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HomeMy WebLinkAboutC19-268 Colorado Department of Health Care Policy and Financing - NOT FULLY EXECUTEDDepartmentofHealthCarePolicyandFinancingAgreementRoutingNumber2015CM1P037A5AGREEMENTAMENDMENTNO.5OriginalAgreementRoutingNumber2015CMIPO37A51.PARTIESThisAmendmenttotheabove-referencedOriginalAgreement(hereinaftercalledthe“Agreement”)isenteredintobyandbetweentheSTATEOFCOLORADO,actingbyandthroughtheDepartmentofHealthCarePolicyandFinancing,1570GrantStreet,Denver,Colorado80203(hereinaftercalled“Department”or“State.”),andEagleCounty(hereinaftercalled“Contractor”).2.EFFECTIVEDATEANDENFORCEABILITYThisAmendmentshallnotbeeffectiveorenforceableuntilitisapprovedandsignedbytheColoradoStateControllerordesignee(hereinaftercalledthe“EffectiveDate”).TheDepartmentshall notbeliabletopayorreimburseforanyperformancehereunder,including,but notlimitedto,costsorexpensesincurred,orbebotindbyanyprovisionhereofpriortotheEffectiveDate.3.FACTUALRECITALSThe PartiesenteredintotheAgreementtocreateperformance-relatedbenchmarksforcountydepartmentsofhuman/socialservicesthatachievecertainPerformance IncentiveStandardsrelatedtodeterminingandredetermining Medicaideligibility, thosepopulationscurrentlyenrolledinMedicaidandcooperationwithotherMedicaid-relatedentities.ThepurposeofthisAmendmentistoaddexhibitsandupdatethePerformanceIncentivesStandards.4.CONSIDERATIONThe Partiesacknowledgethatthemutualpromisesandcovenantscontainedhereinandother goodandvaluableconsiderationaresufficientandadequatetosupportthisAmendment.5.LIMITSOFEFFECTThisAmendmentisincorporatedbyreferenceintotheAgreement,and theAgreementandallprioramendmentsthereto,ifany,remaininfullforce andeffect exceptasspecificallymodifiedherein.6.MODIFICATIONSTheAgreementandallprioramendmentsthereto,ifany, aremodifiedasfollows:A.Section4,Definitions, SubsectionB isherebydeletedinitsentiretyandreplacedwiththefollowing:B.Exhibitsandother Attachments.Thefollowingdocumentsareattachedheretoandincorporatedbyreferenceherein:ExhibitA-5,StatementofWorkPage1of4C19-268 ExhibitC,Small,Medium,LargeCountyListB.Section7,PaymentstoContractor,SubsectionA,MaximumAmount,isherebydeletedinitsentiretyandreplacedwiththefollowing:A.MaximumAmountThemaximumamountpayableunderthisContracttoContractorbytheDepartmentisshowninthefollowingtable,asdeterminedbytheDepartmentfromavailablehinds.PaymentstotheContractorarelimitedtotheunpaidobligatedbalanceoftheContractattheratessetforthinExhibitB.ThemaximumamountpayablebytheDepartmenttotheContractoris:StateFiscalYear2014-15$36,078.09StateFiscalYear2015-16$35,811.14StateFiscalYear2016-17$31,932.92StatefiscalYear2017-18$31,627.61StateFiscalYear2018-19$29,848.65StateFiscalYear2019-20$38,943.53TotalforAllStateFiscalYears$204,241.94C.ExhibitA-4,StatementofWork,isherebydeletedinitsentiretyandreplacedwithExhibitA-5,StatementofWork,attachedheretoandincorporatedbyreferenceintotheAgreement.AllreferenceswithintheAgreementtoExhibitA,ExhibitA-i,ExhibitA-2,ExhibitA-3orExhibitA-4shallbedeemedtoreferencetoExhibitA-S.D.ExhibitB,Rates,Section1.4.,SFY2019-20IncentivesPaymentTable,isherebyaddedasfollows:1.4.SFY2019-20IncentivesPaymentTableIncentivePaymentName%ofFundingPaymentAmountEligibilityPerformanceIncentive35%$10,254.32PaymentExceptionalEligibilityPerformance5%$1,464.90IncentivePaymentTrainingPerformanceIncentivePayment20%$5,859.61CybersecurityPerformanceIncentive30%$8,789.42PaymentfoodSecurityPerformanceIncentive10%$2,929.81PaymentTotalMaximumAvailableforall$29,298.06Incentive_PaymentsE.ExhibitB,Rates,Section2.4.,StatefiscalYear(SFY)2019-20PoolMaximumCountyShareTable,isherebyaddedasfollows:Page2of4 2.4.SFY2019-20PoolMaximumCountyShareTablePoolNamePoolMaximumDistributionAmountTotalMaximumAvailableforallPool$9,645.48Distributions7.STARTDATEThisAmendmentshalltakeeffectonitsEffectiveDate.8.ORDEROFPRECEDENCEIntheeventofanyconflict,inconsistency,variance,orcontradictionbetweentheprovisionsofthisAmendmentandanyoftheprovisionsoftheAgreement,theprovisionsofthisAmendmentshallinallrespectssupersede,govern,andcontrol.9.AVAILABLEFUNDSFinancialobligationsofthestatepayableafterthecurrentfiscalyeararecontingentuponfundsforthatpurposebeingappropriated,budgeted,orotherwisemadeavailabletotheDepartmentbythefederalgovernment,theColoradoGeneralAssemblyand/orgrantor.REMAINDEROFTHISPAGEINTENTIONALLYLEFTBLANKPage3of4 THEPARTIESHERETOHAVEEXECUTEDTHISINTERAGENCYAGREEMENTPersonssigningforPartiesherebyswearandaffirmthattheyareauthorizedtoactonbehalfoftheirrespectivePartyandacknowledgethattheotherPartyisrelyingontheirrepresentationstothateffect.STATEOFCOLORADOJohnW.Hickenlooper,GovernorEagleCountyDepartmentofHealthCarePolicyandFinancingBy:_________________________By:________________________(JKimBimesteferExecutiveDirectorDate:Date:__________________ALLAGREEMENTSREQUIREAPPROVALBYTHESTATECONTROLLERSTATECONTROLLERRobertJaros,CPA,MBA,JDBy:DepartmentofHealthCarePolicyandFinancingDate:___________Page4of4 