Obligation To A Third Party. Under This Contract, Or Any Default By A Parent Corporation On Any Financial Obligation To A Third Party That Could In Any Way Affect The Contractor’s Ability To Satisfy Its Payment Or Performance Obligations. (Notification should be given Same Day) Ad-Hoc OnBase FR-25 FR-25 Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures That May Impact Performance (No later than 30 days prior to execution) Ad-Hoc No later than 30 days prior to execution OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-26 FR-26 Provider Risk Arrangements Provider Risk Arrangements Ad-Hoc OnBase FR-27 FR-27 Changes in Contractor’s Providers’ Risk Arrangements Changes in Contractor’s Providers’ Risk Arrangements (Notification: Same Day) Ad-Hoc OnBase FR-28 FR-28 Working Capital Requirement Notification Working Capital Requirement Notification (“if” working capital falls below 75% below the amount reported on the prior year audited financial reports) (Two Business Days) Ad-Hoc OnBase FR-29 FR-29 Continuing Services Reconciliation Data Continuing Services Reconciliation Data Ad-Hoc OnBase FR-30 FR-30 ABA Reconciliation Report ABA Reconciliation Report Annually OnBase FR-31 FR-31 Medical Loss Ratio (MLR) Report Medical Loss Ratio (MLR) Report Annually OnBase FR-32 FR-32 Alternative Payment Models (APM) Report Alternative Payment Models (APM) Report Quarterly OnBase FR-33 FR-33 Provider Agreements Annual Provider Agreements Annual Annually OnBase FR-34 FR-34 Provider Agreements – Ad-Hoc Provider Agreements – Ad-Hoc Ad-Hoc OnBase FR-35 FR-35 Report on Satisfying Contractor’s Payment Or Performance Obligations Report on Satisfying Contractor’s Payment Or Performance Obligations Ad-Hoc OnBase FR-37 FR-37 IMD Services Report Report on services provided to members with long term IMD stay Quarterly and Annually OnBase ACO Contract Exhibit Number Name of Report Deliverable Frequency Target System FR-38 FR-38 Other High Cost Pharmacy Reconciliation Report Annual Other High Cost Pharmacy Risk Share Report Annually OnBase FR-39 FR-39 SUD Reconciliation Report Annual SUD Risk Share Report Annually OnBase FR-40 FR-40 Financial Encounter Validation Report Quarterly Financial Encounter Validation Report Quarterly and Annually OnBase FR-41 [RETIRED] FR-42 [RETIRED] FR-43 FR-43 Primary Care Sub-Capitation Payment Tracking Report ...
Obligation To A Third Party. Under This Contract, Or Any Default By A Parent Corporation On Any Financial Obligation To A Third Party That Could In Any Way Affect The Contractor’s Ability To Satisfy Its Payment Or Performance Obligations. (Notification should be given Same Day) Ad-Hoc OnBase FR-25 FR-25 Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures Significant Organizational Changes, New Material Subcontractors, or Potential Business Ventures That May Ad-Hoc No later than 30 days prior to OnBase
