PPS Provider Appeals - DY1 Q2

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PPS Provider Name: Millennium Collaborative Care PPS Appeal 1 of 1

Conclusion:
Provider unsuccessfully appealed the Independent Assessor´s findings relative to the speed and scale requirements for Project 3.b.i. for DSRIP Year 1, Quarter 2.

Independent Assessor initially failed the PPS for Project 3.b.i. on speed and scale requirements which required the PPS to meet at least 80% of their actively engaged commitment for patient engagement speed as indicated in the project plan application for each project. The Independent Assessor (IA) determined that the PPS did not submit documentation to support that the PPS met at least 80% of their actively engaged commitment for patient engagement speed.

Upon appeal, the PPS confirmed that their initial data submission with their quarterly report did not include the patient registry file for the Project 3.b.i. But, the PPS did successfully upload and submit with their quarterly report, separate patient registries for two other projects. The PPS further contended that the absence of the patient registry was the result of human error or a problem with the MAPP tool. The appeal was upheld because the PPS did not submit the patient registry within the required time period. Further, the actively engaged validation process was not subject to remediation. The numbers of Actively Engaged members and the supporting documentation must be accurate at the time of the initial submission of the Quarterly Report. As a result, the Independent Assessor upheld its original determination on appeal.