
Mandatory
User Label Enter a name for the report to help identify it on the Reports Inbox screen
Optional
Utilization Summary Report
This report provides utilization detail by waiver/program and SC Entity. For each consumer in a waiver/program and SC Entity, the report lists the MCI number, ISP start and end dates, the consumer’s authorized dollar amount, billed amount, remaining encumbrance, and the percentage of unbilled services. The report also calculates the authorized dollar amount, billed amount, remaining encumbrance, and the percentage of unbilled services for the waiver/ program and SC Entity. The last page of the report adds all of the data together for the SC Entity and waivers/programs selected. HCSIS roles that can access the Utilization Summary Report:
OSP State Financial Supervision
OSP State Financial User
HCSIS Reviewer
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 5
The search parameters are:
Parameter Description Mandatory or Optional
Fiscal Year Select a Fiscal Year from the drop-down list Mandatory
SC Entity Select a SC Entity from the drop-down list Optional
Funding Stream Select the desired funding stream/s (Waiver/Program) from the drop-down list
Optional
User Label Enter a name for the report to help identify it on the Reports Inbox screen
Optional
Provider Service Details Report
This report provides OLTL staff and providers with service details for a specified fiscal year. Providers can search across the entire state for the authorized status of their service offerings. OLTL staff is to search one provider at a time.
HCSIS roles that can access the Provider Service Details Report:
Provider Registration Data Entry (PW-HCSIS-ProvrRgstrDataEntry)
HCSIS Reviewer OMAP (PW-HCSIS-RevrOmap)
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 6
The search parameters are:
Parameter Description Mandatory or Optional
Program Office Verify that OLTL appears in the Program Office drop-down list; it
is the only selection in the drop-down box Mandatory
Fiscal Year Select a Fiscal Year from the drop-down list; the fiscal year selected determines the diagnosis code that appears in the last two columns of the report:
Select “2014-2015” – Only ICD-9 codes appear Select “2015-2016” – Both ICD-9 and ICD-10 codes appear Select “2016-2017” – Only ICD-10 codes appear
Mandatory
*Provider Name Enter the complete or partial name of the provider you wish to view on the report
Optional*
*Identifier Type Select FEIN, SSN, MPI or NPI from the drop-down list Optional*
*Identifier Enter the identifier value associated with the Identifier Type you selected
Optional*
Service Authorized From/To Dates
Enter from or to dates, or click the calendar icons to click a desired date to limit the report results
Optional
Individual Last/First Names
Enter the last name only or both names to limit the results to one individual
Optional
Identifier Type Select SSN, BSU# or MCI# from the drop-down list Optional
Identifier Enter the identifier value associated with the Identifier Type you selected
Optional
Report Format Select how the report should appear from the list:
Adobe Acrobat® (PDF) – display report results with graphics and
a user-friendly layout. Microsoft Excel® (XLS) – display report results in an Excel
spreadsheet. CSV (comma delimited) – displays report results without
graphics and in a standard layout.
Mandatory
User Label Enter a name for the report to help identify it on the Reports Inbox
screen Optional
* At least one of these fields must be selected.
It is recommended that you request these reports before 5:45 PM on any day that you make the request. The batch that actually produces the report runs at 6:00 PM Monday-Saturday. Batches that make the report selectable in the Report Inbox then run at 5:00 AM the morning of the next day. If you do not request the report before 6:00 PM, the report takes two days after your request to become available.
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 7
Provider Service Status Report
This report provides OLTL staff and providers with a listing of real-contracted, provisional-contracted, provisional-on-hold contracted and uncontracted services based on fiscal-year, provider, waiver and other search criteria entered. MPI and Service Location fields have been added as selectable search parameters (optional parameters) in the report request screen.
