HSD Instructions _09112009_REDLINED

INSTRUCTIONS FOR COMPLETING CMS HSD TABLES

Note: Detailed Technical instructions will be outline in the HPMS user guide.

Form and Table Management

Applicants must generally submit separate completed copies of each table template for each area/region or county that the Applicant is requesting.  Specific instructions on how to complete and submit each table will be outlined in the 2011 HPMS User Guide for the Part C Application. 

General Instructions for CMS HSD Tables Including Tables 1, 2, 2a, 3 Summary, 3 Detail, 3a, 4, 5

(These tables should be completed by contracted-network MA applicants and are not required for non-network Private Fee For Service PFFS.)

Applicants will demonstrate network adequacy through an automated review process and revised Health Service Delivery (HSD) Tables. The revised tables and instructions for each HSD table are below. The tables should reflect the applicants’ fully executed contracted network providers and facilities that are in place on the date of submission. For CMS purposes, contracts are considered fully executed when both parties have signed.

As part of the application module in the Health Plan Management System (HPMS), CMS will provide applicants with an automated tool for submitting network information via HSD tables prior to the initial application submission deadline. As part of this new process, applicants will have an opportunity to submit HSD tables for automated review, as part of a pre-assessment screening process. During this process, HSD tables will be reviewed automatically against default adequacy measures for each required provider and facility type in each county. Applicants can then use feedback received during the pre-assessment screening to revise HSD tables and formally submit them by the initial submission date. This new process will permit applicants to determine if they have achieved network adequacy prior to submitting their applications. A positive result from the pre-assessment screening process that CMS makes available to applicants does not mean, nor is it meant to imply, that the applicant’s application has, or will, be approved.

While the automated pre-assessment process will provide applicants with a better understanding of potential deficiencies prior to the official application review, it is not a substitute for the intensive review conducted by CMS Reviewers that may identify additional deficiencies that require clarification from the applicant.

CMS will make required minimum values known to applicants prior to the opening of the application module and pre-assessment criteria assessment so that applicants can gain a better understanding of the required values (i.e., providers and facilities required for each county, in addition to time and distance standards). This data will help applicants build their networks and contract with providers accordingly. Given the addition of time and distance values, CMS will allow applicants to include providers from surrounding counties as part of a county’s proposed network of providers. Thus, county boundaries no longer apply. This will help to address areas where beneficiaries may travel across county lines to seek care.

Network adequacy assessments for Special Needs Plans will continue to be handled on a manual basis as in previous years.

Applicants who have not been able to meet the adequacy requirements and believe that they have a valid reason for not meeting them may seek an Exception at the time of the initial application submission only. In such instances, the applicant will submit required documentation to support the Exception request, as defined by CMS. The HSD tables must still be submitted for assessment, but an additional review of the Exception request will be performed by a CMS reviewer. Exception requests must follow the pre-defined Exception types as defined by CMS. The requesting of an Exception does not guarantee that the request will be approved by CMS which will indicate that the applicant must continue to further develop its network for that particular provider or facility type.

Applicants that submit final HSD tables that meet CMS's adequacy requirements will still be required to submit signed contracts and other documents that demonstrate the accuracy of the HSD table submissions.

CMS will provide training to applicants on the new automated system including the pre-assessment process, exceptionsExceptions process, the new HSD tables, and the network adequacy requirements (criteria) before the application module opens. CMS expects to annually post the criteria for determining network adequacy in November of each year, prior to the last date for submitting the Notice of Intent to Apply.

Table: HSD-1 – Summary Arrangements with Providers and Specialist

Guidelines:

Applicant must indicate the total number of providers for each SSA State/county code in their pending service area. Instructions:

1. If an MA applicant has a network exclusive to a particular plan, the applicant must provide four separate HSD tables for each plan in HPMS.

2. The applicant must list the plan or plans’ name to which a table applies at the top of each table. If the table applies to all plans, state “All”.

3. If the table being submitted is a revision to a previously submitted table, indicate “Yes” in the Revision to “Previously Submitted HSD-X Table?” line. If this is an original submission, indicate “No”.

