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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

HCSIS OSP/OMAP Reports Guide...Offline Reports When requesting an offline HCSIS report, in addition to the Report Format parameter, each report contains an optional User Label parameter

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Page 1: HCSIS OSP/OMAP Reports Guide...Offline Reports When requesting an offline HCSIS report, in addition to the Report Format parameter, each report contains an optional User Label parameter

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

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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.

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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

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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

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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)

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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.

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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

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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

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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:

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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

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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:

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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

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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

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*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

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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

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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.

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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

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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

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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

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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.

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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

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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:

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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.