J.23 Government Provided Proposal Assumptions

J.23 GOVERNMENT PROVIDED PROPOSAL ASSUMPTIONS

See RFP Section L.12

1. CONTRACT AWARD DATE

The Centers for Medicare & Medicaid Services (CMS) anticipates awarding the Part A and Part B Medicare Administrative Contractor (A/B MAC) contract award for Jurisdiction E (JE) on or about May 29, 2020, with a contract effective date of June 1, 2020. JE includes the states of California, Hawaii, and Nevada, as well as the U.S. territories of American Samoa, Guam, and Northern Mariana Islands.

2. IMPLEMENTATION CUTOVER DATE

a. Implementation Cutover Date

The Offeror shall use the Implementation cutover dates developed by CMS (see table below) when developing its proposed CLIN 0001 costs associated with its Jurisdiction Implementation Project Plan. Completion of the movement of the Jurisdiction to the incoming MAC shall occur as specified in Table 2 below. The Offeror shall assume that CMS will assign new Medicare workload identification numbers to the JE Part A and Part B workloads, effective at cutover, consistent with Change Request (CR) #6259.

At the implementation cutover date, the outgoing MAC ceases Medicare operations and the incoming MAC begins to perform Medicare business functions (CLIN 0002) for that jurisdiction. The following table considers each individual Customer Information Control System (CICS) Production region as an individual “segment.” Table 1 below identifies all of the CICS Production regions in JE. In addition, the breakdown of User Acceptance Testing (UAT) regions for JE mirrors the configuration (the same number and breakdown) of Production regions for JE.

For proposal purposes, the Offeror shall assume that CMS will support the build-out of new CICS production and UAT regions to mirror the configuration employed by the outgoing MAC as shown in Table 1, in order to support simulation testing and the conversion of claims history to the Offeror’s own claims history edit/audit taxonomy; further, the Offeror shall assume that CMS will arrange for necessary implementation support from the maintainers of the FISS, MCS, and CWF systems as well as the Virtual Data Center and the CWF host; provided, however, the Offeror may propose an alternative approach to Implementation period simulation testing, claims history, and CICS region build-out as permitted by (and only as permitted by) the proposal submission instructions at RFP, L.13.5, Tab F.

Table 1: Implementation Cutover Dates

b. HIGLAS

All workloads have been converted to the Healthcare Integrated General Ledger Accounting System (HIGLAS); moreover, for proposal purposes, Offerors shall assume that the JE accounting operations have already been consolidated to one HIGLAS "organization ID" for Part A and one HIGLAS “organization ID” for Part B.

c. Joint Operating Agreements; Operational Start Dates; CLIN Start/End Dates

Joint Operating Agreements (JOAs) between functional contractors impacting the new MACs shall be executed prior to the operational start date. (See the Statement of Work (SOW) section C.6.1 for more information on required JOAs.) The operational start date is defined as the date that the MAC assumes all Medicare functions from an outgoing contract and is capable of processing Medicare claims for that jurisdiction. Please refer to the implementation cutover dates in the chart above for the operational start dates. The dates are depicted in the timeline below:

Attachment J.23 Government Provided Proposal Assumptions (GPPA)

RFP # 75FCMC19R0023

January 10, 2019 Page 1 of 13

Implementation and Base Periods: 06/01/2020 – 05/31/2021

Overlapping Implementation and Base Periods are shown below:

Base Period for Part A (CLIN 0002 begins) starts 10/01/2020 and ends 05/31/2021.

Base Period for Part B starts 12/01/2020 and ends 05/31/2021.

CLIN 0001 - Implementation

CLIN 0002 – Base Period

Start of CLIN 0002 Start of Part A Base Period

Table 2: Estimated Period of Performance Dates for CLINs 0001 – 0009

Part B 06/01/2020 – 09/30/2020 06/01/2020 – 11/30/2020

Part B 10/01/2020 – 05/31/2021 12/01/2020 – 05/31/2021

Part B 10/01/2020 – 05/31/2021 12/01/2020 – 05/31/2021

3. JURISDICTION E – FACILITIES POPULATION BY TYPE

Within the Government Provided Proposal Assumptions Audit & Reimbursement (A&R) Tables, Attachment J.23A, there is a tab titled “Facilities by Type” which presents the health care facilities populations, by type, that will be served by the A/B JE MAC. The Offeror shall use these facility counts when proposing hours and costs for its provider audit and reimbursement activities (in addition to the workloads in the BOE, Attachment J.22) as well as provider education and outreach activities, when completing the BOE and the Business Proposal.