HCSIS roles that can access the Provider Service Status Report:
Provider Registration Data Entry (PW-HCSIS-ProvrRgstrDataEntry)
HCSIS Reviewer OMAP (PW-HCSIS-RevrOmap)
State Financial Management OMAP (PW-HCSIS-StateFinlMgmtOmap)
State Reserves to Encumbrance OMAP (PW-HCSIS-StateRsvEncmbrOmap)
State Financial Supervisor OSP (PW-HCSIS-StateFinlSupvrOsp)
State Financial User OSP (PW-HCSIS-StateFinlUserOsp)
Provider Registration Data Entry (PW-HCSIS-ProvrRgstrDataEntry) The search parameters are:
Parameter Description Mandatory or Optional
Fiscal Year Select a Fiscal Year from the drop-down list Mandatory
Provider Enter the complete or partial name of the provider you wish to view on the report
Optional
MPI Enter the provider’s MPI number Optional
Service Location Enter a provider location if you want to see data on a specific location
Optional
Waiver Check one or more check boxes corresponding to the waivers you want to include in your report
Mandatory
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 8
Parameter Description Mandatory or Optional
(County/Joinder)/Agency Select the name of a county or of one of the regions from the drop-down box
Optional
Service Category Check one or more check boxes corresponding to the categories of services that you want to include in your report
Mandatory
Report Format Select how the report should appear from the list:
Adobe Acrobat® (PDF) – display report results with graphics and a user-friendly layout. Microsoft Excel® (XLS) – display report results in an Excel spreadsheet. CSV (comma delimited) – displays report results without graphics and in a standard layout.
Mandatory
User Label Enter a name for the report to help identify it on the Reports Inbox screen
Optional
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 9
Individual Service Plan Reports
ISP Plan Status
This is a detailed Individual Service Plan (ISP) report providing information on consumers’ ISPs. The information provided in this report is grouped by SC Entity and Service Coordinator and includes the following: Consumer Name, County, Plan Begin Date, Plan End Date, Plan Status, Waiver Type, Waiver Begin Date and Service Authorization Status.
HCSIS roles that can access the ISP Plan Status report:
Service Coordination
SC Supervision
SC Unit Management
HCSIS Reviewer The search parameters are:
Parameter Description Mandatory or Optional
Plan Status Select All, Draft, Pending Approval, Pending Revision or Approved from the drop-down list.
Mandatory
Plan End Date From & To Enter ISP end dates to display plans that fall between the dates. For example, if the From End Date is 8/31/2003 (start date 9/1/2002) and the To End Date is 8/31/2004 (start date 9/1/2003), the report will show all of the plans that expire between those two dates if Plan Status All is selected.
Mandatory
SC Entity Select an SC Entity from the drop-down list. Optional
Click [Save] and continue with the parameters below:
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 10
Parameter Description Mandatory or Optional
Service Coordinator Select a Service Coordinator from the drop-down list or leave blank for all the entire SC Entity.
Optional
User Label Enter a name for the report to help identify it on the Reports Inbox screen.
Optional
*OMAP/OSP Over 60 Report
This report lists consumers who are turning 60 within a given time period. The information is used to determine the expected increase or decrease in consumers and budgeted dollars for ACT 150 and Attendant Care as consumers turn 60. The report gives details for consumers who are turning 60 for the given dates with details including the following: most current ISP start and end dates, Attendant Care services currently received, total units and total cost for these services, and average hours per week of each Attendant Care service. It also gives details for other services received by the consumer other than Attendant Care services.
HCSIS roles that can access the OMAP/OSP Over 60 report:
HCSIS Reviewer The search parameters are:
Parameter Description Mandatory or Optional
Waiver/Program Select the Waiver/Program of interest. Mandatory
SC Entity Select an SC Entity from the drop-down list. Optional
From & To Dates Enter the dates to display the ISP plans that fall within that time span.
Mandatory
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 11
OLTL Approved Plans Report
This report provides OLTL staff with plan details for approved plans meeting the search criteria.
