Appendix_H_-_Overall_Review_Timeline.docx
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- HHSM-500-2015-RFP-0113
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Appendix H - Overall Review Timeline
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Appendix H – Overall Review Timeline
| Date |
| Medical Review Contractor (MRC) |
| Cost Audit Contractor (CAC) |
| 9/1 |
| Contract Award |
| Contract Award |
9/10
Send Data request and Survey to Plans
| 9/15 |
| Planning Meeting between MRC and CAC |
| Planning Meeting between MRC and CAC |
| 9/20 |
| Kick-off Meeting with CMS |
| Kick-off Meeting with CMS |
11/10
Data due from Plans
12/1
Provide Clean Reconciled database to MRC
| 12/14 |
| Sampling Plan Due to CMS (2 weeks after reconciled database received) |
| 1/1 |
| Entrance Conference - Sample to Plan (10 days after sampling plan approved) |
| Entrance Conference |
| 3/1 |
| Preliminary Exit Conference. Preliminary List of Exceptions to Plan - Supporting documentation due from the Plan. Provide an additional 30 days for outstanding info. |
| Preliminary Exit Conference |
| 4/1 |
| Final Due date for supporting documentation |
| 5/1 |
| Complete documentation review. Submit draft report to CMS and CAC & Final List of Exceptions to Plan |
| 6/1 |
| Estimated 1 month review period for CMS |
| 6/12 |
| Final Report Due to CMS - Sent to CAC |
| Exception report received from MRC |
| 7/1 |
| Final Exit Conference (At most, 120 days following Preliminary Exit) |
| Final Exit Conference - Incorporate MRC's adjustments and submit agree/disagree letter to the Plan. |
- Submit complete Exit Conference Report to CMS and Plan.
7/14
Agree/Disagree Letter returned from Plan
| 7/21 |
| Reply to any rebuttals from the Plan. Send to CAC. |
| Rebuttal reply received from MRC. |
- Update draft as necessary
8/1
Submit finalized draft to CMS (30 Days following Final Exit)
8/7
Estimate of CMS review complete and draft approved.
| 8/12 |
| CAC's Finalized Report submitted to CMS |
| Final Report Submitted to CMS (5 business days following approval). |
Note:
The timeline above demonstrates workflow between the MRC and CAC. The dates are not actual dates, but only for the purpose of illustrating project completion. In addition, the timeline is not inclusive of all requirements included in the SOW. The contractor shall reference the SOW and Appendix A, Schedule of Deliverables, for discussion of all requirements.
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