4. Enter the date that the tables were constructed next to “Date Prepared”. The tables should reflect the applicants’ fully executed contracted network providers and facilities that are in place on the date of submission.

Note: For CMS purposes, contracts are considered fully executed when both parties have signed.

5. For HSD-2 and -3 Detail, enter the SSA county code of the county for which the contract network is being submitted on the “SSA County Code” line. For HSD-1 and -3 Summary, the SSA county code for each county will be entered in the first Column.

• Include the five digit state and county code. You must include leading zeros.

  • Example: 01010

6. For HSD-2 and -3 Detail, on the “County Name” line, spell out the name of the county for which the network table is being submitted. For HSD-1 and -3 Summary, the name of each county will be entered in the second Column.

7. For HSD-2 and -3 Detail, on the “State Name” line, spell out of the name of state for which the network table is being submitted. For HSD-1 and -3 Summary, the name of each state will be entered in the third Column.

8. If an applicant plan is unable to meet minimum number requirements or time and distance requirements, it may request an Exception under limited circumstances including:

• Insufficient number of providers/beds in service area

• No providers/facilities that meet the specific time and distance standards in service area

• Patterns of care in the service area do not support need for the requested number of and/or provider/facility type

• Services can be provided by an alternate provider type/Medicare-certified facility

Please see Section I at the end of this section for Exceptions instructions.

9. Applicant must provide HSD tables in HPMS as Excel documents.

10. HSD Table format must include:

• Set print area and page set-up to ensure all columns fit within one 8.5 inch by 11 inch sheet of paper either portrait or landscape. For some HSD tables, the number of rows may require additional pages.

• Set repeat rows to specify the title of the worksheet and the column headings for HSD tables that require multiple pages to be printed. For example, the CMS reviewer must be able to view subsequent pages of the HSD table with the same column headings as the first page.

• Save format settings prior to uploading into HPMS.

NOTE: RPPO applicants are required to complete HSD tables and follow the instructions in Section 2 of this application.

A. Table: HSD-1: County/Delivery System Summary of Providers by Specialty

Instructions:

1. Physicians and specialists should be counted only once per county on this table even if the provider has more than one location in a county.

2. If the applicant uses a sub-network or has multiple delivery systems within the county/service area, the applicant must complete a separate HSD-1 table for each delivery system. Each HSD-1 table should be representative of the aggregate numbers of providers for the delivery system being described..

3. AllInitial applicants must include a numeric entry for each provider type.  If the number of providers is zero, please enter a zero.  Every county in the applicant plan’s proposed service area must include an entry for every provider type.

4. SAE applicants must include a numeric entry for each provider type for the counties in which expansion is to occur.

5. If there are other specialties that are not listed, applicant should add lines under "Radiology" in the “Providers Supporting Contracted Facilities” section at the end of the list to cover these specialists. Please do not change the provider specialty order as listed on HSD-1. Also, the applicant plan MUST enter a specialty code of “000” (three zeros) for specialties added or the system will generate error codes.

6. Applicant must indicate the total number of providers for EACH SSA State/county code in their pending service area.

Column Explanations:

1. SSA State/County Code – Enter the SSA County code of the county for which the contract network is being submitted onin the “SSA State/ County Code” column. The state county code should be a Column.

2. Include the five digit number. Pleasestate and county code. The applicant must include the leading zeros (e.g.,01010).

   1. Example: 01010

3. County Name – Enter the name of the county for which the contract network is being submitted in the “County Name” Column. The county name must correspond with the SSA Code entered.

4. State Name – Enter the name of the state of the county for which the contract network is being submitted in the “State Name” Column. The state name must correspond with the SSA code entered.

5. Specialty Type – Self explanatoryList the name of the specialty for which the applicant plan is entering information.

Note: If there are other specialties that are not listed, list the additional add these specialties to the bottom of the list (below Vascular Surgery") and enter a specialty code of “000” (three zeros).

