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14 | Page <br /> <br />sufficient for that purpose . Moreover, CMS does <br />not require any c hanges to the T-MSIS data <br />submission files , such as additional flags to <br />identify InCK beneficiarie s or an additional field <br />for “InCK beneficiary model ID .” If the <br />Recipient chooses to develop an “InCK <br />beneficiary model ID ” for use across its network <br />of core child service data partners, the Recipient <br />will have the option to include it in other file <br />submissions (e.g., retrospective attribution list , <br />Core Child Service, service integration level data <br />elements, and measures data). <br /> <br />Updated Implementation Plan <br /> <br />Due: Submission with NCC <br />Application only if CMS <br />approved revisions to the plan <br />through the amendment <br />process earlier in th at Budget <br />Period <br /> <br /> <br />The Implementation Plan is not an annual submission <br />requirement. The Recipient shall resubmit the <br />Implementation Plan with the NCC Application only if <br />CMS approved revisions to the plan through the <br />Change in Scope amendment process earlier in that <br />Budget Period. See Section 11 (InCK Model <br />Implementation Plan & Operational Plan Documents) <br />of this document for additional guidance on the <br />amendment process . <br /> <br />Note : The Recipient must ensure it s Operational Plan <br />for subsequent Budget Periods suppor ts the revised, <br />CMS-approved Implementation P lan and its current <br />driver diagram. <br /> <br /> Quarter 1: January – March 2022 <br /> <br />Retrospective Lists of <br />Attributed Children and <br />Comparison Group <br /> <br />Due : January 31, 2022 <br /> <br />Resubmission thereafter with <br />Service Integration Level <br />(SIL) Data Elements <br />Workbook only if updates to <br />the RAF have been made since <br />the previous submission <br /> <br /> <br />Attributed beneficiaries: The Recipient shall provide <br />CMS with a retrospective file annually, at a minimum, <br />of all attributed beneficiaries who had Medicaid (or <br />CHIP, if applicable) coverage for at least one month <br />during the previous 12 months. The retrospective <br />attribution file (RAF) must be submitted through the <br />InCK Reusable Framework (RF) and must: <br />• Specify the duration of each beneficiary’s <br />Medicaid or CHIP coverage during the last 12 <br />months, and <br />• Include required fields requested for data file <br />submission, including at a minimum each <br />beneficiary’s Medicaid ID number and/or social <br />security number needed to match beneficiaries to <br />T-MSIS data. <br /> <br />DocuSign Envelope ID: 7832B0E4-F34E-430E-A3C2-1A6A14F29307