Attachment D- MPR Template- Dental Network.docx

DOCX document 265 KB Posted

Attached to
Q503--CCN Next Gen - Dental Network
Solicitation number
36C10G26R0004
Issued by

About this file

The document is a Monthly Progress Report (MPR) template for the Department of Veterans Affairs Community Care Network (CCN) Dental Network contract. The template provides a structured framework for contractors to report monthly performance, including sections for contract information, external communication, network adequacy, cost and expenditures, schedule summary, completed and planned activities, risks and issues, and corrective actions. Key reporting components include tracking budget utilization, meeting schedules, program milestones, risk assessments, and improvement initiatives, with placeholders for detailed quantitative and qualitative information across multiple tables and sections.

The template corresponds to Solicitation Number 36C10G26R0004 for the CCN Next Generation Dental Network, issued by the Department of Veterans Affairs. The solicitation is a combined synopsis/solicitation under FAR Part 12.6, seeking a third-party administrator to support the Community Care Network's dental services. The template is designed to enable comprehensive monthly reporting on contract performance, ensuring transparency and accountability in delivering timely, accessible, and high-quality care to Veterans through the dental network program.

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Other files

File Type Posted
36C10G26R0004 0013 CCN Next Gen - Dental Network Amendment.pdf PDF
Attachment 3 - CCN Next Gen Dental Network Pricing Template.xlsx XLSX spreadsheet
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36C10G26R0004 0012 CCN Next Gen - Dental Network Amendment.pdf PDF
36C10G26R0004 0011 CCN Next Gen - Dental Network Amendment.pdf PDF
Attachment 2-CCN Next Gen Dental Network Contractor Manual_03_06_26 v3.pdf PDF
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Attachment Ca - QASP Dental by CA_02_24_26 v2.pdf PDF
Attachment 1 - CCN Next Gen Dental Network PWS_02_25_26 v2.pdf PDF
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Attachment C- Performance Requirement Summary- Dental Network _V2.xlsx XLSX spreadsheet
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Attachment 2- CCN Next Gen Dental Contractor Manual_v1.0.pdf PDF
Next Gen Dental Combined Synopsis_Solicitation_v2.pdf PDF
Attachment 4- Phase I Questionnaire- Dental Network.pdf PDF
Attachment R- Dental Network Provider Satisfaction Survey- Dental Network.xlsx XLSX spreadsheet
Attachment N- Scheduling Return Reason Codes- Dental Network.docx DOCX document
Attachment Mc- 837I CCN Next Gen Companion Guide- Dental Network.pdf PDF
Attachment J- Data Specifications- Dental Network.xlsx XLSX spreadsheet
Attachment C- Performance Requirement Summary- Dental Network.xlsx XLSX spreadsheet
Attachment 1- CCN Next Gen Dental Network PWS.docx DOCX document
Attachment O- Dental Volumes by Station- Dental Network.xlsx XLSX spreadsheet
Attachment Me- Pre-Adjudication 277CA Community Care Network Companion Guide- Dental Network.pdf PDF
Attachment Mb- 837D CCN Next Gen Companion Guide- Dental Network.pdf PDF
Attachment I- CCN Veteran Explanation of Benefits EOB Template- Dental Network.docx DOCX document
Attachment H- Eligibility Verification and Enrollment Data Exchange- Dental Network.docx DOCX document
Attachment E- PMR Template- Dental Network.pptx PPTX presentation
Attachment Ca- QASP- Dental Network.docx DOCX document
Attachment A- Community Care Network Stakeholders List- Dental Network.docx DOCX document
36C10G26R0004 Next Gen Dental vFINAL 12.14.25_LC.docx DOCX document
Attachment 3- CCN Next Gen Dental Pricing Template.xlsx XLSX spreadsheet
Attachment Q- Network Adequacy Rate Waiver Form- Dental Network.pdf PDF
Attachment Md- 837P CCN Next Gen Companion Guide-Dental Network.pdf PDF
Attachment Ma- EDI 834 Healthcare Provider Information Companion Guide- Dental Network.pdf PDF
Attachment K- VA MOU ISA Template- Dental Network.docx DOCX document
Attachment G- Required Dental Provider Information- Dental Network.docx DOCX document
Attachment F- Network Waiver Request- Dental Network.pdf PDF
Attachment B- Project Risk Register- Dental Network.xlsx XLSX spreadsheet
Next Gen Dental Combined synopsis_solicitation_Final_12.15.2025.docx DOCX document
36C10G26R0004_3.docx DOCX document
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DEPARTMENT OF VETERANS AFFAIRS

Community Care Network

Monthly Progress Report

[THIRD PARTY ADMINISTRATOR]

Reporting Period: [MONTH] [YEAR]

CONTRACT INFORMATION

This section provides an overview of the contractor's information, including the contract number, representatives, and performance period details.

