300 305 Reporting Requirements As required by the CONTRACT, the CONTRACTOR must submit reports to the DEPARTMENT. Reports must be submitted by SECURE email to the DEPARTMENT, the sFTP DEPARTMENT’S site, or other method as specified by the DEPARTMENT, in the format and timeframe specified by the DEPARTMENT. The DEPARTMENT reserves the right to modify reporting requirements as deemed necessary to monitor the CONTRACT and programs. Instructions and specific due dates will be provided by the DEPARTMENT annually. Unless otherwise requested by the DEPARTMENT, each report must be specific to data from the PHARMACY BENEFIT PLAN, not general data from the book of business. CONTRACTOR’S Report Description Frequency Claims The CONTRACTOR notifies the DEPARTMENT twice monthly Semi-Monthly Invoicing during the term of this AGREEMENT and informs the DEPARTMENT in writing by submission of an invoice showing Pharmacy the amount due from the DEPARTMENT to the Claims CONTRACTOR. See , 1, . (1) Reimbursement Cycle I: Encompasses prescription claims processed day one (1) through day fifteen (15). CONTRACTOR will electronically send an invoice to DEPARTMENT two (2) DAYS after the end of the cycle. Cycle II: Encompasses prescription claims processed day sixteen (16) through the last day of the month. CONTRACTOR will electronically send an invoice to DEPARTMENT two (2) DAYS after the end of the cycle. Claims The CONTRACTOR notifies the DEPARTMENT monthly Monthly Invoicing during the term of this AGREEMENT and informs the DEPARTMENT in writing by submission of an invoice showing Member the amount due from the DEPARTMENT to the Claims CONTRACTOR. See , , . (2) Reimbursement Each cycle consists of one month, always ending on the last day of the month. The CONTRACTOR will electronically send an invoice to the DEPARTMENT two (2) DAYS after the end of the cycle
300 305 Reporting Requirements As required by the CONTRACT, the CONTRACTOR must submit reports to the DEPARTMENT. Reports must be submitted by SECURE email to the DEPARTMENT, the DEPARTMENT’S sFTP site, or other method as specified by the DEPARTMENT, in the format and timeframe specified by the DEPARTMENT. The DEPARTMENT reserves the right to modify reporting requirements as deemed necessary to monitor the CONTRACT and programs. Instructions and specific due dates will be provided by the DEPARTMENT annually. Unless otherwise requested by the DEPARTMENT, each report must be specific to data from the PHARMACY BENEFIT PLAN, not general data from the CONTRACTOR’S book of business. Report Description Frequency Claims Invoicing Pharmacy Claims Reimbursement The CONTRACTOR notifies the DEPARTMENT twice monthly during the term of this AGREEMENT and informs the DEPARTMENT in writing by submission of an invoice showing the amount due from the DEPARTMENT to the CONTRACTOR. See , 1, . (1) Cycle I: Encompasses prescription claims processed day one (1) through day fifteen (15). CONTRACTOR will electronically send an invoice to DEPARTMENT two (2) DAYS after the end of the cycle. Cycle II: Encompasses prescription claims processed day sixteen (16) through the last day of the month. CONTRACTOR will electronically send an invoice to DEPARTMENT two (2) DAYS after the end of the cycle. Semi-Monthly Claims Invoicing Member Claims Reimbursement The CONTRACTOR notifies the DEPARTMENT monthly during the term of this AGREEMENT and informs the DEPARTMENT in writing by submission of an invoice showing the amount due from the DEPARTMENT to the CONTRACTOR. See , , . (2) Each cycle consists of one month, always ending on the last day of the month. The CONTRACTOR will electronically send an invoice to the DEPARTMENT two (2) DAYS after the end of the cycle Monthly
Exhibit1_PBP_Agreement_Rev.docx