Mark YES if the AE has a protocol that contains all required elements. Mark NO if the AE does not have a protocol or not all required elements exist. NOTE - Identify whether there is no protocol or what elements are missing. 21a. Documentation was located. R The AE has located the Auto-authorization protocol. AE OA, Section 6.16 Mark YES if documentation was located. Mark NA if no remediation action is required or another remediation action was selected. 21b. The AE develops a protocol that R The AE develops a protocol that contains all the required elements as outlined in the AE OA, Section 6.16 contain all required elements Operating Agreement. Mark YES if the AE develops a protocol that contain all required elements. Mark NA if no remediation action is required or another remediation action was selected. 21c. Other remediation action R The reviewer can accept documentation of "other" remediation actions taken by the AE OA, Section 6.16 AE to comply with the requirements of the Operating Agreement. The reviewer records in comment field the REMEDIATION ACTION (RA) taken by the AE to remediate. Mark YES if the AE submitted remediation documentation. Mark NA if no remediation action is required or another remediation action was selected. 21d. If YES, when: R The reviewer calculates the number of days between the notification date to the AE AE OA, Section 6.16 and the remediation action date. The reviewer chooses the appropriate time frame from the drop down. Mark NA if no remediation action was necessary or if no remediation action was taken by the AE. 21e. Remediation action outstanding - R Mark YES if referred for appropriate follow-up as a result of no remediation AE OA, Section 6.16 referred to appropriate staff for follow action within 90 days of notification of the review findings. Utilize the comment up. field to record follow-up action. Mark NA if the issue was remediated or if no remediation was required.
Mark YES if the AE has a protocol that contains all required elements. Mark NO if the AE does not have a protocol or not all required elements exist. NOTE - Identify whether there is no protocol or what elements are missing. 21a. Documentation was located. R The AE has located the Auto-authorization protocol. Mark YES if documentation was located. Mark NA if no remediation action is required or another remediation action was selected. AE OA, Section 6.16 21b. The AE develops a protocol that contain all required elements R The AE develops a protocol that contains all the required elements as outlined in the Operating Agreement. Mark YES if the AE develops a protocol that contain all required elements. Mark NA if no remediation action is required or another remediation action was selected. AE OA, Section 6.16 21c. Other remediation action R The reviewer can accept documentation of "other" remediation actions taken by the AE to comply with the requirements of the Operating Agreement. The reviewer records in comment field the REMEDIATION ACTION (RA) taken by the AE to remediate. Mark YES if the AE submitted remediation documentation. Mark NA if no remediation action is required or another remediation action was selected. AE OA, Section 6.16 21d. If YES, when: R The reviewer calculates the number of days between the notification date to the AE and the remediation action date. The reviewer chooses the appropriate time frame from the drop down. Mark NA if no remediation action was necessary or if no remediation action was taken by the AE. AE OA, Section 6.16 21e. Remediation action outstanding - referred to appropriate staff for follow up. R Mark YES if referred for appropriate follow-up as a result of no remediation action within 90 days of notification of the review findings. Utilize the comment field to record follow-up action. Mark NA if the issue was remediated or if no remediation was required. AE OA, Section 6.16
AE+C1Y2+TOOL.DOCX