CY Quarter 1: January 1 March 31 – CY Quarter 2: April 1 - June 30 CY Quarter 3: July 1 September 30 – CY Quarter 4: October 1 December 31 – Semi-Annual Deliverables: Deliverables due by the last business day of the month following the end of the reporting period, unless otherwise specified. The semi-annual reporting periods are as follows: January 1 June 30 – July 1 December 31 – Deliverables due by the last business day of the month Annual Deliverables: following the end of the reporting period, unless otherwise specified (Contract Year: January 1 -- December 31) Deliverables are due whenever the Contractor has relevant Ad Hoc Deliverables: changes or information to report, or upon EOHHS request related to Behavioral Health, Contract Management, Financial, Quality, Pharmacy, and Operations deliverables as applicable. A. Report and Compliance Certification Checklist: Exhibit C-1 - The Contractor shall list, At the time of first quarterly submission and subsequently thereafter sign and submit a Certification of Data Accuracy for all Contract Management (also check off, including Coordination of Benefits, Hospital Utilization, Fraud and Abuse, Encounter Data and Drug Rebate claims data), Behavioral Health, Financial, Operations and Quality reports/submissions, certifying that the information, data and documentation being submitted by the Contractor is true, accurate, and complete to the best of the Contractor’s knowledge, information and belief, after reasonable inquiry. B. Contract Management Reports ACO Name of Report Deliverable Contract Frequency Exhibit Number CM-1 Serious Reportable Events (SREs) and Provider Preventable Notification: Conditions (PPCs) Within 7 (including Health care Acquired Conditions calendar days (HCACs) and Other Provider Preventable Conditions (OPPCs) of occurrence CM-2 Summary of Serious Reportable Events (SREs) and Provider Annual Report Preventable Conditions (PPCs) CM-3 Member Telephone Statistics Monthly
CY Quarter 1: January 1 – March 31 CY Quarter 2: April 1 - June 30 CY Quarter 3: July 1 – September 30 CY Quarter 4: October 1 – December 31 Semi-Annual Deliverables: Deliverables due by the last business day of the month following the end of the reporting period, unless otherwise specified. The semi-annual reporting periods are as follows: January 1 – June 30 July 1 – December 31 Annual Deliverables: Deliverables due by the last business day of the month following the end of the reporting period, unless otherwise specified (Contract Year: January 1 -- December 31) Ad Hoc Deliverables: Deliverables are due whenever the Contractor has relevant changes or information to report, or upon EOHHS request related to Behavioral Health, Contract Management, Financial, Quality, Pharmacy, and Operations deliverables as applicable. A. Report and Compliance Certification Checklist: Exhibit C-1 At the time of first quarterly submission and subsequently thereafter - The Contractor shall list, check off, sign and submit a Certification of Data Accuracy for all Contract Management (also including Coordination of Benefits, Hospital Utilization, Fraud and Abuse, Encounter Data and Drug Rebate claims data), Behavioral Health, Financial, Operations and Quality reports/submissions, certifying that the information, data and documentation being submitted by the Contractor is true, accurate, and complete to the best of the Contractor’s knowledge, information and belief, after reasonable inquiry. B. Contract Management Reports ACO Contract Exhibit Number Name of Report Deliverable Frequency CM-1 Serious Reportable Events (SREs) and Provider Preventable Conditions (PPCs) (including Health care Acquired Conditions (HCACs) and Other Provider Preventable Conditions (OPPCs) Notification: Within 7 calendar days of occurrence CM-2 Summary of Serious Reportable Events (SREs) and Provider Preventable Conditions (PPCs) Annual Report CM-3 Member Telephone Statistics Monthly