EXHIBITA-5,STATEMENTOFWORK1.TERMINOLOGY1.1.Thefollowinglistisprovidedtoassistthereaderinunderstandingacronyms,abbreviationsandterminologyusedthroughoutthisdocument.1.1.1.Applicant—AnindividualfortvhomtheContractorisperformingaDetermination.1.1.2.BackloggedDetermination—AnyUntimelyDeterminationthatwasnotcompletedbythetimelinessrequirementsassetinSection1.1.11.1.1.3.BackloggedRedetermination—AnyUntimelyRedeterminationthatwasnotcompletedbythetimelinessrequirementsassetinSection1.1.12.1.1.4.COGNOS/DecisionSupportSystem01(DSSO1)—theDepartment’sdatareportingsystemsthatuseinformationfromtheColoradoBenefitsManagementSystem(CBMS).1.1.5.ColoradoBenefitsManagementSystem(CBMS)—theState’seligibilitydeterminationsystem,1.1.6.ColoradoDepartmentofHumanServices(CDHS)—TheColoradoDepartmentofHumanServicesconnectsColoradanstoassistance,resourcesandsupportforlivingindependentlyinthestate.CDHSisthestateagencyresponsiblefortheadministrationoftheSupplementalNutritionAssistanceProgram.1.1.7.ColoradoInformationSecurityPolicies(CISP)-ColoradoInformationSecurityPoliciespromulgatedbytheChiefInformationSecurityOfficerintheGovernor’sOfficeofInformationTechnologypursuantto§24-37.5-401,etseq.,C.R.S.1.1.8.ColoradointerChange(interChange)—theState’sclaimspaymentsystemandrelatedsubsystemsthatutilizeeligibilityinformationfromCBMStopayprovidersformedicaland/orotherclaims.Thesystemandrelatedsubsystemsalsocollectsandanalyzesdatarelatedtothosepayments.1.1.9.CountyAdministrationwebsite—theDepartment’spublic-facingwebsitewherecontractdocumentationiskeptfortheCountyIncentivesProgram(http://www.colorado.gov/hcpf/county-adrnin).1.1.10.CountyFinancialManagementSystem(CFMS)—theaccountingsystemutilizedbytheContractortorecordexpendituresagainstcountyadministrationfundingforColorado’sMedicalAssistanceProgram.ThesystemisalsousedtoissuePerformanceIncentivePaymentstoeligibleContractors.1.1.11.CountyIncentivesProgram—programthatprovidesspecificfundingtocountydepartmentsofhuman/socialservicesformeetingMedicaid-relatedPerformanceIncentiveStandardsintheircounties.AlsoreferencedasPerformanceIncentiveStandardProgramthroughoutthisAgreement.1.1.12.Detenuination—TheactofusingCBMStodetermineifanApplicantiseligiblefortheColoradoMedicalAssistanceProgrambasedoninformationsubmittedonanewapplication,aredeterminationorachangeinmembercircumstance.Page1of17 1.1.13.DisenrollorDisenroilment—Theactofprocessingachangeincircumstancethataffectsamember’seligibilityandmakesthemineligibleforcoveragewithinHealthFirstColoradoorChildHealthPlanFlits.1.1.14.Governor’sOfficeofInformationTechnology(OlT)—Theofficecreatedbyanddescribedin§24-37.5.l0l,etseq.C.R.S.OITistheInformationTechnologyServiceProviderforConsolidatedStateAgencies.1.1.15.HCPFMemoSeries-TheDepartment’spolicy,operationalandinformationalcommunicationsthatareutilizedtoprovidecontractclarifications,providedataandoperationalguidanceandshareinformationpertainingtotheCountyIncentivesProgram.1.1.16.HealthFirstColorado—themember-facingnameforColorado’sMedicalAssistanceProgram.1.1.17.HomeandCommunity-BasedServices(HCBS)-HCBSwaiverprogramsprovideadditionalbenefitsandservicestoeligiblepopulationsinadditiontothestandardbenefitpackageofferedtoallmembers.1.1.18.InformationTechnologyServiceProvider(ITSP)—AServiceProviderthatprovidesinformationtechnologyservicestotheContractor.TheITSPmaybeaninternaldepartment,athird-partyvendororOIT.1.1.19.LearningManagementSystem(LMS)—thesystemutilizedbytheHealthCareandEconomicSecurityStaffDevelopmentCentertotrackcourseregistration,completionsandothertraining-relateddocumentationforMedicalAssistancetraining.1.1.20.LongTermCare(LTC)-Long-TermCareisaMedicalAssistanceprogramthatprovidesnursing-homecare,home-healthcare,personatoradultdaycareforindividualsagedatleast65yearsorwithachronicordisablingcondition.1,1.21.LongTermServicesandSupports(LTSS)—forthepurposesofthisAgreement,LTSSreferstodeterminationsandredeterminationsmadeforLTC,HCBSandPACE.1.1.22.Member—AnindividualwhoiseligiblefortheColoradoMedicalAssistanceProgram.Alsoknownasaclient.1.1.23.ProgramfortheAll-InclusiveCarefortheElderly(PACE)—Programprovidescomprehensivemedicalandsocialsupportservicestocertainfrailindividuals55yearsofageandover.ThegoalofPACEistokeepindividualsintheirhomesandcommunitiesthroughcomprehensivecarecoordination.1.1.24.ReportingPeriod—TheperiodoftimeforeachperformancestandardusedtomeasurewhethertheContractormetthatstandard.1.1.24.1.TheFirstReportingPeriodforaSFYshallbeginonJuly1ofthatSFYandendonDecember31ofthatSFY.1.1.24.2.TheSecondReportingPeriodforaSFYshallbeginonJanuary1ofthatSFYandendonJune30ofthatSFY.1.1.25.Redetermination—ADeterminationasdefinedunder10C.C.R.2505-8.100.3.P.1.1.26.StateFiscalYear(SFY)—TheperiodbeginningJuly1ofeachcalendaryearandendingonJune30ofthefollowingcalendaryear.Page2of17 1.1.27.StatusReport—acommunicationtotheContractorthatdetailswhichPerformanceIncentiveStandardsweremetforeachReportingPeriod.1.1.28.SupplementalNutritionAssistanceProgram—Thisprogramexiststosafeguardthehealthandwell-beingoflowincome,financiallyeligiblehouseholdsbyprovidingfoodassistancebenefitsredeernabteforfooditemsatauthorizedretaiLers.Countiesconducteligibilitydetei-minationbasedonstate/federalrulesandguidelines.AnadditionalcomponentoftheprogramisSNAPOutreach.Coloradopartnerswithfouragencies:BenefitsDataTrust,BenefitsinAction,CareandSharefoodBankforSouthernColorado,HungerFreeColoradoforoutreachservices.TheseagenciesworktosimplifytheSNAPapplicationprocess,providingbothover-the-phoneandin-personapplicationassistancethroughoutthestate.1.1.29.TimelyDetermination—AnyDeterminationthatiscompletedwithinthetimelinessrequirementssetforthin10C.C.R.2505-8.100.3.D.1.1.30.TimelyDisenroliment—Processingachangeinamember’scircumstanceandmakingadeterminationwithinfifteen(15)calendardays.1.1.31.TimelyRedetermination—AnyRedeterminationthatiscompletedbythelastdayofthemonthpriortothemonthinwhichthemember’snewannualenrollmentperiodbegins.1.1.32.UntimelyDetermination—AnyDeterminationthatisnotcompletedwithinthetimelinessrequirementssetforthin10C.C.R.2505-8.100.3.D.1.1.33.UntimelyRedetermination—AnyRedeterminationthatisnotcompletedbythelastdayofthemonthpriortothemonthinwhichthemember’snewannualenrollmentperiodbegins.ThisisbasedontheCBMSRRRDueDate.2.COUNTYDETERMINATIONS2.1.TheContractorshallperformallMedicaideligibility-relatedworkwithintheContractor’scounty,reqttiredtinderC.R.S.