Additional Periodic Reporting. The Subrecipient is responsible for reporting the information listed in the table below by the dates indicated. The information requested shall be submitted by entering data into the Blueprint portal or another data reporting system if required by the State. CHT/MAT/WHI Staffing and Practice Information: October 15, 2020 Enter updated CHT/MAT/WHI staffing and Practice information. This includes practice closures, mergers, and openings. January 15, 2021 April 15, 2021 July 15, 2021 Monitor NCQA PCMH Recognition: October 15, 2020 Each quarter, the State shall notify and identify to the Program Manager a cohort of Practices which are scheduled to undergo NCQA PCMH recognition approximately 6 months in the future. January 15, 2021 April 15, 2021 For those identified Practices, the Program Manager, in partnership with the assigned QI Facilitator, shall closely monitor progress towards the reporting date and ensure all appropriate Practice and provider information is updated in the Blueprint Portal (or other data reporting system) accordingly. July 15, 2021 (for each such date, with respect to Practices identified to Subrecipient within the prior quarter) New Practice Total Unique Patient Counts: December 15, 2020 For practices new to the Blueprint ONLY, enter Practice-level patient counts to determine CHT staffing ratios. March 15, 2021 June 15, 2021 September 15, 2021 ATTACHMENT B PAYMENT PROVISIONS The maximum dollar amount payable under this Grant Agreement is not intended as any form of a guaranteed amount. This is a reimbursement agreement. Funds shall be distributed to the Subrecipient as a reimbursement of actual allowable costs by the Subrecipient in the performance of program functions described in Attachment A, up to the maximum allowable amount specified in Part 1 – Grant Award Detail Page of this agreement. The Subrecipient shall demonstrate that funds have been properly expended in order to be reimbursed by the State.
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Samples: Part 2 – Grant Agreement, Part 2 – Grant Agreement, Part 2 – Grant Agreement
