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7 | Page <br /> <br />12. Standard Operating Procedures (SOPs) and Needs Assessment Tool(s). Recipients shall <br />begin conducting needs assessments with the InCK attributed population at the start of <br />model year 3 (MY 3). <br />A. If applicable, Recipients will follow their CMS-accepted Needs Assessment and <br />Stra tification and Service Integration SOPs, and needs assessment tool(s), as accepted <br />by CMS in MY2. <br />B. If the Recipient’s SOPs are in draft form at the start of MY3, the Recipient shall use <br />Quarter 1 to gather real-time information to refine its processes and tool(s) as the <br />Recipient conducts needs assessments with the attributed population. The Recipient <br />shall finalize the SOPs and the selected needs assessment tool(s) and submit the m to <br />CMS for review and acceptance as a Grant Note via GrantSolutions by March 30, 2022. <br />Recipients’ final SOPs and needs assessment tool(s) must address all CMS feedback and <br />be compliant with model policy, as outlined in the SOP Review Criteria provided to <br />Recipients in MY2 . <br />Per the Needs Assessment and Stratification SOP Review Criteria, Recipients shall, by <br />the end of MY3, validate their data-driven method for identifying beneficiaries’ needs in <br />the corresponding SIL eligibility criteria listed on page 3 of the document. CMS defined <br />validation f or the purposes of the InCK Model on page 4 of the document. <br />C. Revisions. CMS understands that Recipients may find it is necessary to make changes to <br />some aspect(s) of the needs assessment process. If necessary, Recipients can revise the <br />CMS-accepted SOPs and/or needs assessment tool(s) only after the Recipient and the PO <br />have discussed the reasons for the desired changes. Recipients shall submit the revised <br />SOP(s) and/or needs assessment tool(s) to CMS for review as a Grant Note via <br />GrantSolutions. Recipients shall finalize and receive CMS-acceptance of the revised <br />SOPs and/or needs assessment tool(s) prior to the NCC Application period in October <br />2022. <br />D. Submission with NCC Application for Budget Period 4 : <br />1. To obtain CMS approval of the SOPs and tool(s), all Recipients shall sub mit CMS- <br />accepted SOPs and the selected needs assessment tool(s) as attachments to the NCC <br />Application by October 15, 2022. This submission includes SOPs and tool(s) that <br />CMS initially accepted on March 30, 2022 and were not subsequently revised and <br />SOPs and/or tool(s) that were revised later in MY3 and accepted by CMS. <br />2. Thereafter, Recipients can request to revise the SOPs or needs assessment tool(s) with <br />appropriate justification submitted as a Revision (NoA Other) amendment in <br />GrantSolutions, which is subject to CMS approval. A cover letter signed by the AOR <br />must accompany the amendment. <br />CMS reserves the right to request the Recipient revise either of the SOPs or needs assessment <br />approach if the Recipient fails to meet established milestones. <br /> <br />DocuSign Envelope ID: 7832B0E4-F34E-430E-A3C2-1A6A14F29307