HCSIS roles that can access the Provider Service Details Report:
HCSIS Reviewer OMAP (PW-HCSIS-RevrOmap)
State ISP Approval OMAP (PW-HCSIS-StateIspAprvlOmap) The search parameters are:
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 12
Parameter Description Mandatory or Optional
Plan Category Click to select one or more plan categories that you need to report on; alternatively you can click “Select All” or make no selection in the field to choose all categories
Optional
Waiver/Program Click to select one or more waivers that you need to report on; alternatively you can click “Select All” or make no selection in the field to choose all waivers and/or programs
Optional
Approved From Enter or select the first day of approved plan data that is to appear on the report
Mandatory
Approved To Enter or select the last day of approved plan data that is to appear on the report
Mandatory
County Click to select one or more counties that you need to report on; alternatively you can click “Select All” or make no selection in the field to choose all counties
Optional
SC Entity Click to select one or more SC entities that you need to report on; alternatively you can click “Select All” or make no selection in the field to choose all SC entities. When you choose 25 or fewer SC entities and click the [Apply] button, a list box appears containing the SC supervisors at your chosen SC entities. When you choose one or more SC supervisors and click the [Apply] button, a list box appears containing the individual SCs who report to the selected supervisors at those SC entities
Optional
Priority Click to select one or more priorities that you need to report on; alternatively you can click “NONE” or make no selection in the field to choose all priorities
Optional
Auto/Manually Approved Click to select whether you want to report on only autoapproved plans, on only manually approved plans or on both types of plans; alternatively you can make no selection in the field to choose both
Mandatory
Report Format Select how the report should appear from the list:
Microsoft Excel® (XLS) – display report results in an Excel spreadsheet CSV (comma delimited) – displays report results without graphics and in a standard layout
Mandatory
User Label Enter a name for the report to help identify it on the Reports Inbox screen
Optional
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 13
Service Coordination Reports
*SC- Caseload Analysis Report
This is a detailed service coordination assignment report which gives information concerning service coordinator caseload size and composition within an SC Entity. The information provided in this report is grouped by SC Entity and Service Coordinator and includes the following: Consumer Name, SSN, Current Residential Address, Case Status, Date of Birth, and Waiver Program Type. This report is available for download immediately after it has been requested.
HCSIS roles that can access the SC-Caseload Analysis report:
Service Coordination
SC Supervision
SC Unit Management
HCSIS Reviewer The search parameters are:
Parameter Description Mandatory or Optional
Agency Select an SC Entity from the drop-down list. Mandatory
SC Entity Select a SC Entity from the drop-down list Optional
Waiver Program Type Select the Waiver/Program of interest or leave blank to receive information on all Waiver/Programs.
Optional
Case status Select the status of the consumer's case either Active or Inactive.
Mandatory
Age From/To Enter the beginning and ending age of the consumers to include in the report. You can use these fields to create an age range. For example, if you enter age 20 to 25, the results will show data starting with and including age 20 through and including age 25.
Optional
Caseload From/To Date The "Caseload To" and "Caseload From" dates accept actual dates as parameters and retrieve caseload information based on the date the caseload was assigned to a Service Coordinator.
Mandatory
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 14
*Service Notes Detailed Report
This report allows users to perform a 12 month search for Service Notes for a specific individual; therefore, you must search by Last & First Name or Identifier Type & Identifier in addition to the mandatory fields displayed. The report lists all of the Service Notes completed in HCSIS for a specific individual for the time period specified.
HCSIS roles that can access the Service Notes Detailed Report:
Service Coordination
SC Supervision
SC Unit Management
Eligibility Reviewer
HCSIS Reviewer
State ISP Approval The search parameters are:
Parameter Description Mandatory or Optional
Last & First Names
Enter the Last Name or both names to limit the results to one individual.
Optional
Identifier Type Select SSN, BSU# (ODP-only) or MCI# from the drop-down list.
Optional
Identifier Enter the SSN, BSU # (ODP-only) or MCI #, depending on which Identifier Type selected.
Optional
From and To Contact Date
Enter a date span to limit the results to a period not to exceed 365 days. Contact date represents the actual date of service.
Mandatory
Report Format Select how the report should appear from the list:
Rich text format and Adobe Acrobat (PDF) – display report results with graphics and a user-friendly layout. Plain text – displays report results without graphics and a standard layout. Microsoft Excel (XLS) – display report results in an excel spreadsheet.
Mandatory
Case Closure Report
The Case Closure Report lists all cases that were closed successfully for an entity in a user specified period. The report is generated based on the scope of the user requesting the report. The report is organized by Effective Closure Date and Name of Consumer and includes: Name
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 15
of the Individual, MCI #, SSN, Name of SC Entity, Name of Supports Coordinator, Effective Closure Date and Closure Reason.
