IMPLEMENTATION PLAN AND PROGRESS REPORTS Sample Clauses
IMPLEMENTATION PLAN AND PROGRESS REPORTS. 1. Within calendar 10 days of award of this contract, the Contractor shall submit to the (COTR) a project implementation plan that highlights each step of implementation of this contract and that is consistent with the Contractors’ proposal. The implementation plan, at a minimum, shall include a copy of the Contractor’s draft enrollment application as well as the specific dates on which the Contractor will:
a) Announce the availability of the high risk pool program to the public;
b) Begin accepting high risk pool program enrollments; and
c) Begin to cover the claims submitted by or on behalf of high risk pool program enrollees.
2. The Contractor shall submit progress reports to HHS on the status of implementing and carrying out the high risk pool program. Reports should be submitted in a format to be provided by HHS. The first progress report will be due on the last business day of the month following the calendar quarter being reported. At a minimum, progress reports shall include:
a) Evidence that the major milestones of the implementation plan have been met and clear identification of milestones yet to be met;
b) An updated timeline for implementing the program and meeting other identified milestones;
c) Risks and problems identified or encountered by the Contractor and mitigation strategies implemented to address those risks and problems;
d) A description of the enrollment into the high risk pool program, at least broken down geographically and demographically to describe whether the enrollees in the program are representative of the eligible individuals in the State
e) The number of new enrollees into the program;
f) The number of individuals who have disenrolled from the program since the previous progress report, including the reason for the disenrollments, if known;
g) The average length of enrollment in the program;
h) A breakdown of how enrollees satisfied the pre-existing condition requirement; and
i) In the first progress report of each year, updated annual cost projections, based on actual expenditures and enrollment. If a shortfall is projected, a plan with specific cost-containment strategies will be submitted to HHS that assures high risk pool expenditures stay within allotment levels. The quarterly reports shall not contain personally identifiable information about the enrollees in the high risk pool program.
3. The Contractor shall submit monthly reports to HHS, beginning on the last business day of the month following the month of the ef...
IMPLEMENTATION PLAN AND PROGRESS REPORTS. 1. Within calendar 10 days of award of this contract, the Contractor shall submit to the COR a project implementation plan that highlights each step of implementation of this contract and that is consistent with the Contractors’ proposal. The implementation plan, at a minimum, shall include a copy of the Contractor’s draft enrollment application as well as the specific dates on which the Contractor will:
a) Announce the availability of the high risk pool program to the public;
b) Begin accepting high risk pool program enrollments; and
c) Begin to cover the claims submitted by or on behalf of high risk pool program enrollees.
2. The Contractor shall submit weekly reports to HHS, beginning on the last day of the second week of each performance period that will provide the following information current through the prior week of the performance period:
a) Number of current enrollees with active coverage in the program; and
b) Number of newly approved applicants whose enrollment is not yet effective.
3. The Contractor shall submit monthly reports to HHS beginning on the last day of the month following the execution of the contract and continuing until the expiration of the contract. The monthly reports shall include information on the operation of the temporary high risk pool and shall include information related to applications received by the Contractor, enrollment into the temporary high risk pool program, and financial data related to the Contractor’s operation of the temporary high risk pool program during the previous month. Acceptance of these monthly reports by HHS will constitute that the Contractor has also met the financial reporting requirements outlined in section D.3 of this Contract. Monthly reports are due not later than the last day of the month following the month for which the data is reported and will be provided by the Contractor to HHS in a format provided to the Contractor by HHS.
4. The Contractor shall submit monthly reports to HHS, beginning on the last business day of the month following the month of the effective date of the contract and continuing on the last business day of the month after the month being reported until the expiration of the contract. The monthly reports shall provide information on the previous calendar month of operations and contain a complete accounting of temporary high risk pool expenditures and revenue, as follows:
a) Medical claims paid on behalf of high risk pool enrollees;
b) Prescription drug claims paid...