Common use of Submission and Review of Track Implementation Protocols Clause in Contracts

Submission and Review of Track Implementation Protocols. (a) The Hospital may participate in a CRP Track only if it has an Approved Track Implementation Protocol for that CRP Track. The Hospital shall implement each CRP Track in accordance with this Agreement and the relevant Approved Track Implementation Protocol. (b) By the deadlines specified in the CRP Calendar, the HSCRC shall make a Track Implementation Protocol available to the Hospital for each of the CRP Tracks available for the upcoming Performance Period. (c) The Hospital shall complete a Track Implementation Protocol for each CRP Track in which it intends to participate during the upcoming Performance Period, regardless of whether the Hospital is beginning or continuing participation in a CRP Track. The Track Implementation Protocol completed by the Hospital must be the Track Implementation Protocol most recently approved by CMS for the CRP Track in accordance with the Model Agreement. When completing a Track Implementation Protocol, the Hospital shall follow all instructions in that document. (d) By the deadlines specified in the CRP Calendar, the Hospital shall submit each of its completed Track Implementation Protocols to the HSCRC for review. The Hospital shall promptly submit to the HSCRC any additional information that the HSCRC determines is necessary to complete its review. (e) The HSCRC shall review each of the Hospital’s completed Track Implementation Protocols for compliance with the terms of the Model Agreement. The HSCRC may approve, reject, or request modifications to a Track Implementation Protocol submitted by the Hospital, and the HSCRC may deny funding, in whole or in part, for one or more Intervention Resources specified in the Hospital’s Track Implementation Protocol. In determining an Intervention Resource Allocation amount, if any, the HSCRC may consider information from CRP Reports, including the portion of the Hospital’s Intervention Resource Allocation actually spent during all or a portion of one or more previous Performance Periods. (i) If the HSCRC approves a completed Track Implementation Protocol, it shall submit the document to CMS for review by the deadlines specified in the CRP Calendar. The HSCRC shall ensure that the Track Implementation Protocol submitted for CMS review specifies the Hospital’s Intervention Resource Allocation and all other required information. (ii) If the HSCRC rejects a completed Track Implementation Protocol, the Hospital will not participate in the relevant CRP Track during the upcoming Performance Period. (f) CMS shall promptly review each completed Track Implementation Protocol submitted for its review by the HSCRC. (i) If CMS does not reject the Track Implementation Protocol by the deadlines specified in the CRP Calendar, the Track Implementation Protocol is deemed approved by CMS and constitutes an “Approved Track Implementation Protocol,” as defined in Article II. The effective date of the Approved Track Implementation Protocol will be the first day of the Performance Period for which it was approved. (ii) If CMS rejects the Track Implementation Protocol, the Hospital will not participate in the relevant CRP Track during the upcoming Performance Period. CMS may reject a Track Implementation Protocol that has been approved by the HSCRC only if it determines that: (A) The Track Implementation Protocol does not include the PAU Savings Methodology, the Incentive Payment Methodology, and the Care Partner Qualifications set forth in the relevant, most recently CMS approved Track Implementation Protocol; (B) The Track Implementation Protocol does not include the Intervention Resource Allocation, if any; or (C) The Track Implementation Protocol compromises the integrity of the CRP Track, the CRP, the Maryland All-Payer Model, the Medicare program, other federal health care programs, or the safety of Medicare beneficiaries. (g) The HSCRC shall provide to the Hospital a copy of the Approved Track Implementation Protocol for each CRP Track in which the Hospital will participate during the upcoming Performance Period, by the deadlines specified in the CRP Calendar.

