Obligation To A Third Party. Under This Contract, Or Any Default By A Parent Corporation On Any Financial Obligation To A Third Party That Could In Any Way Affect The Contractor’s Ability To Satisfy Its Payment Or Performance Obligations. (Notification should be given Same Day) Ad-Hoc OnBase FR-25 FR-25 Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures That May Impact Performance (No later than 30 days prior to execution) Ad-Hoc No later than 30 days prior to execution OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-26 FR-26 Provider Risk Arrangements Provider Risk Arrangements Ad-Hoc OnBase FR-27 FR-27 Changes in Contractor’s Providers’ Risk Arrangements Changes in Contractor’s Providers’ Risk Arrangements (Notification: Same Day) Ad-Hoc OnBase FR-28 FR-28 Working Capital Requirement Notification Working Capital Requirement Notification (“if” working capital falls below 75% below the amount reported on the prior year audited financial reports) (Two Business Days) Ad-Hoc OnBase FR-29 FR-29 Continuing Services Reconciliation Data Continuing Services Reconciliation Data Ad-Hoc OnBase FR-30 FR-30 ABA Reconciliation Report ABA Reconciliation Report Annually OnBase FR-31 FR-31 Medical Loss Ratio (MLR) Report Medical Loss Ratio (MLR) Report Annually OnBase FR-32 FR-32 Alternative Payment Models (APM) Report Alternative Payment Models (APM) Report Quarterly OnBase FR-33 FR-33 Provider Agreements Annual Provider Agreements Annual Annually OnBase FR-34 FR-34 Provider Agreements – Ad-Hoc Provider Agreements – Ad-Hoc Ad-Hoc OnBase FR-35 FR-35 Report on Satisfying Contractor’s Payment Or Performance Obligations Report on Satisfying Contractor’s Payment Or Performance Obligations Ad-Hoc OnBase FR-37 FR-37 IMD Services Report Report on services provided to members with long term IMD stay Quarterly and Annually OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-38 FR-38 Other High Cost Pharmacy Reconciliation Report Annual Other High Cost Pharmacy Risk Share Report Annually OnBase FR-39 FR-39 SUD Reconciliation Report Annual SUD Risk Share Report Annually OnBase FR-40 FR-40 Financial Encounter Validation Report Quarterly Financial Encounter Validation Report Quarterly and Annually OnBase FR-41 [RETIRED] FR-42 [RETIRED] FR-43 FR-43 Primary Care Sub-Capitation Payment Tracking Report Primary Care Sub-Capitation Payment Tracking Report Monthly SFTP FR-44 FR-44 Community Partners Financial Report Quarterly and Annual Community Partners Financial Report Quarterly and Annually OnBase F. ACO Health Equity Reporting ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System To be determined.
Appears in 23 contracts
Samples: www.mass.gov, www.mass.gov, www.mass.gov
Obligation To A Third Party. Under This Contract, Or Any Default By A Parent Corporation On Any Financial Obligation To A Third Party That Could In Any Way Affect The Contractor’s Ability To Satisfy Its Payment Or Performance Obligations. (Notification should be given Same Day) Ad-Hoc OnBase FR-25 FR-25 Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures That May Impact Performance (No later than 30 days prior to execution) Ad-Hoc No later than 30 days prior to execution OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-26 FR-26 Provider Risk Arrangements Provider Risk Arrangements Ad-Hoc OnBase FR-27 FR-27 Changes in Contractor’s Providers’ Risk Arrangements Changes in Contractor’s Providers’ Risk Arrangements (Notification: Same Day) Ad-Hoc OnBase FR-28 FR-28 Working Capital Requirement Notification Working Capital Requirement Notification (“if” working capital falls below 75% below the amount reported on the prior year audited financial reports) (Two Business Days) Ad-Hoc OnBase FR-29 FR-29 Continuing Services Reconciliation Data Continuing Services Reconciliation Data Ad-Hoc OnBase FR-30 FR-30 ABA Reconciliation Report ABA Reconciliation Report Annually OnBase FR-31 FR-31 Medical Loss Ratio (MLR) Report Medical Loss Ratio (MLR) Report Annually OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-32 FR-32 Alternative Payment Models (APM) Report Alternative Payment Models (APM) Report Quarterly OnBase FR-33 FR-33 Provider Agreements Annual Provider Agreements Annual Annually OnBase FR-34 FR-34 Provider Agreements – Ad-Hoc Provider Agreements – Ad-Hoc Ad-Hoc OnBase FR-35 FR-35 Report on Satisfying Contractor’s Payment Or Performance Obligations Report on Satisfying Contractor’s Payment Or Performance Obligations Ad-Hoc OnBase FR-37 FR-37 IMD Services Report Report on services provided to members with long term IMD stay Quarterly and Annually OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-38 FR-38 Other High Cost Pharmacy Reconciliation Report Annual Other High Cost Pharmacy Risk Share Report Annually OnBase FR-39 FR-39 SUD Reconciliation Report Annual SUD Risk Share Report Annually OnBase FR-40 FR-40 Financial Encounter Validation Report Quarterly Financial Encounter Validation Report Quarterly and Annually OnBase FR-41 [RETIRED] FR-42 [RETIRED] FR-43 FR-43 Primary Care Sub-Capitation Payment Tracking Report Primary Care Sub-Capitation Payment Tracking Report Monthly SFTP FR-44 FR-44 Community Partners Financial Report Quarterly and Annual Community Partners Financial Report Quarterly and Annually OnBase F. ACO Health Equity Reporting ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System To be determined.[RETIRED]
Appears in 12 contracts
Samples: www.mass.gov, www.mass.gov, www.mass.gov
Obligation To A Third Party. Under This Contract, Or Any Default By A Parent Corporation On Any Financial Obligation To A Third Party That Could In Any Way Affect The Contractor’s Ability To Satisfy Its Payment Or Performance Obligations. (Notification should be given Same Day) Ad-Hoc OnBase FR-25 FR-25 Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures That May Ad-Hoc No later than 30 days prior to OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System Impact Performance (No later than 30 days prior to execution) Ad-Hoc No later than 30 days prior to execution OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-26 FR-26 Provider Risk Arrangements Provider Risk Arrangements Ad-Hoc OnBase FR-27 FR-27 Changes in Contractor’s Providers’ Risk Arrangements Changes in Contractor’s Providers’ Risk Arrangements (Notification: Same Day) Ad-Hoc OnBase FR-28 FR-28 Working Capital Requirement Notification Working Capital Requirement Notification (“if” working capital falls below 75% below the amount reported on the prior year audited financial reports) (Two Business Days) Ad-Hoc OnBase FR-29 FR-29 Continuing Services Reconciliation Data Continuing Services Reconciliation Data Ad-Hoc OnBase FR-30 FR-30 ABA Reconciliation Report ABA Reconciliation Report Annually Annual OnBase FR-31 FR-31 Medical Loss Ratio (MLR) Report Medical Loss Ratio (MLR) Report Annually OnBase FR-32 FR-32 Alternative Payment Models (APM) Report Alternative Payment Models (APM) Report Quarterly OnBase FR-33 FR-33 Provider Agreements Annual Provider Agreements Annual Annually Annual OnBase FR-34 FR-34 Provider Agreements – Ad-Hoc Provider Agreements – Ad-Hoc Ad-Hoc OnBase FR-35 FR-35 Report on Satisfying Contractor’s Payment Or Performance Obligations Report on Satisfying Contractor’s Payment Or Performance Obligations Ad-Hoc OnBase FR-37 FR-37 IMD Services Report Report on services provided to members with long term IMD stay Quarterly and Annually Annual OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-38 FR-38 Other High Cost Pharmacy Reconciliation Report Annual Other High Cost Pharmacy Risk Share Report Annually Annual OnBase FR-39 FR-39 SUD Reconciliation Report Annual OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System Annual SUD Risk Share Report Annually OnBase FR-40 FR-40 Financial Encounter Validation Report Quarterly Financial Encounter Validation Report