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2022-137-E-Health-Duke University - Charlene Wong-Federal awarding agency
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2022-137-E-Health-Duke University - Charlene Wong-Federal awarding agency
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Last modified
4/6/2022 1:03:49 PM
Creation date
4/6/2022 1:02:30 PM
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Contract
Date
1/22/2022
Contract Starting Date
1/22/2022
Contract Ending Date
12/31/2022
Contract Document Type
Contract
Amount
$55,026.00
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13 | Page <br /> <br />A. Operational Milestones. The Recipient shall achieve the following Operational <br />Milestones and comply with CMS’s and its contractor(s)’ monitoring of the <br />Recipient’s progress towards such milestones for the duration of the project <br />period. <br /> <br />Table 1: InCK Model Operational Milestones <br />Operational Milestone <br />Due Date <br /> <br />Description <br />Learning System Attendance <br />and P articipation <br />See detailed description of learning system activities in <br />Section 19 of this document (Learning System). <br /> <br />Medicaid and CHIP (if <br />applicable) Claims and <br />Encounter Data <br /> <br />State Medicaid Agency: <br />Standard Monthly T-MSIS <br />Reporting <br /> <br />Due: Monthly <br /> <br /> <br />On a monthly basis, e ach state Medicaid agency <br />(or its contractor) submits the universe of <br />Medicaid and CHIP claims and encounter data <br />from its Medicaid Management Information <br />System (MMIS) to CMS’s Transformed <br />Medicaid Statistical Information System <br />(T-MSIS) per CMS guidance . Abt Associates, <br />the InCK Model evaluation contractor , will have <br />direct access to the T-MSIS data to identify <br />claims and encounter data for all InCK-attributed <br />beneficiaries. CMS will use the retrospective <br />attribution file submitted by the Recipient to <br />identify the attributed beneficiaries in T-MSIS <br />data. Recipients that do not meet T-MSIS data <br />quality standards or have other T-MSIS data <br />quality issues (e.g., incomplete information) will <br />be asked to submit claims and encounter data <br />directly to CMS through the InCK Reusable <br />Framework (RF) within 90 D ays of being <br />notified by CMS. These Recipients shall submit <br />the data via RF no later than 30 Days following <br />the last day of each quarter in every Budget <br />Period for the duration of the project period, or <br />until CMS determines that the state Medicaid <br />agency has corrected all quality issues in <br />T-MSIS. <br /> <br />Claims matching in T -MSIS: CMS does not <br />require the Recipient to develop a separate <br />“InCK beneficiary model ID ” for each InCK <br />attributed beneficiary or each beneficiary in the <br />comparison group population for the purposes of <br />claims matching in T -MSIS. Medicaid ID <br />numbers and/or social security numbers are <br />DocuSign Envelope ID: 7832B0E4-F34E-430E-A3C2-1A6A14F29307
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