§25.5-1-101etseq.TheDepartmentandtheContractorsharethecostsofthisworkperformedbytheContractorasdefinedinthosestatutesandthisContractshallnotimpacttheallocatedamountofthatcostsharing.3.SYSTEMSUSEDTODETERMINECOMPLIANCEWITHPERFORMANCEINCENTIVESSTANDARDS3.1.SystemsUtilizedtoDetermineCompliance3.1.1.TodeterminewhethertheContractormetanyorallthePerformanceIncentivesStandardswhencompletingdeterminationsandredeterminationswithintheContractor’scounty,theDepartmentwillutilizetheCOGNOS/DSSO1systemstopulldatatrackingandreportsthattracktheContractor’scompliancewithcertainPerformanceIncentiveStandards.3.1.2.TodeterminewhethertheContractormetanyorallthePerformanceIncentivesStandardswhenworkingwithMedicaidpopulationswithintheContractor’scounty,theDepartmentmayutilizedatafromtheColoradointerChangesystem.3.1.3.Theabovelistofsystemsisnotall-inclusiveandtheDepartmentwill,atitsdiscretion,utilizeadditionaldataandreportsfromtheCOGNOS/DSSO1,interChange,and/orPage3of17 othersystemstodeterminewhethertheContractormetanyorallthePerformanceIncentivesStandards.3.1.4.ThedatethedataorreportswillbepulledfromtheCOGNOS/DSSO1,interChange,and/orothersystemswillbedefinedineachapplicablePerformanceIncentiveStandard.3.1.5.TheContractorshouldutilizepolicy,operationalandinformationalguidanceprovidedinthisExhibitandthroughtheHCPFMemoSeriesforeachPerformanceIncentiveStandardtoassistwithimplementingthePerformanceIncentivesStandardandpullingapplicabledataandreportstodeterminetheContractor’scompliancewithanyorallthePerformanceIncentivesStandards.3.2.CommunicationsUtilizedtoDetermineCompliance3.2.1.TofulfilltherequirementsinExhibitA-5StatementofWorkandearnaPerformanceIncentivePayment,theContractorshallutilizeandcomplywithguidanceissuedthroughtheHCPFMemoSeries.3.2.2.TheContractorwillutilizetheHCPFMemoSeriestofindanyforms,templates,programcontactsoradditionalinformationneededtooperationatizetheIncentivesPerfonuanceStandardProgramreferencedthroughoutthisAgreement.3.2.3.Ifadditionalguidanceorcontractclarificationisneeded,theDepartmentmayreleaseadditionalguidancetotheContractorthroughtheHCPFMemoSeries.4.PERFORMANCEINCENTIVESSTANDARDPROGRAM4.1.TheContractormayearnPerformanceIncentivePaymentstoreimburseitforaportionofitscostsharingasdescribedinSection2.4.2.EligibilityPerformanceIncentiveStandard4.2.1.TheContractormayearnanEligibilityPerformanceIncentivePaymentforeachReportingPeriodinwhichtheContractormeetsatleastthree(3)outofthefour(4)followingbenchmarks:TimelinessofDeterminationsandRedeterminations,TimelinessofLTSSDeterminationsandRedeteiminations,BackloggedDeterminationsandRedeterminationsandTimelinessofCaseMaintenanceandDisenrolimentasfoundinsection4.2.4.2.1.1.TimelinessofDeterminationsandRedeterminations4.2.1.1.1.TheContractorshallcompleteatleastninety-fivepercent(95%)ofallDeterminationsandRedeterminationsasTimelyDeterminationsandTimelyRedetenninations.4.2.1.1.2.TheDepartmentwilltotalallTimelyDeteniiinationsandTimelyRedetenninationstheContractorcompletedwithintheReportingPeriodanddividethatbythetotalnumberofDeterminationsandRedeterminationstheContractorcompletedduringthatReportingPeriodtodeterminethetimelinesspercent.TheDepartmentwillroundthesecalculatedpercentagestotwo(2)decimalplaces.4.2.1.1.3.DeterminingCompliancewiththeTimelinessofDeterminationsandRedeterminationsPage4of17 4.2.1.1.3.1.TheDepartmentwillutilizetheMACountyIncentivesTimelinessReport—SummaryandMACountyIncentivesTimelinessReport—DetailtodeterminecompliancewithtimelinessbenchmarkoftheEligibilityTimelinessandBacklogPerfonTianceIncentiveStandard.4.2.1.1.3.2.TheMACountyIncentivesTimelinessReport—SummaryandMACountyIncentivesTimelinessReport—DetailwillbepulledthesecondMondayaftertheendofeachReportingPeriodtodeterminetheContractor’sperformanceovertheentiresix-monthReportingPeriod.4.2.1.2.BackloggedDeterminationsandRedeterminations4.2.1.2.1.TheContractor’sBackloggedDeterminationsaverageandBackloggedRedeterminationsaverageattheendofeachReportingPeriodshallbewithinthelimitsdescribedinthefollowingtable:4.2.1.2.2.CountyBacklogTableCountySizeLimitNewApplicationsLarge75Medium<10SmallRedeterminations-Large2$0Medium28--Small104.2.1.2.3.TodeterminetheBackloggedDeterminationsaverage,theDepartmentwilltotaltheBackloggedDeterminationsofeachmonthoftheReportingPeriodanddividebythenumberofmonthsintheReportingPeriod.4.2.1.2.3.1.TheMACountyIncentivesBacklogReport—SummaryandMACountyIncentivesBacklogReport-DetailwillbeusedtodetenuinetheContractor’samountofBackloggedDetenuinationsforeachmonthofeachReportingPeriod.4.2.1.2.3.2.TheMACountyIncentivesBacklogReport—SummaryandMACountyIncentivesBacklogReport—Detailwillbepulledonthesecondworkingdayofeachmonth.4.2.1.2.4.TodeterminetheBackloggedRedeterminationsaverage,theDepartmentwilltotaltheBackloggedRedeterminationsofeachmonthoftheReportingPeriodanddividebythenumberofmonthsintheReportingPeriod.4.2.1.2.4.1.TheMACountyIncentivesBacklogReport—SummaryandMACountyIncentivesBacklogReport-DetailwillbeusedtodeterminethePage5of17 