Note:For Oncology providers, Hematology/Oncology providers should be classified as oncology, medical specialty. included.

6. Specialty Code – Specialty codes are unique codes assigned by CMS to process data.Each specialty/provider is assigned a unique specialty code. Do not change these codes.

Note: If there are other specialties that are not listed, the applicant should add lines under "Radiology" in the “Providers Supporting Contracted Facilities” section at the end of the list to cover these specialists. Please do not change provider specialty order as listed on HSD-1. Also, the applicant plan MUST enter a specialty code of “000” for those specialties added (three zero’s) or it will receive error codes.

7. Medicare Provider Breakdown – TheList the number of contracted providers by type of contract (direct arrangement or downstream arrangement).

8. Total # of Providers-

• Add up the total number of unique providers per specialty (columns 6 + 7).

9. Do not leave blanks- – enter zero if the answer is zero.

10. Total # of PCPs Accepting New Patients – Do not leave blank. Enter a zero if the answer is zero.

11. Total # of PCPs Accepting Established Patients Only – Do not leave blank. Enter a zero if the answer is zero.

Technical Instructions for Preparing HSD-1

1. Applicant may use Microsoft Excel or Microsoft Access to create HSD-1 (depending on the number of counties served, if applicant does not have Microsoft Office 2007, there may not be enough rows in Excel. In that case, use Microsoft Access).

2. For EACH county in the proposed service area, copy rows 7 through 49 and provide answers in each column. DO NOT create numerous tabs. Include all counties on one sheet.

3. For Row 11, Primary Care Physicians Total, enter the sum of rows 7 through 10.

4. For Row 14, Mid-Level Primary Care Practitioners Total, enter the sum of rows 12 and 13.

Note: In the situation where a) there is an absence of sufficient numbers of primary care physicians AND b) state law permits it, physician assistants and nurse practitioners specializing in primary care, may serve as primary care providers.

5. For Row 15, Primary Care Providers Total, enter the sum of rows 11 and 14.

6. After you have completed HSD-1 (in Microsoft Excel), applicant MUST SAVE THE FILE AS A TAB DELIMITED .txt FILE FOLLOWING THE APPROPRIATE NAMING CONVENTION IN THE MA README FILE.

7. Upon upload, applicant must zip the .txt HSD-1 file and name the zip file according to instructions found in the MA readme file.

B. Table: HSD-2: Provider of Physicians and Other Practitioners by County

Instructions:

1. Complete header fields on table as indicated in the general instructions at the beginning of the HSD instructions.

2. Applicant must arrange providers alphabetically by county, then alphabetically by specialty, and finally numerically by zip code.

3. If a provider serves in multiple countiessees patients at more than one location, list the provider multiple times with the appropriate state/county to account for each county. each location separately.

4. All providers that comprise the total counts on HSD-1 must be listed on HSD-2. Providers that have opted out of Medicare must not be included in the applicant’s contracted network and on HSD-2.

5. Add additional rows to account for all providers.

6. A new tab should be created for each county for which the plan is applying to service.

Column Explanations:

1. SSA State/County Code –Enter the SSA County code of the county for which the contract network is being submitted on the “SSA State/ County Code” column. The state county code should be a five digit number. Please include the leading zeros (e.g.,01010)

2. Name of Physician or Mid-Level Practitioner – Self-explanatory.

3. National Provider Identifier (NPI) Number – The provider’s assigned NPI number must be included in this column. If provider is a part of a Medical group use the provider individual NPI.

4. Specialty – Self-explanatory.

5. Specialty Code – Specialty codes are unique codes assigned by CMS to process data. Enter the appropriate specialty code. that best describes the services offered by each provider. The specialtySpecialty codes must match the list of codes reported on HSD-1.

6. Contract Type – Indicate type of contract with provider. Enter “DCD” for direct contract and a “DSW” for downstream contract.

G-K.

7. Provider Columns 6 through 10

Service Address Columns- Enter– Specify the address (i.e., street, city, state, zip code, and county) where the provider serves patients. If a provider sees patients at more than one location, list each location separately. P.O. Box addresses and street intersections are not acceptable office location addresses..

