EXHIBIT C3 ME REQUIRED REPORTS, PLANS, AND FUNCTIONAL TASKS – All Requirements in Table 2 must be submitted to the Contract Manager electronically and be uploaded to the ME’s secure web-based document vault. Table 2 Required Submissions – Section Requirement Required by Frequency Due No Later Than: # Required Reports and Plans Provider Tangible Property Inventory Section B-7.2 Initial; Initial: within 30 days of execution; Template 1 Guidance 2 and Annually Annual: July 31 Regional planning documents Section C-1.1.2 As Needed As Needed Every 3 years, Triennial Needs Assessment Section C-1.1.3 October 31 beginning 2016 Managing Entity Annual Business Operations Plan Section C-1.1.6 Annually July 31 Template 4 Plan for Reintegrating Discharge-Ready Individuals Section C-1.1.7 Annually July 15 Record Transition Plan Section C-1.1.8 Once Within 90 days of execution Guidance 3 Annually, beginning Enhancement Plan Section C-1.1.12 September 1 2017 Initial; and Initial: within 60 days of execution; Care Coordination Plan Section C-1.2.2 Annual Update Annual Update: July 15 Section C-1.3.4 Once Within 60 days of execution Fraud and Abuse Prevention Protocol Initial; and Initial: within 60 days of execution; Quality Assurance Plan Section C-1.3.5.2 Annual Update Annual Update August 31 Initial; and Initial: within 30 days of execution; Network Service Provider Management Plan Section C-1.4.1 Annual Update Annual Update: July 31 Within 60 days of execution Information Technology Plan Section C-1.5.6 Once Reviewed annually Procurement Policy Section C-2.2.5 Within 90 days of execution Network Service Provider’s EOG/OPB Return on Investment Projected Section C2-3.2.1 Annually July 20 Estimates Network Service Provider’s EOG/OPB Actual Return on Investment Section C2-3.2.2 Quarterly October 20, January 20, April 20, July 20 Reports ALF-LMH Annual Plan Guidance 8 Annual December 1 Template 5 National Voters Registration Act Quarterly Report Guidance 25 Quarterly January 10; April 10; July 10; October 10 Required Financial Forms and Documents
EXHIBIT C3 – ME REQUIRED REPORTS, PLANS, AND FUNCTIONAL TASKS All Requirements in Table 2 must be submitted to the Contract Manager electronically and be uploaded to the ME’s secure web-based document vault. Table 2 – Required Submissions Section # Requirement Required by Frequency Due No Later Than: Required Reports and Plans Provider Tangible Property Inventory Template 1 Section B-7.2 Guidance 2 Initial; and Annually Initial: within 30 days of execution; Annual: July 31 Regional planning documents Section C-1.1.2 As Needed As Needed Triennial Needs Assessment Section C-1.1.3 Every 3 years, beginning 2016 October 31 Managing Entity Annual Business Operations Plan Template 4 Section C-1.1.6 Annually July 31 Plan for Reintegrating Discharge-Ready Individuals Section C-1.1.7 Annually July 15 Record Transition Plan Guidance 3 Section C-1.1.8 Once Within 90 days of execution Enhancement Plan Section C-1.1.12 Annually, beginning 2017 September 1 Care Coordination Plan Section C-1.2.2 Initial; and Annual Update Initial: within 60 days of execution; Annual Update: July 15 Fraud and Abuse Prevention Protocol Section C-1.3.4 Once Within 60 days of execution Quality Assurance Plan Section C-1.3.5.2 Initial; and Annual Update Initial: within 60 days of execution; Annual Update August 31 Network Service Provider Management Plan Section C-1.4.1 Initial; and Annual Update Initial: within 30 days of execution; Annual Update: July 31 Information Technology Plan Section C-1.5.6 Once Within 60 days of execution Reviewed annually Procurement Policy Section C-2.2.5 Within 90 days of execution Network Service Provider’s EOG/OPB Return on Investment Projected Estimates Section C2-3.2.1 Annually July 20 Network Service Provider’s EOG/OPB Actual Return on Investment Reports Section C2-3.2.2 Quarterly October 20, January 20, April 20, July 20 ALF-LMH Annual Plan Template 5 Guidance 8 Annual December 1 National Voters Registration Act Quarterly Report Guidance 25 Quarterly January 10; April 10; July 10; October 10 Required Financial Forms and Documents
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