2_SectionJFinal.doc

PART III

SECTION J - LIST OF J ATTACHMENTS

Attachment Number Description Attachment J-1

Glossary

Attachment J-2

Award Fee Plan

Attachment J-3

QIO Communication Handbook

Attachment J-4

Specific Manual Sections

Attachment J-5

Data Supplied by CMS

Attachment J-6

ERB User’s Guide

Attachment J-6a

Purchase Request User’s Guide

Attachment J-7

Budget Assumptions Attachment J-8

9th SOW Business Proposal Format (Instructions) Attachment J-8a

9th SOW Business Proposal Format Spreadsheet Attachment J-8a

9th SOW Disparities Business Proposal Spreadsheet

Format

9th SOW Patient Pathways Business Proposal Spreadsheet Format

9th SOW CKD Business Proposal Spreadsheet

Format

Attachment J-9

Consent to Subcontract

Attachment J-10

Patient Pathways (Care Transitions)

Appendix A – Details on Measures Attachment J-10a

Patient Pathways (Care Transitions)

Hardcopy Reference Materials Attachment J-11

HHS Form 565

Attachment J-12

SDPS Site Plan and Inventory

Attachment J-13

Data Use Agreement

Attachment J-14

***Department of Labor Wage Determination

Attachment J-15

Remedy’s HHS-22 – Items List Report Attachment J-15a

Remedy’s HHS-22 – Items Summary Report Attachment J-16

Question and Answer Template

Attachment J-17

****List of Facilities with Greatest Opportunity for

Improvement in Each Individual Measure

Attachment J-18

Sample Subcontracting Plan Format

Attachment J-19

Past Performance Questionnaire and Instructions

Attachment J-20

****Case Review Volume Assumptions Note:

***QIOs shall utilize the most recent Department of Labor Wage Determination which can be accessed on www.wdol.gov

****This attachment will be forward at the time of Q&A amendment

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