Quarterly and Annually Annual OnBase FR-41 [RETIRED] RESERVED FR-42 [RETIRED] FR-43 FR-43 Primary Care Sub-Capitation Payment Tracking Report Primary Care Sub-Capitation Payment Tracking Report FR-42 Certification on Compliance with Appendix Z Certification on Compliance with Appendix Z Monthly SFTP FR-44 FR-44 Community Partners Financial Report Quarterly and Annual Community Partners Financial Report Quarterly and Annually OnBase As Instructed F. ACO Health Equity Reporting Operations Reports ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System To be determined.OP-01 OP-01 Inbound Pharmacy Co-pay Interface to MMIS per Appendix M Inbound Pharmacy Co-pay Interface to MMIS per Appendix M Notification: Same Day POPS OP-02 OP-02 Inbound Managed Care Provider Directory Interface (ACPD) Inbound Managed Care Provider Directory Interface (ACPD) Monthly POSC OP-03 OP-03 Long-term Care Report Log Long-term Care Report Log Weekly OnBase OP-04 OP-04 Member Discrepancy Report Member Discrepancy Report Monthly OnBase OP-05 OP-05 [RETIRED] OP-06 OP-06 Address Change File Address Change File Bi-Weekly OnBase OP-07 OP-07 Multiple ID File Multiple ID File Bi-Weekly OnBase OP-08 OP-08 Date of Death Report Date of Death Report Bi-Weekly OnBase G. Pharmacy Reports ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System PH-01 PH-01 Pharmacy Claims Level Interface Plans use the Pharmacy Claims Level Interface to submit rebate data for Pharmacy claims. The original claims file submission is due within 5 calendar days following the close of the prior month. Monthly POPS Portal PH-02 PH-02 MassHealth Custom Interface Guide - 837 Medication Claims Plans use the MassHealth Custom Interface Guide - 837 Medication Claims - Paid Claims File Layout for Batch Interface to Pharmacy Systems to submit rebate data for 837 claims. The original claims file submission is due within 15 calendar days following the close of the prior month. Monthly POPS Portal PH-03 PH-03 Pharmacy Provider Network Identification Layout Pharmacy Provider Network Identification Layout Ad-Hoc POPS Portal PH-04-A PH-04-A Drug Utilization Review Report Drug Utilization Review Report (Note: Due by May 1st of each year) Annual Secure Email PH-04-B PH-04-B Clinical Information request for the DUR Board meeting Clinical Information request for the DUR board meeting Ad-Hoc Email PH-04-C PH-04-C Clinical Criteria for Prior Authorization and Utilization Management Clinical Criteria for Prior Authorization and Utilization Management Ad-Hoc Email PH-05-A PH-05-A Pharmacy MassHealth Drug Rebate File Submission Report Pharmacy MassHealth Drug Rebate File Submission Report for the plans to self- report monthly on the upload of the report PH-01 to the POPS Portal. The File Submission Report is due within 3 business days following the upload of PH-01. Monthly Email PH-05-B PH-05-B 837 MassHealth Drug Rebate File Submission Report 837 MassHealth Drug Rebate File Submission Report for the plans to self- report monthly on the upload of the report PH-02 to the POPS Portal. The File Submission Report is due within 3 business days following the upload of PH-02. Monthly Email ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System PH-06 PH-06 837 Registration Form for Access to the MassHealth Drug Rebate Portal 837 Registration Form for Access to the MassHealth Drug Rebate Portal Ad-Hoc OnBase PH-07 PH-07 Pharmacy Retail Registration Form for Access to the MassHealth Drug Rebate Portal Pharmacy Retail Registration Form for Access to the MassHealth Drug Rebate Portal Ad-Hoc OnBase PH-08 PH-08 Clinical Policy Initiative Report Clinical Policy Initiative Report Ad-Hoc OnBase PH-09 PH-09 MassHealth ACO/MCO Uniform Preferred Drug List Compliance Report MassHealth ACO/MCO Uniform Preferred Drug List Compliance Report Ad-Hoc OnBase PH-10 PH-10 Hepatitis C Utilization Report Hepatitis C Utilization Report Ad-Hoc OnBase PH-11 PH-11 Pediatric