Below is a brief description of the tables that are presented on the “Facilities by Type” tab in Attachment J.23.A:

· Table 3: Hospital Population by Type

· Table 4: Other Facilities Population by Type

· Table 5: Total Freestanding Facilities

· Table 6: Hospital Based Subproviders Populations by Type

4. JURISDICTION E – FACILITIES BY STATE

Within the Government Provided Proposal Assumptions A&R Tables, Attachment J.23.A, there is a tab titled “Facilities by State” which presents the health care facilities populations by state and type that will be served by the A/B JE MAC. For JE, the Offeror shall assume a total of 800 “out-of-jurisdiction” facility-type providers, many of which are chain affiliated providers. The Offeror shall assume that it will service all of these facilities for all periods of performance (BY, OYs 1-6). The Offeror shall use these volumes when proposing hours and costs for its provider audit and reimbursement activities as well as provider education and outreach activities when completing the BOE and the Business Proposal. The total health care facility mix of the A/B JE MAC will be comprised of the providers listed in Table #7-8.

Below is a brief description of the tables that are presented on the “Facilities by State” tab of Attachment J.23.A:

· Table 7: Jurisdiction E Facilities By State – Facilities Within Jurisdiction

· Table 8: Jurisdiction E Facilities By State – Facilities Out of Jurisdiction

5. JURISDICTION E ESTIMATED ANNUAL WORKLOADS

Within the Government Provided Proposal Assumptions A&R Tables, Attachment J.23.A, there are tables that present additional specificity for the health care facilities populations, by type, for the states of California, Hawaii, and Nevada, U.S. territories American Samoa, Guam, and Northern Mariana Islands, and other facilities outside of the three states and three U.S. territories serviced by JE. The additional specificity is intended to relay more information relative to the level of effort required for the audit workload of the facility population for this jurisdiction. The Offeror shall use this information when proposing hours and costs for its provider audit and reimbursement activities (in addition to the workloads in the BOE, Attachment J.22) when completing the BOE and the Business Proposal.

Below is a brief description of the tables that are presented on the “Estimated Annual Workloads” tab of Attachment J.23.A:

· Table 9: Estimated Annual Workloads – Cost Report/Cost Statement Acceptance

· Table 10: Estimated Annual Workloads – Tentative Settlement

· Table 11: Estimated Annual Workloads – Full Desk Reviews

· CMS used the numbers and types of providers in this jurisdiction to estimate the reasonable number of direct labor hours expected to complete the OY1 full desk review workload as shown in the Basis of Estimate. CMS will use this estimate when reviewing proposals for this workload. Offerors that propose to adjust the CMS-estimated hours for full desk reviews must explain why the adjustment is reasonable.

· Table 12: Estimated Annual Workloads – Limited Desk Reviews

· CMS used the numbers and types of providers in this jurisdiction to estimate the reasonable number of direct labor hours expected to complete the OY1 limited desk review workload as shown in the Basis of Estimate. CMS will use this estimate when reviewing proposals for this workload. Offerors that propose to adjust the CMS-estimated hours for limited desk reviews must explain why the adjustment is reasonable.

· Table 13: Estimated Annual Workloads – Audits

· CMS used the numbers and types of providers in this jurisdiction to estimate the reasonable number of direct labor hours expected to complete the OY1 audit workload as shown in the Basis of Estimate. CMS will use this estimate when reviewing proposals for this workload. Offerors that propose to adjust the CMS-estimated hours for audits must explain why the adjustment is reasonable.

