Fiscal Employer Agent (Fea): Reports

01. Account Summary Statements. This report provides an overview of each participant account and includes the services accessed and the remaining dollar amount in the budget as well as information on how to read the report. In addition to providing this monthly report, a participant may request this report for a specified timeframe. Each month, the provider must at the participant’s preference mail a hard copy of the report to each participant or make the report available on a secure website. The provider must generate the report after every payroll and post it on a secure SFTP site for the Department to access. This SFTP site must have a user name and password protection. (7-1-26) a. Report Format: Microsoft Excel. (7-1-26) b. Report Due Date: The 10th day of each month. (7-1-26) 02. Medicaid Billing Report. This report provides a detailed breakdown of CSW services rendered by service date per employee, per employer. Each line on this report must provide the following information: employee name and ID number, hours worked, period start, and period end, pay rate, service date, check number and date, participant’s name, participant’s date of birth, participant’s ID number, service code, taxes, and billing amount. This report collects information based on the timeframe specified by the user. The provider must generate the report after every payroll and post it on a secure SFTP site for the Department to access. (7-1-26) a. Report Format: Microsoft Excel. (7-1-26) b. Report Due Date: The 10th day of each month. (7-1-26) 03. Demographic Report. This report provides general client demographics in the region and the employee count per participant for each participant in the database. The provider must generate the report after every payroll and post it on a secure SFTP site for the Department to access. (7-1-26) a. Report Format: Microsoft Excel. (7-1-26) b. Report Due Date: The 10th day of each month. (7-1-26) 04. Background Check Report. This report provides a breakdown, by participant, of which employees the participant waived the background check, which employees passed or failed the background check, the background check reference number, and the date the background check was submitted. This report does not include SBs. The provider must generate the report after every payroll and post it on a secure SFTP site for the Department to access. (7-1-26) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 844 Page 180 a. Report Format: Microsoft Word, Microsoft Excel, or PDF. (7-1-26) b. Report Due Date: The 10th day of each month. (7-1-26) 05. Medicaid Billing Report. This report provides a list and count of the unduplicated participants and expenditures by services code based on the time frame specified by the user. The provider must generate the report after every payroll and post it on a SFTP site. Additionally, the provider must provide a quarterly Medicaid Billing Report that can been reconciled quarterly and work with the Department to reconcile the annual report. (7-1-26) a. Report Format: Microsoft Excel. (7-1-26) b. Report Due Date: The 10th day of each month. (7-1-26) 06. Complaint and Resolution Summary Report. The provider must analyze complaints received on a quarterly basis to determine the quality of services to participants and identify any corrective actions and program improvements needed and implemented. The provider must post the report on a secure SFTP site for Department review. (7-1-26) a. Report Format: Microsoft Word, Microsoft Excel, or PDF. (7-1-26) b. Report Due Date: The 10th day of the month following the end of each annual quarter. (7-1-26) 07. Customer Satisfaction Survey Report. The provider must provide a comprehensive report summarizing the results of the customer satisfaction survey completed by each participant. (7-1-26) a. Report Format: Microsoft Word, Microsoft Excel, or PDF. (7-1-26) b. Report Due Date: December 1st of each year. (7-1-26) 08. Quarterly Financial Statements. The provider must provide the Department a quarterly balance sheet and income statement that shows the provider’s quarterly financial status and cash management plan cash reserve. (7-1-26) a. Report Format: Microsoft Word, Microsoft Excel, or PDF. (7-1-26) b. Report Due Date: The 25th day of the month following the end of each annual quarter. (7-1-26)