Submission and Review of Track Implementation Protocols. (a) The Hospital may participate in a CRP Track only if it has an Approved Track Implementation Protocol for that CRP Track. The Hospital shall implement each CRP Track in accordance with this Agreement and the relevant Approved Track Implementation Protocol. (b) By the deadlines specified in the CRP Calendar, the HSCRC shall make a Track Implementation Protocol available to the Hospital for each of the CRP Tracks available for the upcoming Performance Period. (c) The Hospital shall complete a Track Implementation Protocol for each CRP Track in which it intends to participate during the upcoming Performance Period, regardless of whether the Hospital is beginning or continuing participation in a CRP Track. The Track Implementation Protocol completed by the Hospital must be the Track Implementation Protocol most recently approved by CMS for the CRP Track in accordance with section 9.b of the Model State Agreement. When completing a Track Implementation Protocol, the Hospital shall follow all instructions in that document. (d) By the deadlines specified in the CRP Calendar, the Hospital shall submit each of its completed Track Implementation Protocols to the HSCRC for review. The Hospital shall promptly submit to the HSCRC any additional information that the HSCRC determines is necessary to complete its review. (e) The HSCRC shall review each of the Hospital’s completed Track Implementation Protocols for compliance with the terms of the Model State Agreement. The HSCRC may approve, reject, or request modifications to a Track Implementation Protocol submitted by the Hospital, and the HSCRC may deny funding, in whole or in part, for one or more Intervention Resources specified in the Hospital’s Track Implementation Protocol. In determining an Intervention Resource Allocation amount, if any, the HSCRC may consider information from CRP Reports, including the portion of the Hospital’s Intervention Resource Allocation actually spent during all or a portion of one or more previous Performance Periods. (i) If the HSCRC approves a completed Track Implementation Protocol, it shall submit the document to CMS for review by the deadlines specified in the CRP Calendar. The HSCRC shall ensure that the Track Implementation Protocol submitted for CMS review specifies the Hospital’s Intervention Resource Allocation and all other required information. (ii) If the HSCRC rejects a completed Track Implementation Protocol, the Hospital will not participate in the relevant CRP Track during the upcoming Performance Period. (f) CMS shall promptly review each completed Track Implementation Protocol submitted for its review by the HSCRC. (i) If CMS does not reject the Track Implementation Protocol by the deadlines specified in the CRP Calendar, the Track Implementation Protocol is deemed approved by CMS and constitutes an “Approved Track Implementation Protocol,” as defined in Article II. The effective date of the Approved Track Implementation Protocol will be the first day of the relevant Performance Period for which it was approvedPeriod. (ii) If CMS rejects the Track Implementation Protocol, the Hospital will not participate in the relevant CRP Track during the upcoming Performance Period. CMS may reject a Track Implementation Protocol that has been approved by the HSCRC only if it determines that: (A) The Track Implementation Protocol does not include the PAU Savings Methodologymethodology (as determined in accordance with section 9.d of the State Agreement), the Incentive Payment Methodology, and the Care Partner Qualifications set forth in the relevant, most recently CMS approved Track Implementation Protocol; (B) The Track Implementation Protocol does not include the Intervention Resource Allocation, if any; or (C) The Track Implementation Protocol compromises the integrity of the CRP Track, the CRP, the Maryland All-Payer TCOC Model, the Medicare program, other federal health care programs, or the safety of Medicare beneficiaries. (g) The HSCRC shall provide to the Hospital a copy of the Approved Track Implementation Protocol for each CRP Track in which the Hospital will participate during the upcoming each Performance Period, by the deadlines specified in the CRP Calendar.

