SPAP Implementation Questionnaire Clause Samples

SPAP Implementation Questionnaire. ‌ The SPAP Implementation Questionnaire asks a series of questions of the data sharing partner that assists the BCRC and the partner in setting up the data sharing exchange process. These questions are intended to help you think through some of the issues which need to be addressed before you begin the data exchange and to assure that both the CMS and the SPAP partner are in agreement as to the operational process involved. SPAP partners must fill out, sign and return a copy of the Questionnaire to the CMS with their signed SPAP Data Sharing Agreement. The Questionnaire is also identified as Attachment C in the materials that new SPAP data sharing partners will acquire at the start of the implementation process. Chapter 4: Working with the Data ‌ 4.1 Updates to the SPAP Process‌ Some partners have seen an “ID” value in the Rx Current Disposition Code field (Field 19) for some records in their Response files. The “ID” Disposition Code is being caused by an identification error (an “ID” error) at the MBD, one of the systems feeding data to the BCRC. The records on Input Files from our partners are matched against MBD records. The ID Disposition Code problem arises in some cases because the BCRC tries to apply an incoming record to the MBD, but the MBD does not find any existing record for that particular beneficiary, even though the MBD has already told the BCRC that the record exists. Fortunately, while this is only happening in a very limited number of cases an SPAP might still get some records with the “ID” code, seeming to show that the MBD matching process does not identify the incoming record. However, response records transmitted to the SPAP do include whatever Medicare information the BCRC had already received from MBD and stored for that beneficiary in the BCRC’s own database. While the beneficiary’s data cannot yet be validated absent a confirmation of acceptance from MBD, CMS staff continues to work to resolve this data reporting problem. The MBD feed to the BCRC includes Co-Pay Level ID data for both the LIS and Deemed categories. Field 55 shows LIS Co-Pay Level ID information. Field 56 shows Deemed Co-Pay Level ID information. Partners should note that it is possible for an individual to have both LIS and Deemed Co-Pay Level ID information. For such individuals, the Deemed Co-Pay Level ID information in Field 56 takes priority over the LIS Co-Pay Level ID information in Field 55. Please review Fields 55 and 56 on the SPAP Response File layout, loc...