BH Medication Initiative Report Pediatric BH Medication Initiative Report Ad-Hoc OnBase PH-12-A PH-12-A PBM Pricing Report - Quarterly PBM Pricing Report- Quarterly Quarterly POPS Portal, or as directed by EOHHS PH-12-B PH-12-B PBM Pricing Report - Ad-Hoc PBM Pricing Report- Ad-Hoc Ad-Hoc POPS Portal, or as directed by EOHHS PH-13 PH-13 Mail Order Pharmacy Program Report Mail Order Pharmacy Program Report- Ad-Hoc Ad-Hoc OnBase PH-14 PH-14 Change in BIN/PCN/Group Number Report Change in BIN/PCN/Group Number Report- Ad-Hoc (Note: Due at least 30-days before new BIN/PCN/Group Number is effective) Ad-Hoc OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System PH-15 PH-15 Vitrakvi Monitoring Report Vitrakvi Monitoring Report- Quarterly Quarterly OnBase PH-16-A PH-16-A Zolgensma Monitoring Program- Quarterly Zolgensma Monitoring Program- Quarterly Quarterly OnBase PH-16-B PH-16-B Zolgensma Monitoring Program- Annual Zolgensma Monitoring Program- Annual Annual OnBase PH-17 PH-17 CAR-T Monitoring Program CAR-T Monitoring Program-Quarterly Quarterly OnBase PH-18 PH-18 Controlled Substance Management Program Enrollees Leaving Health Plan Controlled Substance Management Program Enrollees Leaving Health Plan- Monthly Monthly OnBase APPENDIX B Quality Improvement Goals
Appears in 3 contracts
Samples: www.mass.gov, www.mass.gov, www.mass.gov
Obligation To A Third Party. Under This Contract, Or Any Default By A Parent Corporation On Any Financial Obligation To A Third Party That Could In Any Way Affect The Contractor’s Ability To Satisfy Its Payment Or Performance Obligations. (Notification should be given Same Day) Ad-Hoc OnBase FR-25 FR-25 Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures That May Impact Performance (No later than 30 days prior to execution) Ad-Hoc No later than 30 days prior to execution OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-26 FR-26 Provider Risk Arrangements Provider Risk Arrangements Ad-Hoc OnBase FR-27 FR-27 Changes in Contractor’s Providers’ Risk Arrangements Changes in Contractor’s Providers’ Risk Arrangements (Notification: Same Day) Ad-Hoc OnBase FR-28 FR-28 Working Capital Requirement Notification Working Capital Requirement Notification (“if” working capital falls below 75% below the amount reported on the prior year audited financial reports) (Two Business Days) Ad-Hoc OnBase MCO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-29 FR-29 Continuing Services Reconciliation Data Continuing Services Reconciliation Data Ad-Hoc OnBase FR-30 FR-30 ABA Reconciliation Report ABA Reconciliation Report Annually Annual OnBase FR-31 FR-31 Medical Loss Ratio (MLR) Report Medical Loss Ratio (MLR) Report Annually OnBase FR-32 FR-32 Alternative Payment Models (APM) Report Alternative Payment Models (APM) Report Quarterly OnBase FR-33 FR-33 Provider Agreements Annual Provider Agreements Annual Annually Annual OnBase FR-34 FR-34 Provider Agreements – Ad-Hoc Provider Agreements – Ad-Hoc Ad-Hoc OnBase FR-35 FR-35 Report on Satisfying Contractor’s Payment Or Performance Obligations Report on Satisfying Contractor’s Payment Or Performance Obligations Ad-Hoc OnBase FR-37 FR-37 IMD Services Report Report on services provided to members with long term IMD stay Quarterly and Annually Annual OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-38 FR-38 Other High Cost Pharmacy Reconciliation Report Annual Other High Cost Pharmacy Risk Share Report Annually Annual OnBase FR-39 FR-39 SUD Reconciliation Report Annual SUD Risk Share Report Annually Annual OnBase FR-40 FR-40 Financial Encounter Validation Report Quarterly Financial Encounter Validation Report Quarterly and Annually Annual OnBase FR-41 [RETIRED] RESERVED FR-42 [RETIRED] FR-43 FR-43 Primary Care Sub-Capitation Payment Tracking Report Primary Care Sub-Capitation Payment Tracking Report FR-42 Certification on Compliance with Appendix Z Certification on Compliance With Appendix