GPRA Attachment

GPRA Attachment

The GPRA requirement may be found in 3 U.S.C. § 1101. GPRA requires government agencies to submit an annual plan whereby the agency sets and reports on performance measures that may be linked to the agency's budget. Over a three-year period beginning in 1998, CMS started the development of a comprehensive appeals data system to collect appeals data at the M+C organization-level in order to hold M+C organizations and demonstrations accountable for their performance. However, that goal was not met due to concerns regarding burdening plans with increased reporting requirements. In that respect, CMS did not move forward with efforts to analyze M+C internal appeals activity using a CMS developed system. Since M+C organizations (now referred to as Medicare Advantage plans) and demonstrations remain under a requirement to collect and provide this information to enrollees, we continue to need the same format and form for reporting.