Contractor’samountofBackloggedRedeterminationsforeachmonthofeachReportingPeriod.4.2.1.2.4.2.TheMACountyIncentivesBacklogReport—SummaryandMACountyIncentivesBacklogReport—Detailwillbepulledonthesecondworkingdayofeachmonth.4.2.1.2.4.3.TheDepartmentwillroundboththeBackloggedDetenninationsaverageandBackloggedRedeterminationsaveragetothenearestwholenumber.4.2.1.2.5.WhenaDeterminationorRedeterminationisConsideredBacklogged4.2.1.2.5,1.ADeterminationorRedeterminationwillbeconsideredbackloggedforthefirstReportingPeriodiftheduedatefortheDeterminationorRedeterminationisonorbeforeDecember31andtheDeterminationorRedeteniiinationwasnotcompletedonorbeforetheduedate.4.2.1.2.5.2.ADeterminationorRedeterminationwillbeconsideredbackloggedfortheSecondReportingPeriodiftheduedatefortheDeterminationorRedeterminationisonorbeforeJune30andtheDeterminationorRedeterminationwasnotcompletedonorbeforetheduedate.4.2.1.3.TimelinessofLTSSDeterminationsandRedeteniiinations4.2.1.3.1.TheContractorshallcompleteatleastninety-fivepercent(95%)ofallLTC,HCBS,andPACEDeterminationsandRedeterminationsasTimelyDeterminationsandTimelyRedeterminations.4.2.1.3.1.1.TheDepartmentwilltotalallTimelyDeterminationsandTimelyRedetermninationsforLTC,HCBS,andPACEtheContractorcompletedwithintheReportingPeriodanddividethatbythetotalnumberofLTC,HCBS,andPACEDeterminationsandRedetenninationstheContractorcompletedduringthatReportingPeriodtodeterminethetimelinesspercent.TheDepartmentwillroundthesecalculatedpercentagestotwo(2)decimalplaces.4.2.1.3.1.2.DeterminingCompliancewiththeTimelinessofLTSSDeterminationsandRedeterminations4.2.1.3.1.2.1.TheDepartmentwillutilizetheMACountyIncentivesLTSSTimelinessReport—SummaryandMACountyIncentivesLTSSTimelinessReport—DetailtodeterminecompliancewiththetimelinessbenchmarksoftheLTSSPerformanceIncentiveStandard.4.2.1.3.1.2.2.TheMACountyIncentivesLTSSTimelinessReport—SummaryandMACountyIncentivesLTSSTimelinessReport—DetailwillbepulledthesecondMondayaftertheendofeachReportingPeriod.4.2.1.4.TimelinessofCaseMaintenanceandDisenroilment4.2.1.4.1.TheContractorshallprocesschangesinamember’scircumstancewithinfifteen(15)calendardaysandshallcompleteeighty-fivepercent($5%)oftheContractor’sdisenrollmentswithinfifteen(15)calendardays.4.2.1.4.1.1.ProcessingandTimeframesforaMember’sChangeinCircttmstancesPage6of17 4.2.1.4.1.1.1.TheContractorshallprocessallmemberandpartneragency-reportedchangeincircumstanceswithinfifteen(15)calendardays.4.2.1.4.1.1.2.Thefifteen(15)calendardayclockbeginsonthedatethemember’schangeincircumstanceisreportedtotheContractorandendsonthedatetheeligibilitydeterminationbasedonthechangeisauthorizedinCBMS.4.2.1.4.1.1.3.Thefifteen(15)calendardaybenchmarkappliestochangesreportedbyamember,byapartneragencysuchastheSingleEntryPointorCommunityCenteredBoardorexternalagenciesstichasnursingfacilities.4.2.1.4.1.1.4.TheContractorshallnotpre-screenchangesincircumstancestodetermineifthechangeresultsinadisenroilment.TheContractorshallprocessthechangeincircumstancebyenteringtheinformationintoCBMSwithinfifteen(15)calendardays.4.2.1.4.1.1.5.TheContractorshallfollowexistingpolicyandoperationalguidanceforenteringinformationrelatingtoachangeincircumstancesintoCBMS.4.2.1.4.1.1.5.1.ThecalculationforTimelyDisenrolimentsisbasedondataentryintoCBMS.TheContractorshallensurethatinformationiscorrectlyenteredintoCBMS,includingthedatethechangeincircumstancewasreported,toensuretheTimelyDisenroilmentcalculationisaccurate.4.2.1.4.1.2.TimelyDisenroilments4.2.1.4.1.2.1.TheContractorwilldisenrollallmemberswhereachangeincircumstancehasresttltedinineligibilitywithinfifteen(15)calendardays.4.2.1.4.1.3.DeterminingComplianceforTimelyDisenrollments4.2.1.4.1.3.1.TheDepartmentwillutilizetheMADisenrolirnentProcessingTimesReporttodeterminetheContractor’scompliancewiththeTimelyDisenrolimentpercentage.4.2.1,4.1.3.2.TheMADisenrolirnentProcessingTimesReportwillbepulledthesecondMondayofthefirstmonthaftertheendofeachReportingPeriod.4.2.1.4.1.3.3.TodeterminetheContractor’spercentageoftimelydisenroliments,theDepartmentwilltakethetotalnumberoftimelydisenrolirnentsovereachReportingPeriodanddividethatbythetotalnumberofdisenrolimentscompleted.TheDepartmentwillroundthenumbertotwodecimalplaces.4.2.2.SmallCountyandSampleSizeExceptions4.2.2.1.1.IftheContractorprocessesatotaloftwo-hundredandforty(240)orfewerDeterminationsandtwo-hundredandforty(240)orfewerRedetenninationspermonth,theContractorshallbedeemedtohavemetthetimelinesspercentageoftheEligibilityPerformanceIncentiveStandardsolongastheyhadeighteen(18)Page7of17 orfewerUntimelyDeterminations/RedeterminationsduringthatReportingPeriod.4.2.2.1.2.IftheContractorprocessesatotaloften(10)orfewerLTSSDeterminationsandtwenty(20)orfewerLTSSRedeterminationsperReportingPeriod,theContractorshallbedeemedtohavemettheLTSStimelinesspercentagebenchmarkfortheEligibilityPerformanceIncentiveStandardsolongastheyhadsix(6)orfewerUntimelyLTSSDeterminationsandUntimelyLTSSRedeterminationsduringthatReportingPeriod.4.2.2.1.3.IftheContractorprocessesatotalofeight(8)orfewerdisenrolimentsduringanygivenmonth,theContractorshallbedeemedtohavemettheTimelyDisenroilmentpercentagebenchmarkfortheEligibilityPerformanceIncentiveStandardsolongastheyhadatleastsixtypercent(60%)ofdisenroilmentsasTimelyDisenroliments.4.2.2.1.4.TherearenoSmallCountyorSampleSizeExceptionsforbackloggedDeterminationsandRedeterrninations.4.2.3.ExemptionsforUnusualCircumstances4.2.3.1.TheContractormayrequestanexemptionforunusualcircumstancesforfailuretomeettheTimelinessofDeterminationsandRedeterniinationsbenchmarkasdescribedinsection4.2.1.1,failuretomeetBackloggedDetenninationsandRedeterniinationsbenchmarkasdescribedinsection4.2.1.2orfailttretomeettheTimelinessofLTSSDeterminationsandRedeterminationsbenchmarkasdescribedinsection4.2.1.3.4.2.3.1.1.TheContractorisnoteligibletorequestanexemptionforunusualcircumstancesforfailuretomeettheTimelinessofCaseMaintenanceandDisenrolimentbenchmarkasdescribedinsection4.2.1.4.4.2.3.2.Theexemptionprocessforunusualcircumstancesisdescribedinsection6,Exemptions.4.2.4.BENCHMARK