Z Monthly SFTP FR-44 FR-44 Community Partners Financial Report Quarterly and Annual Community Partners Financial Report Quarterly and Annually OnBase As Instructed F. ACO Health Equity Reporting ACO Operations Reports MCO Contract Exhibit Number Name of Report Deliverable Frequency Target System To be determined.OP-01 OP-01 Inbound Pharmacy Co-pay Interface to MMIS per Appendix M Inbound Pharmacy Co-pay Interface to MMIS per Appendix M Notification: Same Day POPS OP-02 OP-02 Inbound Managed Care Provider Directory Interface (ACPD) Inbound Managed Care Provider Directory Interface (ACPD) Monthly POSC OP-03 OP-03 Long-term Care Report Log Long-term Care Report Log Weekly OnBase OP-04 OP-04 Member Discrepancy Report Member Discrepancy Report Monthly OnBase OP-05 OP-05 Blank Rate Cell Report [RETIRED] OP-06 OP-06 Address Change File Address Change File Bi-Weekly OnBase OP-07 OP-07 Multiple ID File Multiple ID File Bi-Weekly OnBase OP-08 OP-08 Date of Death Report Date of Death Report Bi-Weekly OnBase G. Pharmacy Reports MCO Contract Exhibit Number Name of Report Deliverable Frequency Target System PH-01 PH-01 Pharmacy Claims Level Interface Plans use the Pharmacy Claims Level Interface to submit rebate data for Pharmacy claims. The original claims file submission is due within 5 calendar days following the close of the prior month. Monthly POPS Portal PH-02 PH-02 MassHealth Custom Interface Guide - 837 Medication Claims Plans use the MassHealth Custom Interface Guide - 837 Medication Claims - Paid Claims File Layout for Batch Interface to Pharmacy Systems to submit rebate data for 837 claims. The original claims file submission is due within 15 calendar days following the close of the prior month. Monthly POPS Portal PH-03 PH-03 Pharmacy Provider Network Identification Layout Pharmacy Provider Network Identification Layout Ad-Hoc POPS Portal MCO Contract Exhibit Number Name of Report Deliverable Frequency Target System PH-04-A PH-04-A Drug Utilization Review Report Drug Utilization Review Report (Note: Due by May 1st of each year) Annual Secure Email PH-04-B PH-04-B Clinical Information request for the DUR Board meeting Clinical Information request for the DUR board meeting Ad-Hoc Email PH-04-C PH-04-C Clinical Criteria for Prior Authorization and Utilization Management Clinical Criteria for Prior Authorization and Utilization Management Ad-Hoc Email PH-05-A PH-05-A Pharmacy MassHealth Drug Rebate File Submission Report Pharmacy MassHealth Drug Rebate File Submission Report for the plans to self- report monthly on the upload of the report PH-01 to the POPS Portal. The File Submission Report is due within 3 business days following the upload of PH-01. Monthly Email PH-05-B PH-05-B 837 MassHealth Drug Rebate File Submission Report 837 MassHealth Drug Rebate File Submission Report for the plans to self- report monthly on the upload of the report PH-02 to the POPS Portal. The File Submission Report is due within 3 business days following the upload of PH-02. Monthly Email PH-06 PH-06 837 Registration Form for Access to the MassHealth Drug Rebate Portal 837 Registration Form for Access to the MassHealth Drug Rebate Portal Ad-Hoc OnBase PH-07 PH-07 Pharmacy Retail Registration Form for Access to the MassHealth Drug Rebate Portal Pharmacy Retail Registration Form for Access to the MassHealth Drug Rebate Portal Ad-Hoc OnBase PH-08 PH-08 Clinical Policy Initiative Report Clinical Policy Initiative Report Ad-Hoc OnBase PH-09 PH-09 MassHealth ACO/MCO Uniform Preferred Drug List Compliance Report MassHealth ACO/MCO Uniform Preferred Drug List Compliance Report Ad-Hoc OnBase PH-10 PH-10 Hepatitis C Utilization Report Hepatitis C Utilization Report Ad-Hoc OnBase MCO Contract Exhibit Number Name of Report Deliverable Frequency Target System PH-11 PH-11 Pediatric BH Medication Initiative Report Pediatric BH Medication Initiative Report Ad-Hoc OnBase PH-12-A PH-12-A PBM Pricing