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The Executive Office of Health and Human Services State of Rhode Island

Resource Documents

Program Year 7 Application for NEW Accountable Entities

New AE Certification Application Instructions 2024.pdf PDF file, less than 1

Attachment A AE Application Checklist.pdf PDF file, less than 1

Attachment B AE Attestations Assurances.pdf PDF file, about 3

Attachment C Proposal Narrative Template.pdf PDF file, less than 1

Attachment D Application Template Tool 2024.pdf PDF file, less than 1

Program Year 7: Requirement Documents

Attachment H - AE Certification Standards_PY7.pdf PDF file, less than 1

Attachment J - TCOC Requirements_PY7.pdf PDF file, less than 1

Attachment K - Incentive Program Requirements_PY7.pdf PDF file, less than 1

Attachment M - Attribution Guidance_PY7.pdf PDF file, less than 1

Total Cost of Care Technical Guidance_PY7.pdf PDF file, less than 1

Program Year 7: Accountable Entity Roadmap and Sustainability Plan

Attachment L - Accountable Entity Roadmap_PY7.pdf PDF file, less than 1

Program Year 6 Application for NEW Accountable Entities

New AE Certification Application Instructions 2023.pdf PDF file, less than 1

Attachment A AE Application Checklist.pdf PDF file, less than 1

Attachment B AE Attestations Assurances.pdf PDF file, less than 1

Attachment C Proposal Narrative Template.pdf PDF file, less than 1

Attachment D Application Template Tool 2023.pdf PDF file, less than 1

Program Year 6 Requirements Documents:

Attachment H - AE Certification Standards PY6 Final

Attachment J - TCOC Requirements PY6 Final

Attachment K - Incentive Program Requirements PY6 Final

Attachment M - Attribution Guidance PY6 Final

TCOC Technical Guidance PY6 Final

Updated TCOC Technical Guidance PY6 Final May 31, 2023

Attachment L_Accountable Entity Roadmap_PY6 Final

Attachment L_Accountable Entity Roadmap_PY6 Final.pdf PDF file, about 20

PY7-PY8 Implementation Manuals

PY7-PY8 Implementation Manual 2025 01-09 PDF file, less than 1

PY7-PY8 Implementation Manual 2024-11-25 PDF file, less than 1

PY5-PY7 Implementation Manuals

PY5-PY7 Implementation Manual 2024 02-02 .pdf PDF file, less than 1

PY5-PY7 Implementation Manual 2023 12-13.pdf PDF file, less than 1

PY4-PY6 Implementation Manual 2022 09 13

PY4-PY6 Implementation Manual 2022 09 13.pdf PDF file, less than 1

PY7-PY8 Quality Measure Specifications Manuals

PY7-PY8 Quality Measure Specifications Manual 2025 01-09 PDF file, less than 1

PY7-PY8 Quality Measure Specifications Manual 2024-11-25 PDF file, less than 1

PY5-PY7 Quality Measure Specifications Manuals

PY5-PY7 Quality Measure Specifications Manual 2024 02-02 .pdf PDF file, about 1

PY5-PY7 Quality Measure Specifications Manual 2023 09-29.pdf PDF file, less than 1

PY5-PY7 Quality Measure Specifications Manual 2023 8-10.pdf PDF file, less than 1

2023 PY5-PY6 Quality Measure Specifications Manuals

PY5-PY6 Quality Measure Specifications Manual 2023 5-31.pdf PDF file, less than 1

PY5-PY6 Quality Measure Specifications Manual 2023 3-1.pdf PDF file, about 2

Program Year 5 Requirements Documents: Public Comment Closed 11/08/2021

Attachment M - PY5 Attribution Guidance_Final PDF file, less than 1

Attachment_H_AE_Certification_Standards_PY5_Final PDF file, less than 1

Attachment_K_Incentive_Program_Requirements_PY5_Final PDF file, less than 1

PY3-PY5 Implementation Manual 2022 4-20 PDF file, about 2

Attachment J - PY5 TCOC Requirements_Final PDF file, less than 1

Total Cost of Care Technical Guidance _PY5_FINAL PDF file, less than 1

Attachment-L_Accountable-Etity-Roadmap_PY5_final.pdf PDF file, less than 1

Program Year 5 Application for NEW Accountable Entities

Attachment A-AE Application Checklist PDF file, less than 1

New AE Certification Application Instructions 2022 PDF file, less than 1

Attachment_B_AE_Attestations_Assurances PDF file, less than 1

Attachment C - Proposal Narrative Template PDF file, less than 1

Attachment D Application Template Tool 2022 PDF file, less than 1

Accountable Entities Program Year 4 Requirements Documents

Attribution Guidance - 12/14/2020 – public comment closed November 13, 2020 PDF file, less than 1