12. Provider Previously Listed? – Enter "Y" if the same provider is previously listed in the rows above. Enter "N" if a provider is not previously listed in the rows above. (e.g., the first time a provider listed on the worksheet, an "N" should be entered.)

12. Contracted Hospital Where Privileged – Identify the primary (one) contracted hospital in the service area where the provider has admitting privileges, other than courtesy privileges. If the provider does not have admitting privileges, please leave cell blank. If the provider has admitting privileges at more than one contracted hospital, please insert additional rows as needed and copy all corresponding data in each line for all other contracted hospitals where the provider has admitting privileges. Note: The spelling of the contracted hospital(s) must be exactly the same as the spelling of the contracted hospital listed on HSD-3 Detail.

12. If PCP, Accepts New Patients? – Indicate if provider accepts new patients by entering a "Y" or "N" response. If "N" was entered in column 11, please leave cell blank.

12. If PCP, Accepts Only Established Patients? – Indicate if provider accepts only established patients by entering a "Y" or "N" response. If "N" was entered in column 11, please leave cell blank..

12. Does MCO Delegate Credentialing? – Enter "Y" if the applicant delegates the credentialing of the physician. Enter "N" if the applicant does not delegate credentialing of the physician. If credentialing is not required, please leave cell blank.

12. If Credentialing is Delegated, List Entity – If credentialing is not performed by the applicant, enter the name of the entity that performs the credentialing. The name entered should match one of the entities listed on the "Entity Listing in Preparation for Monitoring Review" document that was previously provided to the RO.

12. Medical Group Affiliation – For each provider reflected on the table indicate the name of the medical group/IPA affiliation for that provider. If the applicant has a direct contract with the provider, but is not affiliated with a medical group/IPA, then enter “DC.” This data is necessary so that CMS may sort the table to assess provider network adequacy without requiring that a separate HSD-2 table be completed for each medical group/IPA that comprises a distinct health service delivery network.

Notes: Leave this column blank if the provider is not affiliated with a medical group/IPA or .

• For example, if the applicant has a provider with a direct contract with applicant (i.e. Hospital employee)that is affiliated with a “XYZ” medical group/IPA, it must input “DC” in column number 5 and the name of “XYZ” medical group/IPA in column 17.

.

• If the applicant plan’s provider has a direct contract, but is not affiliated with a medical group/IPA, then input “DC” in column 5 and leave column 17 blank.

Names MUST be entered exactly the same way each time, including spelling, abbreviations, etc. in order for the automated criteria process to work correctly. Any variances will result in incorrect summaries of data and other errors.

12. Employment Status – Indicate whether the provider is an employee of a medical group/IPA or whether a downstream contract is in place. Insert “E” if the provider is an employee. Insert “DSDC” if a downstream contract is in place for the provider.

C. Table HSD-2a: PCP/Specialist Contract Signature Page Index

The purpose of this index is to map contracted PCPs and specialty physicians listed in HSD-2 to the tab indicating the template contract used to executemake official the relationship between the applicant and the provider. For SAE MA applicants, the grid will also document whether any of the applicant’s current providers will be part of the network available in the expansion area. If so, the provider should be reflected in the index to 1) establish the provider as a part of the contracted network for the expansion area, and 2) to provide the template contract used to formalize the arrangements. However, since these providers are already established as providers for the applicants, signature pages will not be requested to support the existence of written arrangements. It is assumed that these arrangements were in place prior to the filing of the service area expansion.

Column Explanations:

1. PCP/Specialist – Enter the contract name as indicated in HSD-2 for all PCPs and specialist contracts.

2. Contract Template – Indicate the specific contract template/Tabs – Documentation to support the types of contracts executed should be submitted as part of this application. Enter the tab title/section to where the documentation supporting the arrangements between the physician and the applicant and the can be found. Then indicate the specific contract used for each physician reflected in the PCP/Specialist column.