:Three(3)outofthefollowingfour(4):95%timelinessaverageovereachReportingPeriodfordeterminationsandredeterrninationsasdescribedinsection4.2.1.1;backloggeddeterniinationandredeterminationaveragesovereachReportingPeriodbelowlimitbasedoncountysizeasdescribedinsection4.2.1.2.;95%timelinessaverageovereachReportingPeriodforLTSSdeterminationsandredeterminationsasdescribedinsection4.2.1.3.;eighty-fivepercent(85%)ofdisenrollmentscompletedwithinfifteen(15)calendardaysasdescribedinsection4.2.1.4.4.3.ExceptionalEligibilityPerformanceIncentiveStandard4.3.1.TheContractormayearnanExceptionalEligibilityPerformanceIncentivePaymentforeachReportingPeriodinwhichtheContractormeetsallfour(4)offollowingbenchmarks:TimelinessofDeterminationsandRedeterminations,TimelinessofLTSSDeterminationsandRedeterminations,BackloggedDeterminationsandRedetenninationsandTimelinessofCaseMaintenanceandDisenrollmentasfoundinsection4.2.4.3.2.BENCHMARK:Four(4)outofthefollowingfour(4):95.00%timelinessaverageovereachReportingPeriodfordeterminationsandredetenninationsasdescribedinPage$of17 section4.2.1.1;backloggeddeterminationandredeterminationaveragesovereachReportingPeriodbelowlimitbasedoncountysizeasdescribedinsection4.2.1.2.;95.00%timelinessaverageovereachReportingPeriodforLTSSdeterminationsandredeterminationsasdescribedinsection4.2.1.3.;eighty-fivepercent(85.00%)ofdisenroilmentscompletedwithinfifteen(15)calendardaysasdescribedinsection4.2.1.4.4.4.TrainingPerformanceIncentiveStandard4.4.1.TheContractormayearntheTrainingPerformanceIncentivePaymentforeachReportingPeriodifatleastseventyfivepercent(75%)ofitseligibilitytechniciansand/orsupervisorscompletetherequirednumberoftraininghoursasdescribedinsection4.4.TheContractor’sstaffthataresubjecttotheTrainingPerformanceIncentiveStandardrequirementisdescribedinsection4.4.1.1.4.4.1.1.StaffSubjecttoTrainingPerformanceIncentiveStandardandTrainingHoursRequirement4.4.1.1.1.Theeligibilitytechnicianand/orsupervisorwillberesponsibleforeight(8)hoursoftraininginthecontractualperiodiftheeligibilitytechnicianand/orsupervisorhasthesecurityprofiletoauthorizeMedicalAssistanceasdescribedinsection4.4.1.1.4.4.4.1.1.2.Theeight(8)hoursoftrainingshallbecompletedfromthelistofapprovedtrainingsprovidedbytheDepartment.ThelistofapprovedtrainingswillbeprovidedtotheContractoratimplementationandwillbepostedontheDepartment’sCountyAdministrationwebsite.4.4.1.1.3.TrainingsfromtheApprovedTrainingListcanbetrainedbytheStaffDevelopmentCenter(SDC)oranSDC-certifiedtrainerusingSDC-approvedmaterials.4.4.1.1.4.ManagementandEligibilityEnrollmentSpecialist(EES)CBMSaccessusersaresubjecttotheTrainingPerformanceIncentiveStandard.4.4.1.2.TrainingCompletionTimeframesandPreviouslyCompletedTrainings4.4.1.2.1.TherequiredamountoftrainingcanbecompletedduringtheFirstandSecondReportingPeriods,iftherequiredamountismetbytheconclusionoftheSecondReportingPeriod.4.4.1.2.2.TheContractor’sstaffmayre-takeapreviouslycompletedcourseandbegrantedcreditsolongasthecoursewasnotoriginallytakenwithinthecurrentfiscalyear.4.4.1.2.2.1.Coursesre-takenfromapreviousfiscalyearshallbetrackedpertherequirementsinsection4.4.1.3.2.4.4.1.3.DeterminingCompliancewiththeTrainingPerformanceIncentiveStandard4.4.1.3.1.TheContractorshalllogalleligibletraininghoursintheDepartment’sLearningManagementSystem(LMS).OnlytraininghoursloggedintheLMSsystemwillcounttowardstheTrainingPerformanceIncentiveStandard.4.4.1.3.1.1.OnlyeligibletrainingsasfoundonthelistofapprovedtrainingsshouldbeloggedinLMSviatheAddExternalTrainingfeature.Page9of17 4.4.1.3.1.2.TrainingsaddedviaAddExternalTrainingthatarenotincludedonthelistofapprovedtrainingswillberejected.4.4.1.3.1.3.ExternalTrainingrequestsmustmatchtheamountoftraininghoursofferedasdescribedonthelistofapprovedtrainings.ExternalTrainingrequeststhatrequestmorehoursthandescribedonthelistofapprovedtrailingswillbedenied.4.4.1.3.2.Coursesre-takenshallbemanuallyaddedintotheLMSbyutilizingtheAddExternalTrainingfeature.4.4.1.3.2.1.IfacoursehasnotyetbeencompletedintheLMS,thentheContractor’sstaffshallregisterforthecoursethroughthestandardcourseregistrationprocessandnotrequestapprovalviaAddExternalTrainingfeature.4.4.1.3.3.Todeterminecompliancewiththerequirednumberoftraininghours,theDepartmentwillrequestdataonuserswithsecurityprofileslistedinsection4.4.2.3.Across-comparisonwiththesecurityprofilesdatapullandLM$completionreportswilldetenriineiftheContractorcompliedwiththeseventyfivepercent(75%)requirementfortheTrainingPerformanceIncentiveStandard.4.4.2.BENCHMARK:75%ofeligibilitytechniciansandsupervisorswithsecurityprofileslistedinsection4.4.2.3completeeight(8)hoursoftrainingfromtheApprovedTrainingListwithinthecontractperiodasdescribedinsection4.4.1.4.5.CybersecurityPerformanceIncentiveStandard4.5.1.TheContractormayearnaCybersecurityPerformanceIncentivePaymentforeachReportingPeriodinwhichtheContractorsubmitstherequireddeliverablesrelatingtocybersecuritystandardsandremediationplansfortheColoradoInfonuationSecurityPolicies(CISP)asdescribedinsection4.5.4.5.2.FirstReportingPeriodDeliverable4.5.2.1.Nolaterthanthesemi-annualreportingduedateforthefirstReportingPeriod,theContractorshallsubmittotheDepartmentasignedMemorandumofUnderstanding(MOU)orsimilardocument,createdcollaborativelybetweentheDepartmentandtheContractor,regardingcompliancewiththeCISPs,dataprivacyand/orsharingorothercybersecuritystandardstobeaddressed.4.5.2.1.1.TheContractorshallensurethatthecybersecurityagreementisimplementedintheContractor’scountywithinareasonabletimeframe.ImplementationmayormaynotdependoncompliancewiththeCISPsandtheContractor’sRemediationPlanfortheCISPs,asdescribedinsection4.5,willalsoconsiderthecybersecurityagreementmentionedinsection4.5.2.1.4.5.3.SecondReportingPeriodDeliverable4.5.3.1.Nolaterthanthesemi-annualreportingduedatefortheSecondReportingPeriod,theContractorshallreviewwhetheritsITsystemsandotherdataprivacyandprotectionsafeguardscomplywiththeCISPs.IftheContractorisnotincompliance,theContractorshallcreateandsubmitaRemediationPlan.TheRemediationPlanwilladdressareasofnon-complianceandsetatimelinetogaincompliance.Page10of17 