J.1.g_Appendix_G_-_Overall_Review_Timeline.pdf

Appendix G – 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).