· Table 14: Estimated Annual Workloads – Number of Interim Rates

· Table 15: Estimated Annual Workloads – Reimbursement Areas

· Table 16: Estimated Annual Workloads – PIP Providers

· Table 17: Estimated Annual Workloads – Cost Report Settlements

· Table 18: Estimated Annual Workloads –Reopenings

· Table 19: Estimated Annual Workloads – Cost Report Appeals

· Table 20: Estimated Annual Workloads – Cost Report Preliminary Position Papers by Provider Type

· Table 21: Estimated Annual Workloads – Wage Index

· Table 22: Estimated Annual Workloads – S-10 Reviews

· Table 23: Estimated Annual Workloads – HITECH

· Table 24: Estimated Annual Workloads – File Maintenance

· Table 25: Estimated Annual Workloads - Special Payment Status

· Table 26: Special Audits

6. ELECTRONIC DATA INTERFACE INQUIRIES

For proposal purposes, the Electronic Data Interface Inquiries (EDI) workloads are included in the overall inquiries workloads provided in the BOE (Attachment J.22). Offerors shall prepare proposals assuming that a workload transition will generate higher EDI inquiries during the Implementation and Base Year of the contract. Also, CMS anticipates that inquiries (inclusive of EDI inquiries) will increase as a result of the implementation of the New Medicare Card. The inquiry workloads in the BOE have been increased to reflect the expected increase during the projected implementation timeframe for the New Medicare Card. The Offeror shall use the overall inquiries volumes when proposing hours and costs for the overall inquiries workloads.

7. CHANGE REQUESTS

CMS updated SOW section C.5.4.8 Participation in Change Management Process to remove the specific 46,200 hours reference. The change management information provided in the Basis of Estimate (BOE) remains the same. Offerors shall use the BOE as directed for proposal purposes. CMS issues approximately 633 draft change requests (CRs) to Medicare Contractors, Shared System Maintainers (SSMs), and the Common Working File (CWF) Maintenance Contractor for review and comment each year. This is otherwise known as the Point of Contact (POC) Review period, which is described in detail in section C.5.4.8 of the SOW, Participation in Change Management Process and includes the review of corrections. On average, a draft CR will go through approximately three rounds of POC review. Annually, approximately 480 of the draft CRs are issued in final for implementation and approximately 127 corrected CRs are issued annually. Annually, approximately 325 of those issued CRs result in changes to the Part A and/or Part B Shared Systems and the Common Working File. See the BOE (Attachment J.22) for specific workload assumptions.

8. REFERENCES TO MANUALS IN THE SOW

The Offeror shall prepare their proposal based upon the version of the Manuals (both the Internet-Only Manual (IOM) and Paper-Based Manuals) as of the date of the RFP release. In the event of any conflict, the Statement of Work (Attachment J.1) has precedence over the IOM, which in turn has precedence over the Paper-Based Manuals. The Offeror shall not respond to manual changes issued after the RFP release date unless otherwise instructed by CMS.

9. RECORDS RETENTION ASSUMPTIONS

For A/B MAC Jurisdiction E the Offeror shall assume 2,179 boxes of hard copy Medicare records located in an Iron Mountain facility. The current breakout of this total by locale is provided in the chart below. All boxes are currently stored in a National Archives and Records Administration (NARA) compliant facility that is certified by CMS and approved by NARA. These boxes are not required to be moved, but they must be maintained as directed by CMS in a NARA certified facility.

For proposal purposes, the Offeror may assume that zero (0) boxes of Medicare records will need to be moved to a CMS certified NARA compliant facility. The approximately 2,179 boxes of hard copy Medicare records for this Jurisdiction may be transferred via a tri-partite agreement (or a chain of custody agreement) between the current JE contractor, their file storage subcontractor, and the incoming JE contractor. CMS will approve this subcontract agreement prior to final execution by all parties. If the Offeror is moving these files, they need to be moved prior to the end of CLIN 0002 Base Year of the new JE contract.

The Offeror shall also include in their proposal (CLINs 0002 – 0015) the ongoing costs of storing a total of 2,179 boxes of Medicare records in a NARA compliant facility. The Offeror shall also provide an estimate of additional and ongoing storage costs for boxes of any hard-copy program records to be created during the performance of this new JE contract, and include these costs in their proposal. For instance, records created during CLIN 0002 would need to be stored for the balance of CLIN 0002, as well as for CLINs 0003-0015 (to the extent required by the federal records destruction schedule), etc. For proposal purposes, Offerors shall use the conversion factor that one (1) box = 1.2 cubic feet.

Table 27: Records Storage Facilities

10. MANAGEMENT OF PAPER BILLS/CLAIMS

In the management of paper bills and claims addressed in section C.5.8 of the SOW (Attachment J.1), the electronic images from the outgoing contractor will be transferred to the incoming contractor. For proposal purposes, the Offeror shall assume that the formats of these images are compatible with their systems. Additional information regarding the images from the outgoing contractor will be provided after contract award and during the implementation period.