Submission and Review of Track Implementation Protocols. (a) The Hospital may participate in a CRP Track only if it has an Approved Track Implementation Protocol for that CRP Track. The Hospital shall implement each CRP Track in accordance with this Agreement and the relevant Approved Track Implementation Protocol. (b) . By the deadlines specified in the CRP Calendar, the HSCRC shall make a Track Implementation Protocol available to the Hospital for each of the CRP Tracks available for the upcoming Performance Period. (c) . The Hospital shall complete a Track Implementation Protocol for each CRP Track in which it intends to participate during the upcoming Performance Period, regardless of whether the Hospital is beginning or continuing participation in a CRP Track. The Track Implementation Protocol completed by the Hospital must be the Track Implementation Protocol most recently approved by CMS for the CRP Track in accordance with section 9.b of the Model State Agreement. When completing a Track Implementation Protocol, the Hospital shall follow all instructions in that document. (d) . By the deadlines specified in the CRP Calendar, the Hospital shall submit each of its completed Track Implementation Protocols to the HSCRC for review. The Hospital shall promptly submit to the HSCRC any additional information that the HSCRC determines is necessary to complete its review. (e) . The HSCRC shall review each of the Hospital’s completed Track Implementation Protocols for compliance with the terms of the Model State Agreement. The HSCRC may approve, reject, or request modifications to a Track Implementation Protocol submitted by the Hospital, and the HSCRC may deny funding, in whole or in part, for one or more Intervention Resources specified in the Hospital’s Track Implementation Protocol. In determining an Intervention Resource Allocation amount, if any, the HSCRC may consider information from CRP Reports, including the portion of the Hospital’s Intervention Resource Allocation actually spent during all or a portion of one or more previous Performance Periods. (i) If the HSCRC approves a completed Track Implementation Protocol, it shall submit the document to CMS for review by the deadlines specified in the CRP Calendar. The HSCRC shall ensure that the Track Implementation Protocol submitted for CMS review specifies the Hospital’s Intervention Resource Allocation and all other required information. (ii) . If the HSCRC rejects a completed Track Implementation Protocol, the Hospital will not participate in the relevant CRP Track during the upcoming Performance Period. (f) . CMS shall promptly review each completed Track Implementation Protocol submitted for its review by the HSCRC. (i) . If CMS does not reject the Track Implementation Protocol by the deadlines specified in the CRP Calendar, the Track Implementation Protocol is deemed approved by CMS and constitutes an “Approved Track Implementation Protocol,” as defined in Article II. The effective date of the Approved Track Implementation Protocol will be the first day of the relevant Performance Period for which it was approved. (ii) Period. If CMS rejects the Track Implementation Protocol, the Hospital will not participate in the relevant CRP Track during the upcoming Performance Period. CMS may reject a Track Implementation Protocol that has been approved by the HSCRC only if it determines that: (A) : The Track Implementation Protocol does not include the PAU Savings Methodologymethodology (as determined in accordance with section 9.d of the State Agreement), the Incentive Payment Methodology, and the Care Partner Qualifications set forth in the relevant, most recently CMS approved Track Implementation Protocol; (B) ; The Track Implementation Protocol does not include the Intervention Resource Allocation, if any; or (C) or The Track Implementation Protocol compromises the integrity of the CRP Track, the CRP, the Maryland All-Payer TCOC Model, the Medicare program, other federal health care programs, or the safety of Medicare beneficiaries. (g) . The HSCRC shall provide to the Hospital a copy of the Approved Track Implementation Protocol for each CRP Track in which the Hospital will participate during the upcoming each Performance Period, by the deadlines specified in the CRP Calendar. If the Hospital wishes to or is required to amend an Approved Track Implementation Protocol effective on a date other than the first day of the relevant Performance Period, it must complete and submit to the HSCRC the Track Implementation Protocol most recently approved by CMS for the CRP Track in accordance with section 9.b of the State Agreement. The HSCRC shall promptly review the completed Track Implementation Protocol. The HSCRC may approve, reject or request modifications to the completed Track Implementation Protocol. If the HSCRC approves the completed Track Implementation Protocol, it shall submit the document to CMS for review. The HSCRC shall ensure that the completed Track Implementation Protocol submitted for CMS review specifies the Hospital’s Intervention Resource Allocation, if any, and all other required information. If the HSCRC rejects the completed Track Implementation Protocol, the Hospital shall continue to implement the CRP Track in accordance with the Approved Track Implementation Protocol that the Hospital sought to amend, unless the HSCRC notifies the Hospital otherwise. CMS shall promptly review the completed Track Implementation Protocol submitted for its review by the HSCRC. If CMS does not reject the completed Track Implementation Protocol within 30 days after receipt, it is deemed approved by CMS and constitutes an “Approved Track Implementation Protocol.” Such Approved Track Implementation Protocol is effective on the date it is approved or deemed approved by CMS unless a different effective date is specified in the document, and the Approved Track Implementation Protocol that was previously in effect ceases to be effective. If CMS rejects the completed Track Implementation Protocol, the Hospital shall continue to implement the CRP Track in accordance with the Approved Track Implementation Protocol that the Hospital sought to amend, unless CMS notifies the Hospital otherwise. CMS may reject the completed Track Implementation Protocol only for the reasons set forth in section 3.5(f)(ii).