Report - Quarterly PBM Pricing Report- Quarterly Quarterly POPS Portal, or as directed by EOHHS PH-12-B PH-12-B PBM Pricing Report - Ad-Hoc PBM Pricing Report- Ad-Hoc Ad-Hoc POPS Portal, or as directed by EOHHS PH-13 PH-13 Mail Order Pharmacy Program Report Mail Order Pharmacy Program Report- Ad-Hoc Ad-Hoc OnBase PH-14 PH-14 Change in BIN/PCN/Group Number Report Change in BIN/PCN/Group Number Report- Ad-Hoc (Note: Due at least 30-days before new BIN/PCN/Group Number is effective) Ad-Hoc OnBase PH-15 PH-15 Vitrakvi Monitoring Report Vitrakvi Monitoring Report- Quarterly Quarterly OnBase PH-16-A PH-16-A Zolgensma Monitoring Program- Quarterly Zolgensma Monitoring Program- Quarterly Quarterly OnBase PH-16-B PH-16-B Zolgensma Monitoring Program- Annual Zolgensma Monitoring Program- Annual (Note: Due February 28 each year) Annual OnBase PH-17 PH-17 CAR-T Monitoring Program CAR-T Monitoring Program-Quarterly Quarterly OnBase PH-18 PH-18 Controlled Substance Management Program Enrollees Leaving Health Plan Controlled Substance Management Program Enrollees Leaving Health Plan - Monthly Monthly OnBase APPENDIX B Quality Improvement Goals
Appears in 2 contracts
Samples: Masshealth Managed, www.mass.gov
Obligation To A Third Party. Under This Contract, Or Any Default By A Parent Corporation On Any Financial Obligation To A Third Party That Could In Any Way Affect The Contractor’s Ability To Satisfy Its Payment Or Performance Obligations. (Notification should be given Same Day) Ad-Hoc OnBase FR-25 FR-25 Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures That May Impact Performance (No later than 30 days prior to execution) Ad-Hoc No later than 30 days prior to execution OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-26 FR-26 Provider Risk Arrangements Provider Risk Arrangements Ad-Hoc OnBase FR-27 FR-27 Changes in Contractor’s Providers’ Risk Arrangements Changes in Contractor’s Providers’ Risk Arrangements (Notification: Same Day) Ad-Hoc OnBase FR-28 FR-28 Working Capital Requirement Notification Working Capital Requirement Notification (“if” working capital falls below 75% below the amount reported on the prior year audited financial reports) (Two Business Days) Ad-Hoc OnBase FR-29 FR-29 Continuing Services Reconciliation Data Continuing Services Reconciliation Data Ad-Hoc OnBase FR-30 FR-30 ABA Reconciliation Report ABA Reconciliation Report Annually OnBase FR-31 FR-31 Medical Loss Ratio (MLR) Report Medical Loss Ratio (MLR) Report Annually OnBase MCO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-32 FR-32 Alternative Payment Models (APM) Report Alternative Payment Models (APM) Report Quarterly OnBase FR-33 FR-33 Provider Agreements Annual Provider Agreements Annual Annually OnBase FR-34 FR-34 Provider Agreements – Ad-Hoc Provider Agreements – Ad-Hoc Ad-Hoc OnBase FR-35 FR-35 Report on Satisfying Contractor’s Payment Or Performance Obligations Report on Satisfying Contractor’s Payment Or Performance Obligations Ad-Hoc OnBase FR-37 FR-37 IMD Services Report Report on services provided to members with long term IMD stay Quarterly and Annually OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-38 FR-38 Other High Cost Pharmacy Reconciliation Report Annual Other High Cost Pharmacy Risk Share Report Annually OnBase FR-39 FR-39 SUD Reconciliation Report Annual SUD Risk Share Report Annually OnBase FR-40 FR-40 Financial Encounter Validation Report Quarterly Financial Encounter Validation Report Quarterly and Annually OnBase FR-41 [RETIRED] FR-42 [RETIRED] FR-43 FR-43 Primary Care Sub-Capitation Payment Tracking Report Primary Care Sub-Capitation Payment Tracking Report Monthly SFTP FR-44 FR-44 Community Partners Financial Report Quarterly and Annual Community Partners Financial Report Quarterly and Annually OnBase F. ACO MCO Health Equity Reporting ACO Contract MCOContract Exhibit Number Name of Report Deliverable Frequency Target System To be determined.