11. ELECTRONIC DOCUMENT AND DATA RETRIEVAL

For obtaining, reading and storing historical electronic files addressed in section C.5.3 of the SOW (Attachment J.1): for proposal purposes, Offerors shall assume that historical electronic file formats are compatible with their systems. Additional information will be provided after contract award and during the implementation period.

12. PARTICIPATION IN CONFERENCES

In accordance with section C.5.4.7 of the SOW (Attachment J.1), the contractor shall participate in conferences. For proposal purposes, Offerors shall plan for 12 conferences annually, four (4) attendees at each conference, and two (2) overnights at each conference.

In addition to the 12 conferences, the Offeror shall also propose to attend two (2) CMS Security Control Oversight and Update Training (CSCOUT) conferences annually in February and August, with three (3) overnights at each conference attended by the MAC System Security Officer (SSO).

The Offeror shall propose to the following conferences and workgroups in the Provider Customer Service (PCSP) functional area: (a) In accordance with section C.5.4.7 of the SOW, a Provider Customer Service Program Conference once a year. Three (3) contractor staff may attend from a jurisdiction. Attendees will typically include a high-level representative from provider outreach and education, provider contact center, and provider self-service (IVR system, website, portal). (b) A Monthly Provider Customer Service Program User Group teleconference. Contractor jurisdiction representatives knowledgeable about provider outreach and education activities, provider contact center operations (telephone and written inquiries), and IVR, website, and portal operations/functions may attend. (c) Periodic workgroups (about two (2) per year) with CMS staff to address PCSP issues. Generally, a contractor jurisdiction would have two (2) representatives on each workgroup (a primary and a secondary) who are familiar with the issues to be addressed. The workgroups always meet by teleconference, usually on a monthly basis.

13. PROVIDER OUTREACH AND EDUCATION – DIRECT MAILINGS

For proposal purposes, Offerors shall plan for two (2) direct mailings a year, to all enrolled providers within their jurisdiction, in accordance with the Internet Only Manual Pub 100-9, Chapter 6 located at: IOM Pub 100-9, Chapter 6 (https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/com109c06.pdf)

14. HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT (HITECH)

The JE A/B MAC shall perform the activities required by section C.5.11.3.6 of the SOW (Attachment J.1). For proposal purposes, Offerors shall assume that the JE MAC has successfully accomplished the initial data load activities mentioned in this SOW provision. For proposal purposes, Offerors shall include costs associated with (1) Change Requests pertaining to HITECH incentive payment and audit requirements prior to or on the date of the RFP; and (2) periodic data maintenance activities as required by the SOW provision. CMS may define further HITECH requirements and add them to the MAC SOW as a post-award contract modification. CMS Regulations pertaining to the HITECH program (CMS-0033-F) are located in the Federal Register at: Federal Register: Medicare and Medicaid Programs; Electronic Health Record Incentive Program (https://www.federalregister.gov/documents/2010/07/28/2010-17207/medicare-and-medicaid-programs-electronic-health-record-incentive-program)

15. BANKING

CMS provides banking services to MACs through standard commercial banking contracts between the commercial bank and CMS. The new A/B JE MAC workload will be assigned to US Bank for their MAC Medicare Bank Account.

Effective February 2012, CMS no longer provides lockbox services as part of these standard commercial banking contracts. Therefore, Offerors shall include as part of this proposal any costs associated with creating their own subcontract for lockbox services. If the Offeror utilizes lockboxes, but wishes to change their banking procedures for this contract such that lockboxes are no longer needed for MAC functions, the Offeror shall include all associated implementation costs in their proposal.

Scenario: The MAC Contractor could coordinate with CMS and its assigned bank to open a lockbox and link that lockbox with the MAC’s Medicare Bank Account. In this example, the MAC Contractor would have to form a separate subcontract with the Bank to pay for the use of the lockbox, which shall be billed as an expense to the MAC Contract for which it has been established.

16. FREEDOM OF INFORMATION REQUESTS

Offerors will note that Freedom of Information Act (FOIA) workload has been included in the BOE (Attachment J.22).

17. STATEMENT OF STANDARDS FOR ATTESTATION ENGAGEMENTS #18

CMS updated SOW section C.5.4.10.4 Statement on Standards for Attestation Engagements 18 (SSAE 18), Offerors will no longer be required to procure a contract with an audit firm for the SSAE 18 audits. All MACs will be required to comply with the Statement of Standards for Attestation Engagements #18 (SSAE 18) auditing procedures as described in the SOW (Attachment J.1) section C.5.4.10.4.