Contractor Name: [Contractor Name] Contract #: [Contract Number] Contracting Officer’s Representatives (COR): [COR Name(s)] Contractor’s Project Leader: [Project Lead Name] Contract Period of Performance: [Dates for the Period of Performance (PoP)] Elapsed Period of Performance: [Percentage of PoP]

CONTRACT SUMMARY

This section summarizes the contractor’s objectives, goals, and activities supporting the Community Care Network (CCN). It highlights the contractor's commitment to providing timely, accessible, and high-quality care to Veterans.

[Insert summary of contractor’s objectives, goals, and activities supporting the Community Care Network (CCN). Include alternate information if applicable.] External Communication and Feedback This section outlines the contractor’s outreach efforts, including communication with hospital associations, congressional staffers, and Veteran advocates. Contractors may provide additional written details about new and continuing efforts in external communications, feedback received, and improvements implemented.

The table below displays the actions that occurred during the previous quarter:

Table 1 External Communication Summary Table

Action
Description
Date of Completion
Action
Description
DD/MM/YYYY

Network Adequacy Meeting Updates This section provides updates on monthly Network Adequacy Meetings, including schedules and collaboration efforts with VA Medical Centers. Contractors may provide additional written details about new or ongoing efforts to improve network adequacy and meeting outcomes.

The table below displays the VA-approved Monthly Network Adequacy Meeting schedule for all Region X sites:

Table 2 Network Adequacy Meeting Schedule Table

Region
Phase
VISN
Site
VAMC
Services Go-live
Date of Initial Network Adequacy Meeting
Network Adequacy Meetings Set
#
#
VISN #
#
City, State
DD/MM/YYYY
DD/MM/YYYY
DD/MM/YYYY, Time

HIGH-LEVEL COST AND EXPENDITURES SUMMARY

This section provides a summary of costs and expenditures for the reporting period, including budget utilization and remaining funds. Contractors may include additional written details about cost management strategies, budget adjustments, or challenges encountered.

Table 3 Cost and Expenditures Summary Table

Reporting Period
Term (Base Period OR Option Period N)
Total PoP to Date
Plan
Actual
Variance
Plan
Actual
Variance
Total Budget
Total Budget Utilized
Remaining
CLIN budgeted/proposed per month
Amount invoiced
Amount above or below Plan
Firm fixed price budgeted/proposed per month
Amount invoiced
Amount above or below Plan
-
-
-

SCHEDULE SUMMARY

This section highlights the program’s milestone tasks and activities performed during the reporting period. Contractors may provide additional written details about new and ongoing efforts to meet schedule milestones, address delays, or improve project timelines.

Table 4 Schedule Summary Table

Schedule
Status
Total Tasks
Pending Tasks
Closed Tasks
Open Tasks
Actual Completion
Plan Completion
Condition
Milestone Name
Status
#
#
#
#

Percentage Complete

Percentage Complete

Condition

ACTUAL ACTIVITIES FOR THE PRECEDING MONTH

This section lists the critical path activities completed during the preceding month, sourced from the Integrated Master Schedule (IMS). Contractors may provide additional written details about the significance of completed activities and their impact on the program.

Table 5 Preceding Month Activities and Accomplishments

Unique ID
Program Accomplishment – Prior Month
Actual Finish
Percent Complete
ID #
Accomplishment Description
DD/MM/YYYY
%

PLANNED ACTIVITIES FOR NEXT MONTH

This section outlines the activities planned for the next reporting period, sourced from the Integrated Master Schedule (IMS). Contractors may provide additional written details about the importance of planned activities and strategies for successful implementation.

Table 6 Summary of Planned Activities for Next Month

Unique ID
Program Accomplishment – Next Month
Projected to Finish
Percent Complete
ID #
Planned Accomplishment Description
DD/MM/YYYY
%

RISKS AND ISSUES SUMMARY

This section identifies significant risks and issues related to the program sourced from the Project Risk Register. Contractors may provide additional written details about mitigation strategies, ongoing efforts to address risks, and collaboration with VA to resolve issues.

Table 7 Issues Summary Table

Issue ID
Problem Statement
Description
Analysis and Notes
Date Due
ID #
Statement
Description
Analysis
DD/MM/YYYY

Table 8 Risks Summary Table

ID
Problem Statement
Description
Risk Probability
Risk Impact
Risk Rating
Risk Mitigation/Avoidance Plan or Risk Contingency Plan
Date Due
ID #
Statement
Description
%
Impact
#
Plan
DD/MM/YYYY

CORRECTIVE ACTIONS AND IMPROVEMENTS

This section provides updates on corrective actions requested by VA and self-reported improvements made by the contractor. Contractors may provide additional written details about ongoing corrective actions and improvements.

VA REQUESTED CORRECTIVE ACTIONS

[Insert details or leave blank if no corrective actions are reported.]

ISSUE BRIEF RESPONSE

[Insert detailed response to VA Issue Briefs, including root cause analysis, corrective actions, and implementation updates.]

INTERNAL IMPROVEMENTS

[Insert details of self-reported corrective actions and improvements.]

Authorized Use Only Attachment D – Monthly Progress Report Template image1.png

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