HCSIS OMAP roles that can access the Case Closure Report:
Supports Coordination
SC Supervision
SC Unit Management
HCSIS Eligibility Reviewer The search parameters are:
Parameter Description Mandatory or Optional
Begin & End Dates
Enter a date span to limit the results to a specific period Mandatory
SC Entity Select an SC Entity from the drop-down list Mandatory
Report Format Select how the report should appear from the list:
Rich text format and Adobe Acrobat (PDF) – display report results with graphics and a user-friendly layout. Plain text – displays report results without graphics and a standard layout. Microsoft Excel (XLS) – display report results in an excel spreadsheet.
Mandatory
Case Transfer Report
The Case Transfer Report lists all the complete transfers and refer-backs in a user specified period. The report is generated for the OLTL Central Office and SC Entities and can be created for the SC Entity-to-SC Entity Transfers, Caseload Transfers, or both of these. The report is organized by Transfer Type, Date of Action and Name of Individual and includes: Name of Individual, MCI#, SSN, Name of Organization for Accepted By (or Referred-Back By) Date Accepted (or Date Referred-Back) and Refer-Back Reason (for referred-back grouping only).
HCSIS OMAP roles that can access the Case Transfer Report:
SC Unit Management
SC Supervision
HCSIS Eligibility Reviewer
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 16
The search parameters are:
Parameter Description Mandatory or Optional
Begin & End Dates
Enter a date span to limit the results to a specific period Mandatory
Click [Save] and continue entering the following parameters:
Parameter Description Mandatory or Optional
SC Entity Select an SC Entity from the drop-down list Optional
Transfer Type Select All, Entity Transfer, or Caseload Transfer Mandatory
Report Format Select how the report should appear from the list:
Rich text format and Adobe Acrobat (PDF) – display report results with graphics and a user-friendly layout. Plain text – displays report results without graphics and a standard layout. Microsoft Excel (XLS) – display report results in an excel spreadsheet.
Mandatory
Cases Pending Assignment Report
The Cases Pending Assignment Report lists all unassigned individuals in the requester’s scope. If the SC Unit Management or SC Supervision role requests the report, all individuals within the requester’s scope who haven’t been assigned to a caseload will be selected. The report is organized by Last Name, and includes: SC Entity, Consumer Name, SSN, MCI# and Status.
HCSIS OMAP roles that can access the Case Pending Assignment Report:
SC Unit Management
SC Supervision
HCSIS Eligibility Reviewer
There are no specific search parameters for this report. See the Repeated Report Parameters section of this document.
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 17
Provider Choice Report
The Provider Choice Report lists all of the services available by waiver/program and county. The report is organized by Provider Name, and includes: Provider Phone Number, Service Contract Start Date, and Service Contract End Date.
HCSIS roles that can access the Service Notes Detailed Report:
Service Coordination
SC Supervision
SC Unit Management
Eligibility Reviewer
HCSIS Reviewer
State ISP Approval
The search parameters are:
Parameter Description Mandatory or Optional
Waiver Select the Waiver/Program of interest. Mandatory
County Select the County of interest. Mandatory
Service Start Date
The search will only return services that begin after the entered “Service Start Date.”
Mandatory
Service Name Click on the Select Waiver Services link to choose specific services for your search criteria
Optional
Report Format Select how the report should appear from the list:
Rich text format and Adobe Acrobat (PDF) – display report results with graphics and a user-friendly layout. CSV (comma delimited) – displays report results without graphics and a standard layout. Microsoft Excel (XLS) – display report results in an excel spreadsheet.
Mandatory
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 18
FMS Waiver Participant Demographic Report
The FMS Waiver Participant Demographic Report is used by OLTL State Staff and by the vendor(s) of financial management services (FMS) to obtain organized demographic and SC-entity information on waiver participants receiving financial management services. Displayed for each participant listed in the report is their demographic information such as names, identifiers and addresses, as well as their SC Entity’s name, the SC Entity’s MPI and its service location, and the participant’s FMS provider name. The report is generated overnight after a request is entered.
