Compliance - Integrity Lead Officer

• CMS - Confirm PRMP meets the requirements of Program Integrity Lead Officer
• LETTER PR SECRETARY OF HEALTH TO HHS - REQUESTING EXTENSION - JUNE 18 2020
• Letter to Mr. Laurie H. Battaglia - June 4, 2020
• Puerto Rico - HR 1856 Letter 03_04_2020

Compliance - Compliance MEQC

• 2021-6-21 Governor Pierluisi Re Letter Medicaid Reports
• CMS approval PERM and MEQC June 22 2021
• CMS APPROVAL PR MEQC-PERM COMPLIANCE PLANS 072021
• PRDOH_Congressional Report 4 MEQC Compliance Plan_FINAL[4][1]

Compliance - PERM

• 2021-6-21 Governor Pierluisi Re Letter Medicaid Reports[1]
• CMS approval PERM and MEQC June 22 2021
• CMS APPROVAL PR MEQC-PERM COMPLIANCE PLANS 072021
• PRDOH_Congressional Report 2 PERM Compliance Plan_FINAL[2][1]

Compliance - Scorecard Measures

Compliance Congress Annual Report 2020

• P.L. 116-94 Annual Report to Congress 10-30-2020

Compliance Congress Annual Report 2021

• Puerto Rico Congressional Annual Report FINAL
• Puerto Rico Medicaid Annual Report Summary Sheet
• Puerto Rico Medicaid Progress Update One Pagers
• Status of Puerto Rico Medicaid Enterprise Program Improvements
• APPENDIX L PL 116-94 Quarterly Report Jan 2021 Final
• APPENDIX B Review of PR Program Integrity Policies, Procedures and Staffing FINAL

Compliance Contract Reform Plan

• Puerto Rico Medicaid Program Contracting Transparency, Non-Competitive Procurement & Competitive Bid Evaluation Process Standard Operating Procedure Version 1.0 July 2022
• Puerto Rico Medicaid Contracting Reform Playbook July 2021
• Puerto Rico Medicaid Contracting Reform Playbook September 2021
• Letter - Gov. Vazquez Garced to Congress re PR Response to PL116-94 Reporting Requirements
• PR Response to PL116-94_Requirement 12_Scorecard Reporting_Final
• PR Response to PL116-94_Requirement 3_Contracting Reform Plan_Final
• PR Response to PL116-94_Requirement 7_Contract Oversight and Approval_Final
• PR Response to PL116-94_Requirement 8_Evaluation of Managed Care Payments_Final
• PR Response to PL116-94_Requirement 9_Scorecard Measures_Final

General Accounting Office - GAO

• GAO-21-229 MEDICAID_ CMS Needs to Implement Risk-Based Oversight of Puerto Ricos Procurement Process
• GAO-21-98
• LETTER TO GAO - RVOTH- REPORT CONGRESS PL116-94

Quarterly Reports to CMS

August 2020

• CMS Quarterly Report 8-1-20

January 2021

April 2021

• CMS Semi Annual Report Cover Letter[2][2]
• Medicaid Semi-Annual Report Summary Sheet April 30 2021[1][2]
• Medicaid Semi-Annual Report_April 2021[1][2]
• PR Response to PL116-94_Requirement 11 April 30 2021[1][2]

July 2021

• PL 116-94 Puerto Rico Quarterly Report July 2021
• PR HEALTH SECRETARY TRANSMITTAL LETTER QUARTELY REPORT TO CMS JULY 2021

Federal Law - PL 116-94

• PL. 116-94
• SEC. 202. MEDICAID FUNDING FOR THE TERRITORIES__Puerto Rico
• Statement by the President _ The White House

Office of Inspector General (OIG) - Office of Audit Services

• A-02-20-01011 Risk Assessment PR Medicaid Program - Audit Notification Letter
• A-02-20-01011 Risk Assessment Puerto Rico Medicaid Program
• Letter of Intent A-02-21-01004
• Letter of Intent A-02-21-01005
• LETTER TO OIG - TROSARIO - REPORT CONGRESS PL 116-84 DEC. 18, 2020
• oig.hhs.gov-Risk Assessment Puerto Rico Medicaid Program
• Risk Assessment of Puerto Rico Medicaid Program_22001011

Other Related Documents

• Carta enviada al Congreso por la Gobernadora sobre los Fondos Medicaid
• Carta enviada por Aceedo Vila - AAV - carta a JGC
• Carta enviada por Acevedo Vilá - AAV - carta a WVG
• Enclosure - Puerto Rico Critical Sustainability Measures to Provide Essential Health Services - 5-1-19
• High Level Congressional Requirement Summary
• Letter - Gov Rossello to Chaiman Pallone and Ranking Member Walden re Puerto Rico Medicaid Request - 5-1-19
• Letter - Gov Rossello to Chairman Grassley and Ranking Member Wyden re Puerto Rico Medicaid Request - 5-1-19
• MACPAC MANDATED REPORT - MEDICAID IN PUERTO RICO
• PRDOH and ASES Colleagues_Thank you Email_update
• PRFAA Memo__Funds for Medicaid and Requirements
• Statement by the President _ The White House
• The Road to Medicaid Parity in Puerto Rico. 2.1.2021

RFP Process - Compliance with the Congressional Requirements

• BerryDunn Response PR RFQ Medicaid Congress Requirements
• DELOITTE - PR Medicaid RFQ Proposal March 8 2020
• King and Spalding Proposal to PRDoH
• PRDH MDCD Office 2020_HMA
• Relayed_ Deloitte Proposal for Response to PR Medicaid RFQ
• RFQ Invitation of Special Requirements by Congress
• SLI_Government Solutions_Puerto Rico Medicaid Program_Congress Requirements Response - 20200303
• Vendor RFQ Evaluation Sheet - JULIO RIVERA
• Vendor RFQ Evaluation Sheet - MARIA D. GARCIA DUCOS
• Vendor RFQ Evaluation Sheet- LUZ E. CRUZ-ROMERO
• Vendor Selection letter CONGRESS REQUIREMENTS 116-94