№ files_lp_4_process_3_082918
File format: docx
Character count: 36014
File size: 87 KB
Form used to request official determination of whether specific payment arrangements qualify as Other Payer Advanced Alternative Payment Models under the Quality Payment Program, including instructions for Medicaid, Medicare, and commercial payers.
Year:
2026
Region / State:
United States
Subject:
Healthcare Payment Arrangements
Document Type:
Submission Form
Organization / Agency:
Centers for Medicare & Medicaid Services (CMS)
Author:
CMS
Target Audience:
State Medicaid Agencies, Medicare Health Plans, Commercial or Private Payers
Deadline:
Varies by payer type
Sections:
Payer Identifying Information, Payment Arrangement Information, Supporting Documentation, Certification Statement
Submission Method:
Electronic
Regulatory Reference:
42 CFR § 414.1420
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2017
Region / City:
United Kingdom
Theme:
Money laundering, risk assessment
Document Type:
Template
Organization:
Not specified
Author:
Not specified
Target Audience:
Firms subject to MLR 2017
Period of validity:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Context:
A template for conducting a risk assessment in compliance with MLR 2017, detailing risk factors related to clients, geography, services, transactions, and delivery channels.
Year:
2017
Region / city:
United Kingdom
Subject:
Anti-money laundering, terrorist financing
Document type:
Application form
Organization / institution:
Financial Conduct Authority
Author:
Financial Conduct Authority
Target audience:
Financial institutions, legal entities, applicants for authorization
Effective period:
N/A
Approval date:
N/A
Date of amendments:
N/A
Contextual description:
Legal and regulatory document providing an application form for individual MLR (Money Laundering Regulations) approval in accordance with UK financial regulations.
Year:
2017
Region / City:
United Kingdom
Topic:
Money Laundering, Terrorist Financing, Financial Regulation
Document Type:
Regulatory Guidance
Organization:
Financial Conduct Authority (FCA)
Author:
Financial Conduct Authority (FCA)
Target Audience:
Financial institutions, applicants for registration as an Annex I Financial Institution, MLR Individuals
Period of validity:
Not specified
Approval Date:
Not specified
Date of changes:
Not specified
Year:
2021
Region / city:
United States
Topic:
Male stress urinary incontinence treatment
Document type:
Clinical guideline
Institution:
HERC (Health Economics Research Center)
Author:
HERC staff
Target audience:
Healthcare providers
Action period:
Not specified
Approval date:
November 2021
Revision date:
Not specified
Year:
2010
Region / city:
United Kingdom
Topic:
Taxation, Hybrid Entities
Document Type:
Taxation Analysis
Authority:
Tax Law
Author:
Unknown
Target Audience:
Tax professionals, legal experts, corporate entities
Effective Period:
Indefinite
Date of Approval:
Unknown
Date of Modifications:
Unknown
Organization:
Navigator
Facility:
Windemere
Location:
Martha’s Vineyard
State:
Massachusetts
Type of Document:
Applicant response submission
Regulatory Context:
DoN review process
Regulatory Authority:
Massachusetts Department of Public Health
Related Regulation:
105 CMR 150.000: Standards for Long-Term Care Facilities
Time Period Covered:
FY17–FY22; Projections for 2026
Submission Deadline:
December 21, 2022
Patient Population:
Long-term care residents
Total Beds (Historical):
61 beds
Total Rooms:
32 rooms
Room Configuration:
24 double rooms sharing bathrooms (48 beds); 5 double rooms with private bathrooms (10 beds); 3 single rooms with private bathrooms (3 beds)
Total Individual Patients (Most Recent 36 Months):
60
Waitlist:
15 Island residents
Confirmed Off-Island Residents:
Minimum of 13
Staff Housing Plan:
30 one-bedroom affordable units
Housing Partner:
MVH
Other Licensed Facility on Island:
Henrietta Brewer House (14-bed assisted living residence)
