Common use of Reporting and Deliverables Clause in Contracts

Reporting and Deliverables. AR-28 The Contractor shall provide, at no additional cost, ad hoc reports in formats required by the Department. The Contractor shall provide the Department with priority positioning for delivery of ad hoc report requests made by the Department or its designee regarding Plan-specific financial and statistical files, Participant Services, network adequacy, and utilization reports. The Contractor shall acknowledge report requests within one (1) Business Day and shall provide an expected timeline for completion and delivery. AR-29 The Contractor shall provide regular monthly, quarterly and annual reports and/or deliverables as specified. Reports that provide utilization, claims reporting, and administrative services data by Plan and by subgroup shall be provided in a format subject to customization by and approval of the Department. The subgroups at a minimum are Active, OPS and COBRA. AR-30 Reports shall contain all such data/details as required by the Department. Reports shall be delivered electronically to the Department and/or its designee, and in hard a. Complete and detailed backup/supporting documentation must be provided with submission of each report. Backup/supporting documentation must identify the source of the material. The Department may require the Contractor to propose and implement a reasonable CAP to address the root causes of any missed Performance Standard. b. Each report and/or deliverable shall be subject to PG-15 of Attachment 3: Performance Guarantees, of the Contract. Enrollment Discrepancy Reports. Contractor shall deliver enrollment discrepancy reports based on the monthly enrollment file, indicating (where applicable) (i) duplicate records, (ii) reject records and (iii) address errors.

Reporting and Deliverables. AR-28 The Contractor shall provideprovide regular monthly, at no additional costquarterly, ad hoc and annual reports and/or deliverables. Reports that provide utilization, claims reporting, and administrative services data by Plan and by subgroup shall be provided in formats required a format subject to customization by and approval of the Department. The Contractor shall provide the Department with priority positioning for delivery of ad hoc report requests made by the Department or its designee regarding Plan-specific financial and statistical files, Participant Servicesservices, network adequacy, patient management and utilization reports. The Contractor shall acknowledge report requests within one (1) Business Day and shall provide an expected timeline for completion and delivery. AR-29 The Contractor shall provide regular monthly, quarterly and annual reports and/or deliverables as specified. Reports that provide utilization, claims reporting, and administrative services data by Plan and by subgroup shall be provided in a format subject to customization by and approval of the Department. The subgroups at a minimum are Active, OPS and COBRA. AR-30 Reports shall contain all such data/details as required by the Department. Reports shall be delivered electronically to the Department and/or its designee, and in hardhard copy by request. Reports that contain proprietary, trade secret and/or Confidential Information shall also be delivered in a redacted format at the same time as the unredacted format; the redacted report is only required to be delivered electronically. a. Complete and detailed backup/supporting documentation must be provided with submission of each report. Backup/supporting documentation must identify the source of the material. The Department may require the Contractor to propose and implement a reasonable CAP Corrective Action Plan to address the root causes of any missed Performance Standard. b. Each report and/or deliverable shall be subject to PG-15 of Attachment 3: Performance Guarantees, of the Contract. Enrollment Discrepancy Reports. Contractor shall deliver enrollment discrepancy reports based on the monthly enrollment file, indicating (where applicable) (i) duplicate records, (ii) reject records and (iii) address errors.