4.5.3.1.1.IninstanceswheretheContractor’sITSPisOIT,OITshallberesponsiblefordSPcomplianceoniyforthoseCISPswhichOIlmanagesonbehalfoftheContractor.4.5.3.1.1.1.TheContractorshallnotberesponsibleforcompliancewiththeCISPsforanypolicieswhicharetheresponsibilityofOTTortheState.4.5.3.1.2.FullcompliancewiththeCISPsdoesnotneedtobemetbythesemi-annualduedatefortheSecondReportingPeriod;rather,theContractor,throughtheRemediationPlan,shallcreateareasonabletimeframeforwhichitwouldgainCISPcompliance,consideringworkload,fundingandotherfactors.4.5.4.DELIVERABLES:SignedcybersecurityMOUsubmittednolaterthanthesemiannualduedatefortheFirstReportingPeriod;completedRemediationPlansubmittednolaterthanthesemi-annualduedatefortheSecondReportingPeriod.4.6.FoodSecurityPerformanceIncentiveStandard4.6.1.TheContractormayearnaFoodSecurityPerformanceIncentivePaymentforbothReportingPeriodsinwhichtheContractormeetsitsspecifiedbenchmarkrelatingtothepercentageofHealthfirstColoradomemberswhohaveacorrespondingenrollmentintheSNAPasdescribedinsection4.6.4.6.1.1.PercentageofHealthFirstColoradomemberswithenrollmentinSNAP4.6.1.1.1.TheContractorshallincreasethepercentageofHealthFirstColoradomemberswithenrollmentinSNAP.ThepercentageincreaseandtheoverallFoodSecuritybenchmarkwillbemutuallyagreed-uponbytheDepartmentandCDHS.ThebenchmarkwillbecommunicatedtotheContractorthroughtheHCPFMemoSeries.4.6.1.1.2.DeterminingCompliancewiththefoodSecuritybenchmark4.6.1.1.2.1.TheDepartmentwilltotalthenumberofHealthFirstColoradomemberswithSNAPenrollmentanddividethatbythetotalnumberofallHealthfirstColoradomembersintheContractor’scounty.4.6.1.1.2.2.TheDepartmentandCDHSwillutilizeacross-systemsdatapulltodeterminecompliancewiththebenchmarkoftheFoodSecurityPerformanceIncentiveStandard.4.6.1.1.2.2.1.Thenumeratoranddenominatorofthebenchmarkwillexcludeanyrelevantpopulations(e.g.IPV,E&Tsanctions)asnuttuallydeterminedbytheDepartmentandCDHS.ThepopulationsexcludedwillbecommunicatedthroughtheHCPFMemoSeries.4.6.1.1.3.TheContractorhastheoptiontodocumentitseffortstomeetthefoodSecuritybenchmarkthroughanoutreachplanorsimilarwrittendocumentation.ThewrittendocumentationisnotrequiredtobesubmittedtotheDepartmentasacontractdeliverable.4.6.2.BENCHMARK:EnrollmentbenchmarkofMedicaidmemberswhohaveacorrespondingenrollmentinSNAPinsection4.6.EnrollmentbenchmarkwillbecommunicatedthroughtheHCPFMemoSeries.5.SEMI-ANNUALREPORTINGPage11of17 5.1.1.TheContractorshallsubmitdocumentationtotheDepartmenttoverifytheContractor’scompliancewitheachPerformanceIncentiveStandardandwillsubmitsuchdocumentationonasemi-annualbasis.5.1.1.1.FortheFirstReportingPeriod,theContractorwillsubmitthefollowingdocumentation:5.1.1.1.1.AnyEligibilityPerfomianceIncentiveStandardexemptionformsfortheReportingPeriod,iftheContractorfailedtomeetspecifiedbenchmarks.5.1.1.1.2.AnyCybersecurityPerformanceIncentiveStandardMemorandumsofUnderstanding(MOU),RemediationPlansorotherdocumentslistedasdeliverablesunderthisagreement.5.1.1.1.3.DUEDATE:January5,20205.1.1.2.FortheSecondReportingPeriod,theContractorwillsubmitthefollowingdocumentation:5.1.1.2.1.AnyEligibilityPerformanceIncentiveStandardexemptionformsfortheReportingPeriod,iftheContractorfailedtomeetspecifiedbenchmarks.5.1.1.2.2.AnyCybersecurityPerformanceIncentiveStandardMemorandumsofUnderstanding(MOU),RemediationPlansorotherdocumentslistedasdeliverablesunderthisagreement.5.1.1.2.3.DUEDATE:July5,20206.EXEMPTIONS6.1.ExemptionsforUnusualCircumstancesfortheEligibilityPerformanceIncentiveStandardandtheExceptionalEligibilityPerformanceIncentiveStandard6.1.1.IfaDeterminationorRedeterminationisdelayedforunusualcircumstancesasdefinedunder10C.C.R.2505-$.lOO.3.D(d),theContractoriseligibletosubmitanexemptionfonm6.1.1.1.TheDepartmentwillnotincludeanyUntimelyDeterminations/RedeterminationsinitscalculationoftheEligibilityPerfonrianceIncentiveStandardiftheDepartmenthasapprovedthatUntimelyDetennination/Redeterminationasbeinguntimelybecauseofunusualcircumstancesasspecifiedinsection6.1.1.6,1.1.2.TheContractorshallberesponsibleforsubmittingone(1)exemptionformthatdetailseachofthecasesforwhichtheContractorisrequestinganexemption.6.1.1.3.TheContractorshallprovideadequateinformationontheexemptionformfortheDepartmenttoquantifypersonnelissuesiftheContractorrequestsanexemptionduetostaffvacancies,stafftraining,orotherpersonnelissues.6.1.1.3.1.Exemptionrequestsbasedonstaffvacanciesandtrainings,personnelorotherrelatedissueswillonlybeconsideredinexceptionalcircumstances.TheDepartmentreservestherighttodenyexemptionrequests6.1.2.TheDepartmentmayapproveorrejectanyrequestforUntimelyDetermination/RedeterminationexemptionsandmaylimitthetotalnumberofexemptedUntimelyDeterminations/RedeterminationsfortheEligibilityPerformanceIncentiveStandard.Page12of17 