ATTACHMENT J. Add new Section 16.5(e) as follows: 16.5
ATTACHMENT J. Fourth Revised and Restated Reporting Requirements is revised and restated in its entirety to incorporate reports associated with the Healthy Opportunities Pilot as set forth in Attachment 5: Attachment J. Fifth Revised and Restated Reporting Requirements to this Amendment.
ATTACHMENT J. Program Pricing CFM and Airline both recognize that it is desirable that Airline maintains a spare-to-installed engine ratio of CFM56-5B engines that will be sufficient to assure optimal stability in Airline’s A320 family flight operations. In order to induce Airline to purchase sufficient CFM56-5B engines to achieve this objective, CFM is offering a Spare Engine purchase price credit to Airline, in accordance with the following terms.
ATTACHMENT J. HIPAA PRIVACY BUSINESS ASSOCIATE AGREEMENT This Contract is entered into this day of , 200_, between the County of Orange (the “County”) acting on behalf of the County Group Health Plans and the Management and Attorney Dental Plan (the “Plan(s)”), and . (“Business Associate”). The parties intend to use this Amendment to satisfy the Business Associate contract requirements in the regulations at 45 CFR 164.502(e) and 164.504(e), issued under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).
ATTACHMENT J. 1 – CONTRACTOR INFORMATION SPREADSHEET
ATTACHMENT J. 2 – SYSTEM FOR AWARD MANAGEMENT CERTIFICATION
ATTACHMENT J. How the state must calculate the impact of the transformation. The attachment will outline all of the costs that should be captured in the pre and post transformation implementation. This will assist the state and CMS in tracking whether transformation is being accomplished.
ATTACHMENT J. Reporting Requirements as revised, to support:
ATTACHMENT J. Second Revised and Restated Reporting Requirements is revised and restated in its entirety to address Healthy Opportunities, NEMT, quality and finance reporting requirements as set forth in Attachment 5, Attachment J. Third Revised and Restated Reporting Requirements to this Amendment.
ATTACHMENT J. Third Revised and Restated Reporting Requirements The following table details the Medicaid Managed Care Program reports that the PHP must submit to the Department. The PHP shall submit reports in the format, frequency and method that is defined in the NC PHP Report Guide. The NC PHP Report Guide provides guidance specific to each report. The Department shall maintain the NC PHP Report Guide, along with all applicable report templates, and publish to the PHP via the PHP Contract Data Utility (PCDU) with effective date. If a technical change is made to a template before the next NC PHP Report Guide version is published, a revised template will be posted to the PCDU with its new effective date. Each of the report templates contain specific data elements required, data definitions, and required formats. Although the State has indicated the reports that are required, the PHP may suggest additional reports.