Projected Total Beds (2026):
70
Program:
Quality Payment Program
Organizing Body:
Centers for Medicare & Medicaid Services (CMS)
Country:
United States
Legal Basis:
42 CFR § 414.1420
Document Type:
Administrative submission form
Form Type:
Payer Initiated Submission Form
Purpose:
Determination of Other Payer Advanced Alternative Payment Models (APMs)
Applicable Payers:
State Medicaid Agencies, Medicare Health Plans, Commercial or Private Payers
Submission Method:
Electronic submission
Sections:
Payer Identifying Information; Payment Arrangement Information; Supporting Documentation; Certification Statement
Relevant Programs:
Medicaid (Title XIX), Medicare Advantage, Commercial Health Plans
Submission Deadlines:
April 1 (Medicaid); Medicare Advantage bid deadline (Medicare); June 1 (Commercial/Private)
Review Process:
CMS evaluation with possible request for additional information within 15 business days
Outcome:
Determination of APM status, final and not subject to reconsideration
Related System:
Health Plan Management System (HPMS)
Supporting Materials:
Contracts, agreements, and related documentation
Performance Period Reference:
Year prior to QP Performance Period
Year:
2026
Document Type:
Submission Form
Program:
Quality Payment Program (QPP)
Intended Users:
State Medicaid Agencies, Medicare Health Plans, Commercial or Private Payers
Regulation Reference:
42 CFR § 414.1420
Submission Deadline:
Varies by payer type (April 1 for Medicaid, Medicare Advantage bid deadline for Medicare, June 1 for commercial/private)
Sections Included:
Payer Identifying Information, Payment Arrangement Information, Supporting Documentation, Certification Statement
Format:
Electronic submission
Purpose:
Request determination of Other Payer Advanced Alternative Payment Model status
Notification:
CMS posts determinations on CMS website and notifies submitters
Supporting Materials:
Contracts or alternative documentation validating payment arrangements
Document code:
INTM553250
Country:
United Kingdom
Legislation:
Taxation (International and Other Provisions) Act 2010 (TIOPA 2010)
Relevant sections:
s259EA, s259BE, s259EC, s259NA
Issuing body:
HM Revenue and Customs
Document type:
Tax guidance example
Topic:
Hybrid mismatch rules
Subject:
Hybrid payer deduction/non-inclusion mismatch
Chapter:
Chapter 5 – Hybrid payer
Entities described:
Co.1, Co.2, Co.3
Jurisdictions referenced:
Country X, Country Y
Corporate structure:
Parent company, hybrid subsidiary, operating subsidiary
Financial arrangement:
Intercompany loans and interest payments
Key concept:
Dual inclusion income
Analytical focus:
Conditions A–E test for hybrid payer mismatch and counteraction mechanisms
Year:
2026
Region / Country:
United States
Topic:
Health Care Reform
Document Type:
Informational Analysis
Organization / Institution:
Independent Research or Advocacy Group
Author:
Not specified
Target Audience:
General public interested in health policy
Related Legislation:
Affordable Care Act (ACA), HR 676
Key Issues Addressed:
Single payer misconceptions, health insurance coverage, quality of care, physician perspectives
Comparative Data:
US health system rankings by WHO and other international comparisons
Timeframe Discussed:
2011–2020
Year:
2023
Region / City:
Texas
Topic:
Environmental Compliance
Document Type:
Public Hearing Requirement Form
Organization / Institution:
Texas Department of Transportation (TxDOT)
Author:
Texas Department of Transportation (TxDOT)
Target Audience:
Project managers, environmental review staff, and regulatory bodies
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Note:
Contextual Description
Year:
2024
Region / City:
Indiana
Topic:
Historic Preservation, Section 106 Process
Document Type:
Template
Agency:
Federal Highway Administration, Indiana Department of Transportation
Author:
Federal Highway Administration
Target Audience:
Consultants, State Historic Preservation Officer, Federal and State Agencies