6.1.2.1.TheDepartmentwilldenyexemptionrequeststhatdonotmeettimelinessdefinitionsetforthin10C.C.R.2505-8.100.3.D(d)andSection1.1.12duetothefaultoftheContractorand/oranyexemptionrequestsbasedonthefollowing:6.1.2.1.1.FailureoftheContractortotimelyactonaDeterminationorRedeterminationwhichresultedinafailuretomeetthetimelinessrequirementsinSections1.1.11and1.1.12.6.1.2.1.2.FailtireoftheContractortoactonclientverificationthatwassubmittedtimelywhichwasrequestedforaDeterminationorRedetermination.6.1.2.1.3.FailureoftheContractortomanuallyauthorizeaDeterminationorRedeterminationwithamassupdateexception.6.1.2.1.4.FailureoftheContractortomanuallyauthorizeaRedeterminationwhentheautore-enrollmentorExParteprocesseswerenotsuccessful.6.1.2.1.5.FailureoftheContractortopullallapplicableCOGNOSreportsforthepurposesoffulfillingExhibitA-5,StatementofWork.6.1.2.2.Thereasonsfordenialofanexemptionasstatedinsection6arenotall-inclusiveandtheDepartmentreservestherighttodenyanyexemptionforreasonsnotstatedinsection6.6.1.2.2.1.Priortodenyinganexemptionforreasonsbeyondthosestatedinsection6,theDepartmentmay,atitsdiscretion,requestfurtherinformationfromtheContractortodeterminewhethertherequestforexemptionmeetstheexemptionstandardsasstatedinsection6,Exemptions.6.1.2.3.TheDepartmentmayapproveorrejectanyrequestforexemptionduetounusualcircumstancesandmaylimitthetotalnumberofexemptionreqtlests.6.2.ExemptionsforUnusualCircumstancesforPerformanceIncentiveStandardsotherthantheEligibilityPerformanceIncentiveStandard6.2.1.ExemptionsforunusualcircumstanceswillnotbeconsideredforanyPerformanceIncentiveStandardlistedundersection6.2.1.6.2.1.1.TrainingPerformanceIncentiveStandard6.2.1.2.CybersecurityPerfornianceIncentiveStandard6.2.1.3.FoodSecurityPerformanceIncentiveStandard6.2.2.TheContractor’sperformanceandcompliancewiththePerformanceIncentiveStandardslistedundersection6.2.1willbedeemedfinal,asdetenninedbytheDepartment,andPerformanceIncentivePaymentsmadewithouttheopportunitytosubmitanexemptionforunusualcircumstances.7.NOTIFICATIONS7.1.AftereachReportingPeriod,theContractorwillbeprovidedaStatusReportthatdetailswhichIncentivePerformanceStandardsweremet.7.1.1.TheContractor’sReportingPeriodStatusReportwillonlydetailwhichIncentivePerformanceStandardsweremetfortheReportingPeriodinquestion.Fundingamountswillnotbeprovideduntiltheconclusionofthefiscalyear.Page13of17 7.1.2.IftheContractorhasmorethanoneReportingPeriodinthefiscalyeartomeetanyIncentivePerformanceStandards,theReportingPeriodStatusReportwillnotincludetheContractor’sperfonnanceinthosePerfonnanceStandards.7.2.Aftertheconclusionofthefiscalyear,theDepartmentwillprovidetheContractorafinalStatusReportthatdetailswhichPerformanceIncentiveStandardsweremetandhowmuchPerformanceIncentivePaymentswereearnedbytheContractor.7.2.1.ThefinalStatusReportcannotbedisputed;iftheContractordisagreedwiththeDepartment’sdeterminationofcompliancewithanyPerformanceIncentiveStandard,theContractorshallhavedisputedthatresultbasedontheReportingPeriodStatusReport.7.3.EachReportingPeriodStatusReportandthefinalStatusReportwillbesenttothecountyhumanlsocialservicesdirectorandwillactastheofficialnotificationoftheContractor’scompliancewiththePerformanceIncentivesStandards.7.4.StatusReportsforeachReportingPeriodwillbesentwithinten(10)calendardaysaftertheSemi-AnnualReportingduedateforeachReportingPeriodasfoundinSection5,SemiAnnualReporting.ThedateonwhichtheStatusReportforeachReportingPeriodissenttotheContractorwillbeconsideredtheStatusReportDate.7.4.1.IfunusualcircumstanceshavedelayedtheContractor’sReportingPeriodorfinalStatusReports,theDepartmentwillinfonrttheContractorofthedelayandananticipateddateofresolution.7.5.ThefinalStatusReportwillbesentupontheDepartment’sdeterminationoffinalPerformanceIncentivePaymentamounts.7.6.TheContractorwillhavetheopportunitytodisputetheStatusReportresultsasdefinedinsection7,DisputeResolution.8.DISPUTERESOLUTION8.1.OpportunityandTimeframeforDisputeResolution8.1.1.IntheeventtheContractordisagreeswiththefindingsoftheofficialnotificationasfoundinsection7,Notifications,theContractorwillhavetheopportunitytodisputetheReportingPeriodStatusReportfortheReportingPeriodinquestion.8.1.1.1.1.ThefinalStatusReportcannotbedisputedpersection7.2.1.8.1.1.2.TheContractorwillhaveten(10)calendardaysfromtheStatusReportDatetorevieweachReportingPeriodStatusReportanddisputetheresults.8.1.1.3.IftheContractorfailstodisputetheReportingPeriodStatusReportwithinten(10)calendardaysfromtheStatusReportDate,theStatusReportresultswillbedeemedfinal.Nofurtherdisputeswillbeallowed,andcompensationwillbemadepersection9basedontheresultsofthenon-disputedStatusReport.8.2.AllowableDisputes8.2.1.TheContractorwillbeallowedtodisputetheresultsoftheStatusReportbasedonthefollowingreasons:Page14of17 8.2.1.1.TheContractorsubmitteddocumentationthatwasrequiredforaPerformanceIncentiveStandard,solongastheContractorhasproofthattherequireddocumentationwassubmittedonorbeforethecontractually-requiredduedate.8.2.1.2.TheContractorrequestsare-reviewoftheContractor’ssubmitteddocumentationthatwasusedtodeterminecompliancewithanyPerformanceIncentiveStandard.8.2.1.3.TheContractorhasavailabledata,suchassystemsreportsorothertrackingmethodologies,thatconflictswiththeDepartment’savailabledatathatwillutilizedtodeterminecompliancewithaPerformanceIncentiveStandard.8.2.1.3.1.TheContractorwillberesponsibleforprovidingallnecessaryandrelevantdataavailabletotheDepartmentinordertodetermineiftheContractor’sdatatrulyconflictswiththeDepartment’sdata.8.2.1.3.2.TheDepartmentwillmakethefinaldeterminationwhenaconflictofdataoccursandwillmakePerfonnanceIncentiveStandardPaymentsbasedonitsfinaldetennination.8.2.2.TheDepartmentreservestherighttoaddadditionalallowabledisputereasonsthroughoutthefiscalyearbasedonadditionalinformationmadeavailablefromtheDepartmentand/orContractor.Theseadditionalallowabledisputereasonswillbeconsideredonacase-by-casebasis,andtheDepartment’sdeterminationofadditionalallowabledisputereasonsarefinalandnotsubjecttotheDisputeResolutionprocessasoutlinedinsection8.8.3.NonallowableDisputes8.3.1.TheContractorwillnotbeallowedtodisputetheresultsoftheStatusReportbasedonthefollowingreasons:8.3.1.1.TheContractorfailedtomeetcontractually-specifiedrequirementsrelatingtothecontentofsubmissionofdeliverablesandthetimelysubmissionofdeliverables.8.3.1.2.TheContractorfailedtomeetcontractually-specifiedrequirementsrelatingtoperformancebenchmarksofanyPerformanceIncentiveStandard.8.3.1.3.TheContractor’sfailuretoreviewandutilizeCountyIncentivesProgramdocumentation,includingpolicy,informational,andoperationalguidanceissuedthroughtheHCPFMemoSeries,thatresultedintheContractorfailingtomeetperformancebenchmarksanddeliverablesrelatingtoanyIncentivePerformanceStandard.8.3.1.4.TheDepartment’sfinaldeterminationoftheContractor’sexemptionrequest(s)fortheEligibilityPerformanceIncentiveStandard.8.3.1.5.AnyexemptionrequestsforunusualcircumstancesforotherPerformanceIncentiveStandardsotherthanthoselistedin8.3.1.4.8.3.2.TheDepartmentreservestherighttodenyaContractor’sdisputebasedonanyreasonnotincludedundersection8.3.1.TheDepartment’sdeterminationisfinalandisnotsubjecttodisputeorappeal.9.COMPENSATION9.1.CompensationPage15of17 9.1.1.PerformanceIncentivePayment9.1.1.1.TheDepartmentshallpaytheContractor,aftertheendofthefiscalyearinwhichtheworkwasperformed,aPerformanceIncentivePaymentforeachPerformanceIncentiveStandarditmeetsduringtheapplicableReportingPeriodasfollows:9.1.1.1.1.TheDepartmentshallpaytheContractoranEligibilityPerformanceStandardPaymentasshowninExhibitBforeachReportingPeriodthattheContractormeetstherequirementsforthatPerformanceIncentiveStandard.9.1.1.1.2.TheDepartmentshallpaytheContractoraTrainingPerformanceIncentivePaymentasshowninExhibitBforeachReportingPeriodthattheContractormeetstherequirementsforthatPerformanceIncentiveStandard.9.1.1.1.3.TheDepartmentshallpaytheContractoraCybersecurityPerformanceIncentivePaymentasshowninExhibitBforeachReportingPeriodthattheContractormeetstherequirementsforthatPerformanceIncentiveStandard.9.1.1.1.4.TheDepartmentshallpaytheContractoraFoodSecurityPerformanceIncentivePaymentasshowninExhibitBforeachReportingPeriodthattheContractormeetstherequirementsforthatPerformanceIncentiveStandard.9.1.2.RemainingFundsIncentivePoolPayment9.1.2.1.TheDepartmentwillcreateaRemainingfundsIncentivePooleachSFY.9.1.2.1.1.TheRemainingfundsIncentivePoolshallincludethefollowing:9.1.2.1.1.1.ThetotalamountofallbasePerformanceIncentivePaymentsallocatedtoanyContractorthatselectedtonotparticipateinthePerformanceIncentiveStandardsProgramforthatSFY.9.1.2.1.1.2.EachofthebasePerformanceIncentivePaymentsfromtheTrainingPerformanceIncentiveStandard,theCybersecurityPerfonnanceIncentiveStandardandtheFoodSecurityPerformanceIncentiveStandardthatwerenotearnedbytheContractorduringaReportingPeriodinthatSFY.9.1.2.1.1.2.1.TheContractorshallbeeligibleforRemainingFundsIncentivePoolpaymentsfortheEligibilityPerfonnanceIncentiveStandardonlyiftheContractorwasincompliancewiththeExceptionalEligibilityPerformanceIncentiveStandard.9.1.2.1.2.IftheRemainingfundsIncentivePooliszerodollars($0.00)foranySFY,theContractorshallnotreceiveaRemainingFundsIncentivePoolPaymentforthatSFY.9.1.2.2.TheRemainingFundsIncentivePoolwillbepaidasfollows:9.1.2.2.1.TheContractorshallbeeligibleforpaymentfromtheRemainingFundsIncentivePoolbasedonthedoLlaramountofIncentivesmetduringthatSFY.9.1.2.2.2.BasedontheproportionoftotalIncentivefundsthattheContractoriseligibletobepaidineachSFY,theContractorshallreceivethesameproportionoffundsfromtheRemainingFundsIncentivePool.Page16of17 9.1.2.2.3.TheContractor’spaymentoffundsfromtheRemainingFundsIncentivePoolshallneverexceedthecounty’sshareofMedicaidexpenditure,asspecifiedinSection2,CountyDeterminations.9.2.PaymentProcedures9.2.1.TheContractorshallreceivePerformanceIncentivePaymentsforeachReportingPeriodwithinninetydays(90)daysfollowingtheendofthefiscalyearinwhichthePerformanceIncentivebenchmarkstveremet.ThisallocationwillreflectthemaximumtheContractorcanearnforeachPerformanceIncentiveStandardperReportingPeriod.9.2.1.1.IftheContractor’scountyadministrationlineitemisover-expendedduringthecountyadministrationcloseoutprocess,SettlementAccountingandtheDepartmentmayutilizetheContractor’searnedPerformanceIncentivePaymentsduringthecloseoutprocess.9.2.2.ActualPerformanceIncentivePaymentmaximumsaredependentontheContractor’sshareofMedicaidcountyadministrationexpenditure.InnoeventshalltheContractorbepaidmorethantheContractor’scountyshareofMedicaidcottntyadministrationexpenditureinanyReportingPeriod.9.2.3.TheDepartmentmayaddanyunearnedfundsfromthefirstReportingPeriodintototheSecondReportingPeriodallocationforanySFY.9.2.3.1.TheContractorshallbepaidthePerformanceIncentivePaymentsthroughtheCountyFinancialManagementSystem(CFMS).9.2.4.TheDepartmentmayuseanyunearnedSecondReportingPeriodIncentivePerformancePaymentsduringthecountyadministrationcloseoutprocess.Page17of17 EXHIBITC,SMALL,MEDIUMANDLARGECOUNTYLISTThebelowcategorizescountiesassmall,mediumandlargeforpurposesofqualificationofexemptionsfortimelinessand/orbacklogincentives.SmallArchuletaGrandPhillipsBacaGunnisonPitkinBentHinsdaleRioBlancoCheyenneJacksonRouttClearCreekKiowaSanJuanCostillaKitCarsonSanMiguelCrowleyLakeSedgwickCusterLincolnSummitDoloresMineralWashingtonElbertOurayYumaGilpinParkMediumAlamosaGarfieldMorganBroomfietdHuerfanoOteroChaffeeLaPlataProwersConejosLasAnirnasRioGrandeDeltaLoganSaguacheDouglasMoffatTellerEagleMontezumaFremontMontroseLargeAdamsArapahoeBoulderDenverElPasoJeffersonLarimerMesaPuebloWeld