HCSIS roles that can access the FMS Waiver Participant Demographic Report:
Provider Registration Data Entry (PW-HCSIS-ProvrRgstrDataEntry)
HCSIS Reviewer OMAP (PW-HCSIS-RevrOmap)
The search parameters are:
Parameter Description Mandatory or Optional
Fiscal Year Select a Fiscal Year from the drop-down list. Mandatory
FMS Services Select one of the FMS services that appear in the drop-down list, or use the Windows Ctrl+ click method to select more than one service. You may also click Select All.
Optional
Waiver/Program Select ACT 150, Attendant Care, COMMCARE, Independence or OBRA from the drop-down list, or use the Windows Ctrl+ click method to select more than one waiver or program. You may also click Select All.
Optional
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 19
Parameter Description Mandatory or Optional
SC Entity Select the name of the SC entity to see report results for that SC entity only, or use the Windows Ctrl+ click method to select more than one entity. You may also click Select All.
Optional
Report Format Select how the report should appear from the list:
Microsoft Excel® (XLS) – displays report results in an Excel spreadsheet. CSV (comma delimited) – displays report results in a “no-frills” Excel spreadsheet on most computers. This file format is better suited to allow an FMS vendor to optionally upload the report data into the vendor’s own system for analysis and use.
Mandatory
User Label Enter a name for the report to help identify it on the Reports Inbox screen.
Optional
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 20
Service Notes Extract Report
The Service Notes Extract Report lists all of the service notes created during a specified timeframe. The report criteria screen is flexible, allowing the user to be broad or very specific in the search. HCSIS roles that allow access to the Service Notes Extract Report:
PW-HCSIS-ScOvrsitOmap
PW-HCSIS-ScDataEntryOmap
PW-HCSIS-ScOmap
PW-HCSIS-ScSupvsnOmap
PW-HCSIS-ScUnitMgtOmap
PW-HCSIS-RevrOmap
The report criteria parameters are:
Parameter Description Mandatory or
Optional
Extract Type Report Type of “Monitoring” is the only report type that is available to OLTL.
Mandatory
File Format Select an output format for the report: Microsoft Excel or CSV (Comma Delimited).
Mandatory
SC Entity Select the SC Entity of interest from the dropdown. * Caseload Select the caseload of interest from the dropdown. Optional
Region Select the region of interest from the dropdown. Optional
County Select the county of interest from the dropdown. Optional
MPI Enter the MPI, a numeric value given to a provider. Optional
Service Location Enter the service location where the service took place. Optional
From Contact Date (MM/DD/YYYY) To Contact Date (MM/DD/YYYY)
Enter the “From” and “To” dates during which contact was made for the service. Both date fields must be used together.
**
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Parameter Description Mandatory or Optional
From Entry Date (MM/DD/YYYY) To Entry Date (MM/DD/YYYY)
Enter the “From” and “To” dates during which the service note was entered. Both date fields must be used together. **
Consumer Last Name Consumer First Name
Enter the last and first name of the consumer. Both names must be used together.
Optional
Identifier Type Identifier
Select either SSN, BSU# or MCI from the dropdown and then enter the identifier value corresponding to the identifier type selected. Both fields must be used together.
*
Entered by Last Name Entered by Frist Name
Enter the last and first name of the individual who created the service note. Both names must be used together.
Optional
Credited to Last Name Credited to First Name
Enter the last and first name of the SC whom the service note is credited to. Both names must be used together.
Optional
Category Select one of the following from the dropdown: Referral, Plan, Eligibility, Budget, Health and Safety, PUNS, Case Transfer, SC Individual Monitoring, Daily Living, Respite, Vocational, Adult Day, Educational, Community Integration, Personal Emergency Response System, Environmental Adaptations, Assistive Technology/Specialized Medical Equipment, Extended State Plan Services, Transportation, Other, OLTL-Plan Increase, OLTL-Plan Decrease, OLTL-Temporary Plan Increase
Optional
Service Type Select one of the following from the dropdown: Locate, Coordinate, Monitor, Other/Non-billable
Optional
Location of Service
Select one of the following from the dropdown: SC Entity Office, Individual’s Home, Community
Optional
Show Service Note Detail
When this check box is checked, any service notes that were entered appear on the report.