Validity Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
Not specified
Jurisdiction:
United States
Subject:
Veterans’ benefits apportionment
Document type:
Training handout
Issuing authority:
Department of Veterans Affairs
Legal basis:
38 U.S.C. §§ 1505, 5307, 5502(d), 5503, 6103(e), 6104(c)
Regulatory references:
38 CFR §§ 3.450–3.461
Administrative references:
M21-1, Part III, Subparts ii and v
Intended audience:
Trainees
Applies to benefits:
Pension, compensation, dependency and indemnity compensation
Source type:
Administrative guidance and legal reference material
Jurisdiction:
United States
Education programs:
Part C Early Intervention; Part B Early Childhood Special Education
Governing framework:
Individuals with Disabilities Education Act
Target population:
Children with potential eligibility for special education services aged 2 to 3
Key actors:
Parents; Local Education Agency; State Education Agency; Part C providers
Transition age criteria:
Third birthday; September 30 cutoff
Referral timeline:
At least 90 days before anticipated transition; April 1 for school year entry
Eligibility determination timeline:
65 business days
IEP timeline:
Within 30 calendar days after eligibility determination
Meeting types:
Transition conference; eligibility meeting; IEP meeting
Document type:
Policy comparison and procedural guidance
Year:
2014
State:
Alabama
Area:
Alabama Counties of Calhoun, Cherokee, Clay, Cleburne, De Kalb, Etowah, Talladega
Wage Determination No.:
2005-2001
Revision No.:
12
Date Of Revision:
06/19/2013
States:
Alabama, Georgia
Note:
Area
Alabama Counties of Barbour, Coffee, Dale, Geneva, Henry, Houston
Note:
Year
Subject:
Environmental Assessment
Document Type:
Environmental Review
Organization / Institution:
HUD
Target Audience:
Responsible Entities, Project Managers, Environmental Assessors
Program:
Housing Choice Voucher (HCV) Program
Governing Regulations:
24 CFR 982 Subpart I; 24 CFR 982.507; 24 CFR 982.401; 24 CFR 100.203; 28 CFR 35.151(c)
Federal Authority:
U.S. Department of Housing and Urban Development (HUD)
Local Authority:
Public Housing Agency (PHA); OHCD
Effective Date of Biennial Inspection Policy:
July 1, 2014
Subject Matter:
Housing Quality Standards (HQS); Rent Reasonableness; Unit Inspections; Accessibility Modifications
Document Type:
Administrative policy chapter
Applicable Housing Types:
HCV-assisted units; special housing types; homeownership units (as applicable)
Referenced Guidance:
Housing Choice Voucher Guidebook Chapter 10; HUD Housing Inspection Manual for Section 8 Housing; HUD Forms 52580 and 52580-A; HUD Notice 2003-31
Standards Covered:
Sanitary facilities; food preparation and refuse disposal; space and security; thermal environment; illumination and electricity; structure and materials; interior air quality; water supply; lead-based paint; access; site and neighborhood; sanitary condition; smoke detectors
Document type:
Technical guidelines and sample determinations
Subject:
Water quality assessment and soil stabilization practices
Geographic references:
Madawaska Lake, Aroostook County; Tomah Lake, Washington County; Maine
Institutions referenced:
Maine Department of Environmental Protection
Key topics:
Phosphorus loading; Shoreline development density; Run-off coefficient; Drainage area; Vegetative stabilization; Fertilizer application
Measurement units:
Grams per year; Parts per billion; Square feet; Meters squared; Feet of shoreline
Seasonal period referenced:
May 1 to September 15
Regulatory context:
Shoreland development and soil disturbance during construction projects
Year:
2014
Region / City:
Oklahoma
Subject:
Wage Determination
Document Type:
Official Register
Authority / Institution:
U.S. Department of Labor
Author:
Diane C. Koplewski
Target Audience:
Contractors, Employers
Period of Validity:
From 01/01/2015
Approval Date:
12/30/2014
Revision Date:
12/22/2014