Submission and Review of Track Implementation Protocols. (a) The Hospital may participate in a CRP Track only if it has an Approved Track Implementation Protocol for that CRP Track. The Hospital shall implement each CRP Track in accordance with this Agreement and the relevant Approved Track Implementation Protocol. (b) By the deadlines specified in the CRP Calendar, the HSCRC shall make a Track Implementation Protocol available to the Hospital for each of the CRP Tracks available for the upcoming Performance Period. (c) The Hospital shall complete a Track Implementation Protocol for each CRP Track in which it intends to participate during the upcoming Performance Period, regardless of whether the Hospital is beginning or continuing participation in a CRP TrackPeriod . The Track Implementation Protocol completed by the Hospital must be the Track Implementation Protocol most recently approved by CMS for the CRP Track in accordance with the Model Agreement. When completing a Track Implementation Protocol, the Hospital shall follow all instructions in that document. (d) By the deadlines specified in the CRP Calendar, the Hospital shall submit each of its completed Track Implementation Protocols to the HSCRC for review. The Hospital shall promptly submit to the HSCRC any additional information that the HSCRC determines is necessary to complete its review. (e) The HSCRC shall review each of the Hospital’s completed Track Implementation Protocols for compliance with the terms of the Model Agreement. The HSCRC may approve, reject, or request modifications to a Track Implementation Protocol submitted by the Hospital, and the HSCRC may deny funding, in whole or in part, for one or more Intervention Resources specified in the Hospital’s Track Implementation Protocol. In determining an Intervention Resource Allocation amount, if any, the HSCRC may consider information from CRP Reports, including the portion of the Hospital’s Intervention Resource Allocation actually spent during all or a portion of one or more previous Performance Periods. (i) If the HSCRC approves a completed Track Implementation Protocol, it shall submit the document to CMS for review by the deadlines specified in the CRP Calendar. The HSCRC shall ensure that the Track Implementation Protocol submitted for CMS review specifies the Hospital’s Intervention Resource Allocation and all other required information. (ii) If the HSCRC rejects a completed Track Implementation Protocol, the Hospital will not participate in the relevant CRP Track during the upcoming Performance Period. (f) CMS shall promptly review each completed Track Implementation Protocol submitted for its review by the HSCRC. (i) If CMS does not reject the Track Implementation Protocol by the deadlines specified in the CRP Calendar, the Track Implementation Protocol is deemed approved by CMS and constitutes an “Approved Track Implementation Protocol,” as defined in Article II. The effective date of the Approved Track Implementation Protocol will be the first day of the Performance Period for which it was approvedPeriod. (ii) If CMS rejects the Track Implementation Protocol, the Hospital will not participate in the relevant CRP Track during the upcoming Performance Period. CMS may reject a Track Implementation Protocol that has been approved by the HSCRC only if it determines that: (A) The Track Implementation Protocol does not include the PAU Savings MethodologyMethodology (as defined in Appendix 9 of the Model Agreement), the Incentive Payment Methodology, and the Care Partner Qualifications set forth in the relevant, most recently CMS approved Track Implementation Protocol; (B) The Track Implementation Protocol does not include the Intervention Resource Allocation, if any; or (C) The Track Implementation Protocol compromises the integrity of the CRP Track, the CRP, the Maryland All-Payer Model, the Medicare program, other federal health care programs, or the safety of Medicare beneficiaries. (g) The HSCRC shall provide to the Hospital a copy of the Approved Track Implementation Protocol for each CRP Track in which the Hospital will participate during the upcoming Performance Period, by the deadlines specified in the CRP Calendar.

