№ lp_1_2_16214
File format: docx
Character count: 1821
File size: 64 KB
This document is an official attestation by Coordinated Care Organizations regarding the compliance of their Grievance and Appeal System Member notice templates with the requirements outlined in the Medicaid Contract and related agreements.
Year:
2025
Region / City:
Oregon
Subject:
Medicaid Grievance and Appeal System
Document Type:
Attestation
Organization:
Oregon Health Authority (OHA)
Author:
Medicaid Division, CCO Operations Unit
Target Audience:
Coordinated Care Organizations (CCOs)
Period of Action:
Contract Year 2025
Approval Date:
January 1, 2025
Amendment Date:
N/A
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2026
Region / City:
-
Topic:
Trauma Care, EMS, Hospital Resources
Document Type:
Checklist
Organization / Institution:
-
Author:
-
Target Audience:
Healthcare professionals involved in trauma care
Period of Validity:
-
Approval Date:
-
Date of Changes:
-
Publication Date:
October 2024
PCI DSS Version:
4.0.1
Type:
Self-Assessment Questionnaire (SAQ)
Applicability:
E-commerce merchants using third-party payment processors, not storing cardholder data electronically
Target Audience:
E-commerce merchants
Document Changes:
Detailed revision history from 2014 to October 2024, including updates to align with PCI DSS versions 3.0–4.0.1
Appendices:
A, A1, A2, A3, B, C, D
Publication Date:
January 2025
PCI DSS Version:
4.0.1
SAQ Revision:
1
Document Type:
Self-Assessment Questionnaire and Attestation of Compliance
Standard:
Payment Card Industry Data Security Standard
Issuing Organization:
PCI Security Standards Council
SAQ Type:
SAQ A
Applicable Entities:
Merchants
Payment Channels:
E-commerce; Mail/Telephone-Order
Data Handling Scope:
Fully outsourced account data processing
Applicability Exclusions:
Face-to-face channels; Service providers
Primary Audience:
Card-not-present merchants using PCI DSS compliant third-party service providers
Document Sections:
Assessment Information; Self-Assessment Questionnaire A; Validation and Attestation Details; Appendices
Compliance Confirmation:
Third-party service providers PCI DSS compliance confirmed by merchant
Year:
2023
Region/City:
Wisconsin, USA
Topic:
Provider Certification and Compliance
Document Type:
Form
Organization/Institution:
Community Care, Inc.
Author:
Unknown
Target Audience:
Health service providers, including staff members and operators
Effective Period:
Ongoing
Approval Date:
N/A
Date of Changes:
N/A
Note:
Provider Name
Staff Job Description:
Yes/No
Training Plans:
Yes/No
Staff Competency Validation:
Yes/No
Staff Qualifications Documentation:
Yes/No
Training for Working with Frail Elders/Disabled:
Yes/No
Annual Compliance Training:
Yes/No
Staff Disease Screening:
Yes/No
Criminal and Caregiver Background Checks:
Yes/No
Excluded Individuals and Entities:
Yes/No
Transportation Providers:
Yes/No
Civil Rights/Affirmative Action Compliance:
Yes/No
Year:
2021
Region / City:
Canada
Subject:
Identification Verification, Anti-Money Laundering, Loan Documentation
Document Type:
Form
Organization / Institution:
THINK Financial
Author:
THINK Financial
Target Audience:
Borrowers, Guarantors, Solicitors, Notaries, Signing Agents
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Country:
Pakistan
Issuing authority:
Ministry of National Health Services, Regulations & Coordination
City:
Islamabad
Document type:
Application form with specimen affidavit
Subject area:
Attestation of professional documents
Target professions:
Doctors, paramedics, pharmacists, homeopathics, tabibs, physiotherapists
Purpose:
Attestation of documents for overseas employment
Applicant information required:
Personal, educational, professional, and overseas employment details
Required attachments:
Attested copies of degrees, certificates, CNIC, passport, affidavit
Affidavit requirement:
Stamp paper Rs. 20/-
