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ITN Response Materials
CMS Plan
- CMSPlan.Info@flhealth.gov
- 850-245-4200
-
Mailing Address
Office of the CMS Managed Care Plan
4052 Bald Cypress Way, Bin A06
Tallahassee, FL 32399
ITN Resource Page
Attachments
ATTACHMENT A-1: Evaluation Criteria
ATTACHMENT A-1-a: Criteria #9 – General Performance Measurement Tool
ATTACHMENT A-1-b: Criteria #17 – In Lieu of and Expanded Benefits Tool
ATTACHMENT A-1-c: Criteria #18 – Additional Expanded Benefits Template
ATTACHMENT A-1-d: Criteria #21 – Standard CAHPS Measurement Tool
Criteria #24 (e): CMS Clinic and Supplemental Specialties
ATTACHMENT A-1-e: Criteria #54 – Provider Network Agreements/Contracts
ATTACHMENT A-1-f: Criteria #55 – Provider Network Agreements/Contracts Essential Providers
ATTACHMENT D: Cost Reply Instructions
ATTACHMENT D-1 – Full Risk Cost Reply Template
ATTACHMENT D-2 – Phased-in Risk Cost Reply Template
Exibits
EXHIBIT 2 - Respondent Staff Training Requirements
EXHIBIT 3 - Qualification of Respondent Eligibility
EXHIBIT 4 - Provider Service Network Certification of Ownership and Controller Interest
EXHIBIT 5 - Summary of Managed Care Savings
EXHIBIT 6 - Network Adequacy Standards
Addendum 2 Exhibits
App A-B TXIX Databook Exhibits
App C-D TXXI Databook Exhibits
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