18. MEDICARE BENEFICIARY IDENTIFIER (formerly known as SOCIAL SECURITY NUMBER REMOVAL INITIATIVE) The passage of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (PL 114-10 s.501) on April 16, 2015, legislates the replacement of the Social Security Number (SSN) based Health Insurance Claim Number (HICN) from the Medicare Card. Implementation of this law occurred in April 2019. For proposal purposes, Offerors will be aware that instructions and future direction on the New Medicare Card will be directed through the Change Request Process as necessary.

19. ALJ HEARINGS PARTICIPATION/SUPPORT

The Offeror shall provide the assumptions used to allocate the workload volume between Part A and Part B ALJ Hearings Participation/Support in Proposal Volume II, TAB C, Offeror Proposal Assumptions.

20. PARTICIPATING PHYSICIANS PART B WORKLOADS

The Base Year volume for Participating Physicians Part B Workloads is dependent on the timing of the start of operations. Offerors shall assume, for JE proposal purposes, that they will be responsible for these workloads during the Base Year (i.e., Offerors will disregard the timeline in item #2 above for this one purpose only). See the BOE (Attachment J.22) for specific workload assumptions.

21. PM & MIP PROVIDER CUSTOMER SERVICE, PROVIDER OUTREACH AND EDUCATION

For PM & MIP Provider Customer Service, Provider Outreach and Education activities, the Offeror shall reference the tables below containing the provider population for the specified jurisdiction. It is up to the Offeror to determine the workload appropriate for each type of provider outreach and education activity. There are no CMS-specified staffing or workload requirements, so the Offeror must develop their own strategy for how they can best service the provider populations identified. Based on its strategy, the Offeror shall enter its workloads and supporting direct labor resources into the BOE (Attachment J.22). Any assumptions or narrative explanations shall be included in Proposal Volume II, TAB C, Offeror Proposal Assumptions.

PM & MIP Provider Customer Part A Workload For these workloads referenced above in items #3 and #4, and found in the BOE, Attachment J.22, it is up to the Offerors to determine the workload appropriate for each type of provider outreach and education activity. There are no minimum staffing requirements for this function, as long as SOW (Attachment J.1) and IOM requirements are met. Offerors must develop their own strategy for how they can best service the provider population.

Table 28: Part A Providers

PM & MIP Provider Customer Service Part B Workload The numbers provided below represents the provider population for the specified Jurisdiction by state. It is up to the Offerors to determine the workload appropriate for each type of provider outreach and education activity. There are no minimum staffing requirements for this function, as long as SOW (Attachment J.1) and IOM requirements are met. Offerors must develop their own strategy for how they can best service the provider population.

Table 29: Part B Providers

22. WEB PORTAL INQUIRIES TRANSACTIONS

CMS has removed the Web Portal Inquiries workload subcategory from the Provider Inquiries Part A and Part B workload category in the BOE. Additional rows have been added to the BOE to provide the number of Web Portal Inquiries - Transactions Received and Web Portal Inquiries - Transactions Returned, as defined in the Instructions tab of the Basis of Estimate. Offerors have been provided the workload numbers for Part A and Part B Web Portal Inquiries - Transactions Received and Web Portal Inquiries - Transactions Returned for proposal purposes. Offerors shall apply their own local experience to determine and propose to the portion of web portal inquiries transactions that require some level manual intervention.

23. PROVIDER TELEPHONE INQUIRIES

For proposal purposes, CMS provided Attachment J.23.B, Government Provided Proposal Assumptions CSR-Handled Telephone Inquiries Tables, which shall be completed by all Offerors. Offerors shall provide additional data and details in proposals as directed in Volume II, Tab C, Offeror Proposal Assumptions and Volume III, Tab F, RFP L.13.5. Specifically, for the provider telephone inquiry workload, the Offeror shall provide the basis for the Offeror's proposed CSR-handled telephone inquiries workload volume; if the Offeror proposes to adjust (overwrite) the CMS-provided CSR-handled telephone inquiry workloads in Column F, the Offeror's explanation for doing so must be clear and complete.

