Attachment 2 - Reporting Requirements.docx

This attachment outlines the reporting requirements for the Nebraska Medicaid Enrollment Broker (EB) contract administered by the state's Medicaid and Long-Term Care (MLTC) division. The EB must submit comprehensive monthly reports by the 15th of each month covering call center operations, enrollment activities, primary care physician selections, health plan changes, grievances, fraud and waste investigations, and website performance metrics. Additionally, the EB must provide quarterly reports on open enrollment changes, ad hoc reports within five business days of request, and various annual submissions including audit reports, security audits, systems refresh plans, ownership disclosures, and member education plans. All reports must be submitted using MLTC-provided templates or in formats approved by the state, with due dates adjusted to the next business day when they fall on weekends or state-recognized holidays.

The reporting structure establishes accountability across operational, financial, and compliance domains. Annual submissions include a fully executed engagement letter with the CPA due by December 1st, audit reports by June 1st, systems refresh plans by January 31st, an independent security audit completed at the EB's expense within 30 days of completion, federal ownership disclosures by January 31st, and member education plans by November 30th. An executive dashboard and operational summary must be provided monthly to track service level agreements and enrollment metrics. The file does not specify pricing terms, set-asides, incumbent information, or funding amounts, focusing exclusively on the ongoing operational and compliance reporting obligations required throughout the contract term.