Applicable employment context:
Overseas job placement
Administrative location:
Pak Secretariat, Kohsar Block
Note:
Year
Topic:
Minimum Staffing Requirements for Specialty Out-Of-Home Treatment Services for Youth
Document Type:
Attestation
Organ/Institution:
New Jersey Department of Children and Families
Target Audience:
Providers of Specialty Out-Of-Home Treatment Services for youth
Year:
2014
Region / City:
Global
Topic:
Payment Application Data Security
Document Type:
Attestation
Organization / Institution:
PCI SSC
Author:
Payment Application Qualified Security Assessor (PA-QSA)
Target Audience:
Payment Application Vendors, PA-QSA
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Year
Topic:
Animal Health, Veterinary Services
Document Type:
Health Attestation
Organization / Institution:
APHA/Defra
Author:
Registered Veterinarian
Target Audience:
Veterinarians, Certifying Officers
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2025
Coordinated Care Organization:
[Not specified]
Medicaid Contract Number:
[Not specified]
Type of Document:
Attestation
Governing Body:
Oregon Health Authority
Scope:
Wraparound Policies and Procedures
Signatory Authority:
Chief Executive Officer, Chief Financial Officer, or delegated employee
Contract Reference:
Medicaid Contract, Non-Medicaid Contract, OHP Bridge-Basic Health Program Contract
Year:
2025
Region / City:
Oregon
Subject:
Behavioral Health
Document Type:
Attestation
Authority:
Oregon Health Authority (OHA)
Author:
Coordinated Care Organization (CCO)
Target Audience:
CCO and Subcontractors
Period of Validity:
2025
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2025
Region / City:
Oregon
Subject:
Medicaid, Grievance and Appeal Systems
Document Type:
Policy
Organ / Institution:
Oregon Health Authority (OHA)
Author:
Medicaid Division CCO Operations Unit
Target Audience:
Coordinated Care Organizations (CCOs)
Effective Period:
Contract Year 2025
Approval Date:
March 27, 2025
Date of Changes:
None
Note:
Contract Year
Year:
2023
Region / City:
Oregon
Topic:
Health Care, Managed Care Entities, Grievance and Appeal System
Document Type:
Instruction Manual
Agency / Institution:
Oregon Health Authority (OHA)
Author:
Oregon Health Authority (OHA)
Target Audience:
Managed Care Entities, Coordinated Care Organizations, Health Care Administrators
Period of Action:
Quarterly
Approval Date:
N/A
Date of Changes:
N/A
Year:
2024
Region / City:
N/A
Theme:
Procurement Process, Grievance Redressal System, Call Center Services
Document Type:
Meeting Minutes
Organization / Institution:
HRU PIU-IFRAP
Author:
HRU PIU-IFRAP Team
Target Audience:
Bidders, Procurement Participants
Period of Validity:
N/A
Date of Approval:
2nd October 2024
Date of Changes:
N/A
Year:
2026
Region / City:
Not specified
Subject:
Labor relations, grievance procedure, National Agreement, Step 4 settlements
Document Type:
Grievance statement
Organization / Institution:
National Association of Letter Carriers (NALC)
Author:
Not specified
Target Audience:
Union representatives, postal workers, management officials
Period of validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
[Year]
Region / City:
[Station/Post Office]
Subject:
Grievance regarding violation of Article 8, Section 5 of the National Agreement
Document Type:
Grievance
Organization:
[Union Name]
Author:
[Union Representative Name]
Target Audience:
Union representatives, management officials, employees involved in the grievance
Period of Validity:
[Quarter] of [Year]
Approval Date:
[Date]
Modification Date:
[Date]
Year:
2023
Region / City:
The Gambia
Theme:
Digital Integration, Stakeholder Engagement
Document Type:
Final Report
Organ / Institution:
Government of The Gambia
Author:
Unknown
Target Audience:
Stakeholders, Government Agencies, Project Beneficiaries
Period of Validity:
2023
Approval Date:
August 2023
Date of Amendments:
None