Submission and Review of Track Implementation Protocols. (a) The Hospital may participate in a CRP Track only if it has an Approved Track Implementation Protocol for that CRP Track. The Hospital shall implement each CRP Track in accordance with this Agreement and the relevant Approved Track Implementation Protocol. (b) By the deadlines specified in the CRP Calendar, the HSCRC shall make a Track Implementation Protocol available to the Hospital for each of the CRP Tracks available for the upcoming Performance Period. (c) The Hospital shall complete a Track Implementation Protocol for each CRP Track in which it intends to participate during the upcoming Performance Period, regardless of whether the Hospital is beginning or continuing participation in a CRP Track. The Track Implementation Protocol completed by the Hospital must be the Track Implementation Protocol most recently approved by CMS for the CRP Track in accordance with section 9.b of the Model State Agreement. When completing a Track Implementation Protocol, the Hospital shall follow all instructions in that document. (d) By the deadlines specified in the CRP Calendar, the Hospital shall submit each of its completed Track Implementation Protocols to the HSCRC for review. The Hospital shall promptly submit to the HSCRC any additional information that the HSCRC determines is necessary to complete its review. (e) The HSCRC shall review each of the Hospital’s completed Track UHYLHZ HDFK RI WKH +RVSLWD Implementation Protocols for compliance with the terms of the Model State Agreement. The HSCRC may approve, reject, or request modifications to a Track Implementation Protocol submitted by the Hospital, and the HSCRC may deny funding, in whole or in part, for one or more Intervention Resources specified in the Hospital’s Track Implementation Protocol5HVRXUFHV VSHFLILHG LQ tioWnKPrHoto co+l. In determining an Intervention Resource Allocation amount, if any, the HSCRC may consider information from CRP Reports, including the portion of the Hospital’s Intervention Resource Allocation actually spent during all or a portion of one or more previous Performance Periods.RVSLWDO¶ (i) If the HSCRC approves a completed Track Implementation Protocol, it shall submit the document to CMS for review by the deadlines specified in the CRP Calendar. The HSCRC shall ensure that the Track Implementation Protocol submitted for CMS review specifies the Hospital’s Intervention Resource Allocation and all VSHFLILHV WKH +RVSLWDO¶Va nd,alQl WHUYHQ other required information. (ii) If the HSCRC rejects a completed Track Implementation Protocol, the Hospital will not participate in the relevant CRP Track during the upcoming Performance Period. (f) CMS shall promptly review each completed Track Implementation Protocol submitted for its review by the HSCRC. (i) If CMS does not reject the Track Implementation Protocol by the deadlines specified in the CRP Calendar, the Track Implementation Protocol is deemed approved by CMS and constitutes an “Approved Track Implementation ProtocolFRQVWLWXWHV DQ ³ 7UDFN ,” as defined in Article II. The PSOHPHQWDWLRQ 3URWRhFe effective date of the Approved Track Implementation Protocol will be the first day of the relevant Performance Period for which it was approvedPeriod. (ii) If CMS rejects the Track Implementation Protocol, the Hospital will not participate in the relevant CRP Track during the upcoming Performance Period. CMS may reject a Track Implementation Protocol that has been approved by the HSCRC only if it determines that:: RO ´ (A) The Track Implementation Protocol does not include the PAU Savings Methodologymethodology (as determined in accordance with section 9.d of the State Agreement), the Incentive Payment Methodology, and the Care Partner Qualifications set forth in the relevant, most recently CMS approved Track Implementation Protocol; (B) The Track Implementation Protocol does not include the Intervention Resource Allocation, if any; or (C) The Track Implementation Protocol compromises the integrity of the CRP Track, the CRP, the Maryland All-Payer TCOC Model, the Medicare program, other federal health care programs, or the safety of Medicare beneficiaries. (g) The HSCRC shall provide to the Hospital a copy of the Approved Track Implementation Protocol for each CRP Track in which the Hospital will participate during the upcoming each Performance Period, by the deadlines specified in the CRP Calendar.