Appears in 1 contract
Samples: www.mass.gov
Obligation To A Third Party. Under This Contract, Or Any Default By A Parent Corporation On Any Financial Obligation To A Third Party That Could In Any Way Affect The Contractor’s Ability To Satisfy Its Payment Or Performance Obligations. (Notification should be given Same Day) Ad-Hoc OnBase FR-25 FR-25 Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures That May Impact Performance (No later than 30 days prior to execution) Ad-Hoc No later than 30 days prior to execution OnBase ACO MCO Contract Exhibit Number Name of Report Deliverable Frequency Target System (No later than 30 days prior to execution) FR-26 FR-26 Provider Risk Arrangements Provider Risk Arrangements Ad-Hoc OnBase FR-27 FR-27 Changes in Contractor’s Providers’ Risk Arrangements Changes in Contractor’s Providers’ Risk Arrangements (Notification: Same Day) Ad-Hoc OnBase FR-28 FR-28 Working Capital Requirement Notification Working Capital Requirement Notification (“if” working capital falls below 75% below the amount reported on the prior year audited financial reports) (Two Business Days) Ad-Hoc OnBase FR-29 FR-29 Continuing Services Reconciliation Data Continuing Services Reconciliation Data Ad-Hoc OnBase FR-30 FR-30 ABA Reconciliation Report ABA Reconciliation Report Annually OnBase FR-31 FR-31 Medical Loss Ratio (MLR) Report Medical Loss Ratio (MLR) Report Annually OnBase FR-32 FR-32 Alternative Payment Models (APM) Report Alternative Payment Models (APM) Report Quarterly OnBase FR-33 FR-33 Provider Agreements Annual Provider Agreements Annual Annually OnBase FR-34 FR-34 Provider Agreements – Ad-Hoc Provider Agreements – Ad-Hoc Ad-Hoc OnBase FR-35 FR-35 Report on Satisfying Contractor’s Payment Or Performance Obligations Report on Satisfying Contractor’s Payment Or Performance Obligations Ad-Hoc OnBase FR-37 FR-37 IMD Services Report Report on services provided to members with long term IMD stay Quarterly and Annually OnBase ACO FR-38 FR-38 Other High Cost Pharmacy Reconciliation Report Annually OnBase MCO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-38 FR-38 Other High Cost Pharmacy Reconciliation Report Annual Other High Cost Pharmacy Risk Share Report Annually OnBase FR-39 FR-39 SUD Reconciliation Report Annual SUD Risk Share Report Annually OnBase FR-40 FR-40 Financial Encounter Validation Report Quarterly Financial Encounter Validation Report Quarterly and Annually OnBase FR-41 [RETIRED] FR-42 [RETIRED] FR-43 FR-43 Primary Care Sub-Capitation Payment Tracking Report Primary Care Sub-Capitation Payment Tracking Report Monthly SFTP FR-44 FR-44 Community Partners Financial Report Quarterly and Annual Community Partners Financial Report Quarterly and Annually OnBase F. ACO Health Equity Reporting ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System To be determined.[RETIRED]
Appears in 1 contract
Samples: www.mass.gov