24. OUTGOING CONTRACTOR PENDING AND BACKLOGS

For proposal purposes, Offerors will anticipate all pending workloads will be within acceptable, normal ranges. In addition, Offerors will assume any known backlogs are included in workloads provided in the BOE (Attachment J.22).

25. HOMELAND SECURITY PRESIDENTIAL DIRECTIVE (HSPD) 12

Offerors will be aware that instructions and future direction on HSPD 12 (policies for a common identification standard for federal employees and contractors) and Personal Identity Verification (PIV) credential requirements will be directed through the Change Request Process as timeframes and related activities are determined. For proposal purposes, Offerors are required to include estimated costs to comply with solicitation section H.20 CMS Security Clause (APR 2016) only.

26. MEDICAL REVIEW WORKLOADS

Offerors will be aware that the several Medical Review workload subcategories and numbers provided in the BOE (Attachment J.22) have been developed based on CR 9809 and CR 10249. The workload numbers provided in the new category, “Prepay and Postpay Medical Record Provider Specific Probe Review” were developed based on previous MR workload categories including Prepay Complex Reviews - Service and Provider Specific, Probe Reviews - Prepay and Postpay Complex - Provider and Services Specific, and Postpay Complex Reviews. CMS no longer requires Offerors to break out this workload by pre and post pay reviews when proposing its staffing plan in the BOE. The Medical Review (MR) One-on-One Education workloads were developed consistent with the One-on-One definition in IOM 100-8 Program Integrity Manual (PIM) Chapter 7.2.2.18 One-on-One Education and in the PIM Chapter 3.2.5 Targeted Probe and Educate (TPE). Further details for One-on-One Education as relates to the TPE is found in CR 10249 and CR 10963.

27. PROVIDER ENROLLMENT REASSIGNMENTS

CMS has added a line in the Basis of Estimate (Attachment J.22) for Part B Reassignments. The workload number on the Reassignment line is the total receipts of stand-alone Reassignments. The workload numbers on both the Initials and Changes lines are inclusive of associated Reassignments, as appropriate. The Offeror shall use this information when proposing hours and costs for its provider enrollment activities.

28. HIGH RISK FRAUD, WASTE, OR ABUSE AREAS (C.7.19)

The Offeror shall prepare their proposal based on the understanding that the workload associated with this jurisdiction specific activity is not different from activities associated with other Unified Program Integrity Contractor (UPIC) referrals, payment suspensions, etc. For proposal purposes, the workloads are included in the MIP Benefit Integrity UPIC Support workloads in the BOE (Attachment J.22). In addition, for proposal purposes, CMS directs Offerors to report cost for this jurisdiction specific activity, C.7.19, in WBS C.5.13 as the workload is combined in the BOE. The C.7.19 workloads are included in the Law Enforcement workloads. For proposal purposes, offerors shall develop proposals with the expectation that the High Risk Fraud, Waste, or Abuse, C.7.19 activities equate to 20% of the Law Enforcement workload.

29. MEDICARE HEALTHCARE PROVIDER INTERVENTION PROGRAM (MPIP)

The goal of this program is to educate providers who are engaged in behavior that is potentially fraudulent, wasteful or abusive on proper claims billing practices in order to reduce the Medicare claims payment error rate. The JE MAC shall document all provider education interactions and shall monitor claims to evaluate the effectiveness of the MAC’s education efforts. If overpayment(s) are identified during the course of this program, the JE MAC shall adhere to the requirements in CMS IOM Publication 100-06, Medicare Financial Management Manual when recovering monies owed to Medicare and will notify the business owners of MPIP, the Division of Modeling and Analytics, of their intent to recover such monies.

The activities that Offerors will undertake within MPIP are the same as activities conducted in general MAC activities such as examining data related to payment errors and the education of providers on claims accuracy. After contract award, CMS will work with the MAC to develop and control the MPIP workload volumes. The Offeror shall prepare their proposal based on the annual workload assumptions provided in the chart below.

Table 30: MPIP Workload

30. KEY PERSONNEL CHANGE

CMS updated SOW section C.5.4.1 Key Personnel, to remove the UPIC Liaison Key Personnel. CMS added a Key Personnel requirement for a Provider Enrollment Manager. The Provider Enrollment Manager shall manage and oversee all provider enrollment activities specified in the Statement of Work (C.5.5) and the Internet-Only Manuals (IOM 100-08, Chapter 15).

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