Common use of Quarterly Operational Reports Clause in Contracts

Quarterly Operational Reports. The state must submit progress reports no later than 60 days following the end of each quarter for every demonstration year (DY) within the format outlined in Appendix A. The intent of these reports is to present the state’s data along with an analysis of the status of the various operational areas under the demonstration. These quarterly reports must include, but are not limited to: a) Quarterly expenditures for the demonstration population, with administrative costs reported separately; b) Quarterly enrollment reports for demonstration enrollees (enrollees include all individuals enrolled in the demonstration) that include the member months for each DY, as required to evaluate compliance with the budget neutrality agreement and as specified in STC 33; c) Total number of participants served monthly during the quarter for each DY (participants include all individuals who obtain one or more covered family planning services through the demonstration); d) Events occurring during the quarter, or anticipated to occur in the near future that affect health care delivery, benefits, enrollment, systems, grievances, quality of care, access, payment rates, pertinent legislative activity, eligibility verification activities, eligibility redetermination processes (including the option to utilize administrative redetermination), and other operational issues; e) Notification of any changes in enrollment and/or participation that fluctuate 10 percent or more in relation to the previous quarter within the same DY and the same quarter in the previous DY; f) Action plans for addressing any policy, administrative or budget issues identified; g) An updated budget neutrality monitoring worksheet; and h) Evaluation activities and interim findings.

Quarterly Operational Reports. The state State must submit progress reports no later than 60 days following the end of each quarter for every demonstration Demonstration year (DY) within the format outlined in Appendix A. The intent of these reports is to present the stateState’s data along with an analysis of the status of the various operational areas under the demonstrationDemonstration. These quarterly reports must include, but are not limited to: a) Quarterly expenditures for the demonstration Demonstration population, with administrative costs reported separately; b) Quarterly enrollment reports for demonstration Demonstration enrollees (enrollees include all individuals enrolled in the demonstrationDemonstration) that include the member months for each DY, as required to evaluate compliance with the budget neutrality neutral agreement and as specified in STC 33; c) Total number of participants served monthly during the quarter for each DY (participants include all individuals who obtain one or more covered family planning services through the demonstrationDemonstration); d) Events occurring during the quarter, or anticipated to occur in the near future that affect health care delivery, benefits, enrollment, systems, grievances, quality of care, access, payment rates, pertinent legislative activity, eligibility verification activities, eligibility redetermination processes (including the option to utilize administrative redetermination), and other operational issues; e) Notification of any changes in enrollment and/or participation that fluctuate 10 percent or more in relation to the previous quarter within the same DY and the same quarter in the previous DY; f) Action plans for addressing any policy, administrative or budget issues identified; g) An updated budget neutrality monitoring worksheet; h) Progress updates to the transition plan as specified in STC 27; and hi) Evaluation activities and interim findings.

Quarterly Operational Reports. The state must submit progress reports no later than 60 days following the end of each quarter for every demonstration year (DY) within the format outlined in Appendix A. The intent of these reports is to present the state’s data along with an analysis of the status of the various operational areas under the demonstration. These quarterly reports must include, but are not limited to: a) Quarterly expenditures for the demonstration population, with administrative costs reported separately; b) Quarterly enrollment reports for demonstration enrollees (enrollees include all individuals enrolled in the demonstration) that include the member months for each DY, as required to evaluate compliance with the budget neutrality neutral agreement and as specified in STC 33; c) Total number of participants served monthly during the quarter for each DY (participants include all individuals who obtain one or more covered family planning services through the demonstration); d) Events occurring during the quarter, or anticipated to occur in the near future that affect health care delivery, benefits, enrollment, systems, grievances, quality of care, access, payment rates, pertinent legislative activity, eligibility verification activities, eligibility redetermination processes (including the option to utilize administrative redetermination), and other operational issues; e) Notification of any changes in enrollment and/or participation that fluctuate 10 percent or more in relation to the previous quarter within the same DY and the same quarter in the previous DY; f) Action plans for addressing any policy, administrative or budget issues identified; g) An updated budget neutrality monitoring worksheet; and h) Evaluation activities and interim findings.

Quarterly Operational Reports. The state must submit progress reports no later than 60 days following the end of each quarter for every demonstration year (DY) within the format outlined in Appendix A. The intent of these reports is to present the state’s data along with an analysis of the status of the various operational areas under the demonstration. These quarterly reports must include, but are not limited to: a) Quarterly expenditures for the demonstration population, with administrative costs reported separately; b) Quarterly enrollment reports for demonstration enrollees (enrollees include all individuals enrolled in the demonstration) that include the member months for each DY, as required to evaluate compliance with the budget neutrality neutral agreement and as specified in STC 3335; c) Total number of participants served monthly during the quarter for each DY (participants include all individuals who obtain one or more covered family planning services through the demonstration); d) Events occurring during the quarter, or anticipated to occur in the near future that affect health care delivery, benefits, enrollment, systems, grievances, quality of care, access, payment rates, pertinent legislative activity, eligibility verification activities, eligibility redetermination processes (including the option to utilize administrative redetermination), and other operational issues; e) Notification of any changes in enrollment and/or participation that fluctuate 10 percent or more in relation to the previous quarter within the same DY and the same quarter in the previous DY; f) Action plans for addressing any policy, administrative or budget issues identified; g) An updated budget neutrality monitoring worksheet; and h) Evaluation activities and interim findings.

Quarterly Operational Reports. The state must submit progress reports no later than 60 days following the end of each quarter for every demonstration year (DY) within the format outlined in Appendix A. The intent of these reports is to present the state’s data along with an analysis of the status of the various operational areas under the demonstration. These quarterly reports must include, but are not limited to: a) Quarterly expenditures for the demonstration population, with administrative costs reported separately; b) Quarterly enrollment reports for demonstration enrollees (enrollees include all individuals enrolled in the demonstration) that include the member months for each DY, as required to evaluate compliance with the budget neutrality neutral agreement and as specified in STC 3334; c) Total number of participants served monthly during the quarter for each DY (participants include all individuals who obtain one or more covered family planning services through the demonstration); d) Events occurring during the quarter, or anticipated to occur in the near future that affect health care delivery, benefits, enrollment, systems, grievances, quality of care, access, payment rates, pertinent legislative activity, eligibility verification activities, eligibility redetermination processes (including the option to utilize administrative redetermination), and other operational issues; e) Notification of any changes in enrollment and/or participation that fluctuate 10 percent or more in relation to the previous quarter within the same DY and the same quarter in the previous DY; f) Action plans for addressing any policy, administrative or budget issues identified; g) An updated budget neutrality monitoring worksheet; and h) Evaluation activities and interim findings.