Optional
*Either an SC Entity or an Identifier-Identifier Type pair MUST be entered. You can enter both an SC Entity and an Identifier if desired. **A Contact Date pair or an Entry Date pair MUST be entered. You can enter both a Contact Date pair and an Entry Date pair if desired.
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 22
Registration Reports
Registration- Individual Waiver/Program Report
This is a detailed Registration report which gives details concerning all consumers within an SC Entity registration status. The information provided in this report is grouped by SC Entity and includes the following: Consumer Name, Birth Date, County of Residency, Waiver or Program, Waiver or Program Status, Date of Application, Date of Disposition, and Length of Time in each Waiver or Program Status.
HCSIS roles that can access the Registration-Individual Waiver/Program Report:
Service Coordination
SC Supervision
SC Unit Management
HCSIS Reviewer The search parameters are:
Parameter Description Mandatory or Optional
SC Entity Select a SC Entity from the drop-down list Mandatory
Waiver/Program Type Select the Waiver/Program of interest or leave blank to receive information on all Waiver/Programs.
Optional
Begin & End Date Enter a date span to limit the results based on the time span desired.
Mandatory
User Label Enter a name for the report to help identify it on the Reports Inbox screen.
Optional
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 23
HCSIS-SAMS Validation Errors Report
HCSIS-SAMS Validation Errors Report
This report displays details on plan record errors that are generated when plan information is transferred from SAMS into HCSIS. To create this report, you must first search for and retrieve plan records in the HCSIS-SAMS Validation Errors Screen. In this screen is a list of the plan records that have generated errors, plus buttons that you click to generate the report The report is available as a MS Excel file or as a CSV-format file. Each option has its own button. This report does not appear as a selectable report option on the Reports Request screen. The information provided in this report includes the following fields: PDA Participant ID, Participant Last Name, Participant First Name, MCI, Plan Status, Plan Start Date, Plan End Date, Waiver/Program, Default Agency, Procedure Code_Modifier, Service Name. Service Start Date, Service End Date, Provider Name, MPI Number, Service Location, Service Units, Service Rate, Date Processed, Error Reason.
HCSIS roles that can access the HCSIS-SAMS Error Report:
Service Coordination Area Agencies on Aging PA Department of Aging
Service Coordination
SC Supervision
SC Unit Management
AAA Reviewer PDA Administrator
PDA Reviewer
The search parameters are:
OLTL Reports Guide HCSIS Version 8.2.0 9/10/2016 Page 24
Parameter Description Mandatory or Optional
Last Name Enter a complete last name to search for all participants with that name (within the participant population whose data you may access).
Optional when used alone; mandatory when first name is also entered
First Name Enter a complete first name to search for all participants with that name AND with your selected last name (within the participant population whose data you may access).
Optional
MCI Enter the MCI of the participant to search for and run the report on.
Optional
SC Entity *Select a SC Entity, the Select All option or the
Unassigned option from the drop-down list.
Mandatory
MPI Enter the MPI of a provider to search for and run the report on. Do not enter an MPI if you have any of the three relevant SCE roles.
Optional when used alone; mandatory when service location is also entered
Service Location Enter a service location of the provider identified by your MPI entry.
Optional
Date Processed From & To
**Enter a date span to limit the plan errors found to those
processed during that time span.
Optional
*The values that are displayed in the SC Entity drop-down box vary, depending on your scope and role:
Service coordinators see only the single legal entity name of their service-coordination entity.
AAAs see only the providers providing W1011 service to participants associated with the AAA agency.
OLTL staff sees all providers plus the Select All and Unassigned selections. Selecting Select All limits the date
range that can be entered into the Date Processed From and To fields to seven days (see footnote below). **No time span entered can exceed 30 days, and you cannot enter a date in the Date Processed From field that is more
than 30 days before the current date. When you select Select All in the SC Entity field (PDA Administrator role only),
your time span is limited to ≤ 7 days falling within the 30-day range as defined here.