Common use of Quarterly Operational Reports Clause in Contracts

Quarterly Operational Reports. The state must submit quarterly progress reports in the format specified in Attachment E no later than 60 days following the end of each quarter. The intent of these reports is to present the State’s analysis and the status of the various operational areas under the demonstration. These quarterly reports must include, but are not limited to: a. Updated budget neutrality and allotment neutrality monitoring spreadsheets; b. Events occurring during the quarter or anticipated to occur in the near future that affect health care delivery including approval and contracting with new plans; benefits; cost- sharing, enrollment; grievances; quality of care; access; health plan financial performance that is relevant to the demonstration; pertinent legislative activity; and other operational issues; c. Action plans for addressing any policy and administrative issues identified; d. Any changes the state made or plans to make to the demonstration as a Category I or II change; e. The number of individuals enrolled in each major program of the Comprehensive demonstration; including, but not limited to TANF and related programs, the extended family planning program; each of the limited benefit programs; and ABD with breakouts for the LTC reform community and institutional programs; f. The number of individuals served by and costs of the Marketplace Subsidy program; and g. Evaluation and Quality Assurance and Monitoring activities and interim findings.

Quarterly Operational Reports. The state State must submit quarterly progress reports in the format specified in Attachment E F no later than 60 days following the end of each quarter. The intent of these reports is to present the State’s analysis and the status of the various operational areas under the demonstration. These quarterly reports must include, but are not limited to: a. a) Updated budget neutrality and allotment neutrality monitoring spreadsheets; b. b) Events occurring during the quarter or anticipated to occur in the near future that affect health care delivery including approval and contracting with new plans; benefits; cost- sharing, enrollment; grievances; quality of care; access; health plan financial performance that is relevant to the demonstrationDemonstration; pertinent legislative activity; and other operational issues; c. c) Action plans for addressing any policy and administrative issues identified; d. d) Any changes the state State made or plans to make to the demonstration as a Category I or II change; e. e) The number of individuals enrolled in each major program of the Comprehensive demonstrationGlobal Initiative; including, but not limited to TANF and related programs, the extended family planning program; each of the limited benefit programs; and ABD with breakouts for the LTC reform community and institutional programs; f. The number of individuals served by and costs of the Marketplace Subsidy program; and g. f) Evaluation and Quality Assurance and Monitoring activities and interim findings.