Measured annually. Provision of Draft Draft Plan Document Receipt date as $500 per calendar Plan Documents including all required documented by day for the updates provided to the vendor and three days the Certificate/ State at least three confirmed by document is not Evidence of months prior to the first State. received. Coverage day of the plan year. Document $1,000 per calendar day for each day the document is not received for the fourth day and beyond. Provision of Final Final Plan Document Receipt date as $500 per calendar Plan Documents including all required documented by day for the edits and in a format vendor and three days the ready for posting to confirmed by document is not State intranet is State. received. returned to the State no later than 45 days prior $1,000 per to the start of the plan calendar day for year. each day the document is not received for the fourth day and beyond. DBM Claims Plan will provide Receipt date as $500 per calendar Eligibility Audits response files to documented by day for the first Department’s Audit vendor and three days the Unit within 14 business confirmed by document is not days of receipt of error received. report from $1,000 per Department. calendar day for each day the document is not received for the fourth day and beyond. *Determination of results and any applicable damages will be conducted by the contract auditor. Note: If due date for any PG falls on a state / vendor holiday or a weekend, document is due on the next business day.
Measured annually. Provision of Draft Plan Documents Certificate/ Evidence of Coverage Document Draft Plan Document including all required updates provided to the State at least three months prior to the first day of the plan year. Receipt date as documented by vendor and confirmed by State. $500 per calendar day for the three days the document is not received. $1,000 per calendar day for each day the document is not received for the fourth day and beyond. Provision of Final Plan Documents Final Plan Document including all required edits and in a format ready for posting to State intranet is returned to the State no later than 45 days prior to the start of the plan year. Receipt date as documented by vendor and confirmed by State. $500 per calendar day for the three days the document is not received. $1,000 per calendar day for each day the document is not received for the fourth day and beyond. DBM Claims Eligibility Audits Plan will provide response files to Department’s Audit Unit within 14 business days of receipt of error report from Department. Receipt date as documented by vendor and confirmed by $500 per calendar day for the first three days the document is not received. $1,000 per calendar day for each day the document is not received for the fourth day and beyond. *Determination of results and any applicable damages will be conducted by the contract auditor. Note: If due date for any PG falls on a state / vendor holiday or a weekend, document is due on the next business day.
SLEOLAMedical_FA3_POS-SF.docx