knowledge, interact with members, and exhibit professional appearance and behavior. Time over which standard is measured: Quarter PG-6 Account Plan representatives will Report Card - 0.01% of fees for Management return all messages Vendor to maintain each delayed received from DBM log for review by response. (whether voice mail, the contract or other auditor. communication method) promptly. Messages Frequency of received before 12 Noon report: Quarterly will be replied to the same day. Messages received after 12 Noon will be replied to by 12 Noon of the following business day. Time over which standard is measured: Quarter PG-7 Delivery of Delivery to the State by Date-stamp of .20% of fees for Quarterly Plan 6:00 pm on the receipt by the each week, or Performance following dates**: State. fraction thereof Measurement First Quarter that Report Card Frequency of Report Card to the (Jan Mar) is not received. – report: Quarterly State Due: May 1st Second Quarter (Apr Jun) – Due: August 1st Quarter (Jul Sep) – Due: November 1st Fourth Quarter (Oct Dec) – Due: February 1st PG-8 Delivery of Delivery to the State by Quarterly 6:00 pm on the receipt by Utilization and following dates**: Benefit Case Management First Quarter i.e., Data Reports (Jan to Mar) mailing – the State and Due: the May 1st data
knowledge, interact with members, and exhibit professional appearance and behavior. Time over which standard is measured: Quarter PG-6 Account Management Plan representatives will return all messages received from DBM (whether voice mail, or other communication method) promptly. Messages received before 12 Noon will be replied to the same day. Messages received after 12 Noon will be replied to by 12 Noon of the following business day. Time over which standard is measured: Quarter Report Card - Vendor to maintain log for review by the contract auditor. Frequency of report: Quarterly 0.01% of fees for each delayed response. PG-7 Delivery of Quarterly Plan Performance Measurement Report Card to the State Delivery to the State by 6:00 pm on the following dates**: Date-stamp of receipt by the State. Frequency of report: Quarterly .20% of fees for each week, or fraction thereof that Report Card is not received. First Quarter (Jan – Mar) Due: May 1st Second Quarter (Apr – Jun) Due: August 1st Quarter (Jul – Sep) Due: November 1st Fourth Quarter (Oct – Dec) Due: February 1st PG-8 Delivery of Quarterly Utilization and Case Management Data Reports to the State and the Delivery to the State by 6:00 pm on the following dates**: receipt by Benefit i.e., mailing data First Quarter (Jan – Mar) Due: May 1st
DentalPlanAttachmentT-DHMOform.docx