Incentive Program Requirements 12/14/2020 – public comment closed November 13, 2020 PDF file, less than 1

AE Certification Standards12/14/2020 – public comment closed November 13, 2020 PDF file, less than 1

Quality and Outcome Implementation Manual 9/23/2021 PDF file, about 1

Total Cost of Care Requirements12/14/2020 – public comment closed November 13, 2020 PDF file, less than 1

Total Cost of Care Technical Guidance12/14/2020 – public comment closed November 13, 2020 PDF file, less than 1

Attachment L-Accountable Entities Roadmap- Final - November 16, 2020 PDF file, less than 1

HSTP PY4 Accountable Entity Application for NEW Accountable Entities

Medicaid AE Program Application 12/21/2020 PDF file, less than 1

Attachment B - AE Attestations and Assurances 12/21/2020 PDF file, less than 1

Attachment E - AE Material Modification Protocol 12/21/2020 PDF file, less than 1

Additional Guidance Documents 12/21/2020 PDF file, less than 1

Accountable Entities Program Year 3 Requirement Documents

COVID 19 HSTP Update 5/28/2020 PDF file, less than 1

Attribution Guidance revised 12/14/2020 -public comment closed November 13, 2020 PDF file, less than 1

PY3 Incentive Program Requirements Final 20200528.pdf PDF file, less than 1

Preparedness Planning Template 6/18/2020 PDF file, less than 1

PY3 Quality and Outcome Implementation Manual 20200528.pdf PDF file, less than 1

AE Certification Standards 12/13/2019 PDF file, less than 1

Total Cost of Care Technical Guidance 5/28/2020 PDF file, less than 1

Overview of Changes to Total Cost of Care Methodology 11/06/2019 PDF file, less than 1

TCOC, Quality, and Outcome Measures, and Associated Incentive Methodologies for Comprehensive Accountable Entities Implementation Manual Draft 12/13/2019 PDF file, less than 1

PY3 TCOC Requirements COVID Updates 20200528.pdf PDF file, less than 1

PY3 AE Roadmap Final 10.30.19.pdf PDF file, less than 1

See the Public Comments page for feedback on Program Year 3 documents.

Evaluations

Accountable Entity Pilot: Early Lessons and Recommendations, prepared by Center for Health Care Strategies, Inc., 2018 PDF file, about 1

Managed Care Organizations Resource Documents

Transitioning to Alternative Payment Methodologies: Requirements for Medicaid Managed Care Partners January 2020 updated December 2021 PDF file, less than 1

Accountable Entities Program Resource Documents

Medicaid Infrastructure Incentive Program (MIIP) Presentation 4/13/2017 PDF file, less than 1

Accountable Entities Program Resource Documents - Quality

Comprehensive AE Quality Incentive Outcome Metrics 4/2/2018 18 file, less than 1

AE Measures Guidance and TCOC Metrics 7/20/2018 PDF file, less than 1

Accountable Entities Program Resource Documents - Social Determinants of Health (SDOH)

HSTP Social Determinants of Health Investment Strategy Final 11/20/2020 PDF file, less than 1

AE Social Determinants of Health Measure 2/15/2018 PDF file, less than 1

AE Self-Reported Health Status Measure 2/15/2018 PDF file, less than 1

Accountable Entities Program Year 2 Requirement Documents

Responses to Public Comments on Technical Corrections 6/14/2019 PDF file, less than 1

Attribution Requirements 12/11/2018 PDF file, less than 1

Total Cost of Care Requirements 12/11/2018, Amended 4/30/2019 PDF file, less than 1

Incentive Program Requirements 12/11/2018, Amended 6/1/2019 PDF file, less than 1

Medicaid AE Certification Guidelines for Program Year 2 Memo to Stakeholders 12/21/2018 PDF file, less than 1

Program Year Two Public Stakeholder AE Requirement Documents Memo to MCOs, AEs and Public Stakeholders 9/18/2018 PDF file, less than 1

See the Public Comments page for feedback on Program Year 2 documents.

Accountable Entities Program Year 1 Requirement Documents

Certification Standards 5/31/2017 PDF file, less than 1

Attribution Requirements 9/29/2017 PDF file, less than 1

Total Cost of Care Requirements 9/29/2017, Amended 2/22/2018 18-Amended file, about 1

Incentive Program Funding Requirements 9/29/2017, Amended 2/23/2018 PDF file, less than 1

AE Roadmap 4/13/2017 PDF file, about 1

CMS letter of approval for the AE Roadmap 11/17/2017 PDF file, about 2

AE Roadmap Comments Summary 4/13/2017 PDF file, less than 1

Application for Certification for Comprehensive AEs