3. Existing Network for SAE applicants– Indicate whether the provider was previously established as a network provider in the applicants existing service area. (Not applicable for new MA applicants)

D. Table HSD-3 SUMMARY: Arrangements for Care with Facilities & Services

Instructions:

1. Complete header fields on table as indicated in the general instructions at the beginning of the HSD instructions.

2. A new tab should be created for each county for which the plan is applying to service.

3. Facilities such as hospitals and clinics that provide more than one service listed on HSD-3 Detail, should be counted once on HSD-3 Summary for each service provided by the facility.

Column Explanations:

1. SSA State/County Code – Enter the SSA County code of the county for which the contract network is being submitted onin the “SSA State/ County Code” column. The Column.

2. Include the five digit state and county code should be a five digit number. Please. The applicant must include the leading zeros (e.g.,01010).

   1. Example: 01010

3. County Name – Enter the name of the county for which the contract network is being submitted in the “County Name” Column. The county name must correspond with the SSA Code entered.

4. State Name – Enter the name of the state of the county for which the contract network is being submitted in the “State Name” Column. The state name must correspond with the SSA code entered.

5. Facility or Service Type – Provides a list of the services provided by facilities within the applicant plan’s network.

8. Specialty Code – Specialty codes are unique codesEach specialty/provider is assigned a unique specialty code. Do not change these codes as they will be pre-populated by CMS to process data. Enter the appropriate specialty code.

6. Total Number of Providers/Services – Enter the This column is to be populated with a summary number of facilities/providers offering the services to the applicant plan’s members. The total number entered in this column is a summary of the providers from HSD-3 Detail for each specialty.

7. Number of Staffed, Medicare-Certified Beds – For the facility types indicated on the table (i.e., Acute Inpatient Hospitals, ICUs, Skilled Nursing Facilities, Inpatient Psychiatric, and Inpatient Substance Abuse) enter the number of Medicare-certified beds for which the plan has contracted to provide access to the plan’s members. This number should not include Neo-natal Intensive Care Unit (NICU) beds.

8. Hours of Operation per Week – For the facility types indicated on the table, enter the number of operating hours per week the plan has contracted the services to be accessible to the plan’s members. Applicant plans should not list the actual hours of operation (i.e., 9AM to 5PM), but the total number of operating hours per week.

E. Table HSD-3 DETAIL: List of Facilities & Services

Instructions:

1. Complete header fields on table as indicated in the general instructions at the beginning of the HSD instructions.

2. Applicant must arrange contracted entities alphabetically within specialty code. All direct and downstream providers of services should be listed.

3. Only list the providers who provide the Medicare required services. Please do not list any additional providers or services.

4. All providersFacilities such as hospitals and clinics that comprise the total counts on HSD-3 Summary must beprovide more than one service listed on HSD-3 Detail.

5. If a provider serves in multiple counties the provider, should be listed multiple times with the appropriated state/county code to account counted once on HSD-3 Summary for each county. service provided by the facility.

Column Explanations:

1. SSA State/County Code –Enter the SSA County code of the county for which the contract network is being submitted on the “SSA State/ County Code” column. The state county code should be a five digit number. Please include the leading zeros (e.g.,01010)

3. Facility or Service Type – Provides a list of the services provided by facilities within the applicant plan’s network.

4. Specialty Code – Enter the Specialty Code that best describes the services offered by each facility or service. The Specialty Code must match one of the Specialty Codes from the list on HSD-3 Summary.

5. Medicare (CMS) Certification Number (CCN) – Enter the facility’s Medicare Certification Number in this column.

6. National Provider Identifier (NPI) Number – The provider’s assigned NPI number must be included in this column.

7. Number of Staffed, Medicare-Certified Beds – For Acute Inpatient Hospitals, ICUs, Skilled Nursing Facilities, Inpatient Psychiatric, and Inpatient Substance Abuse enter the number of Medicare-certified beds for which the plan has contracted access for the plan’s members. This number should not include Neo-natal Intensive Care Unit (NICU) beds.

8. Hours of Operation per Week – Enter the number of operating hours per week the plan has contracted the services to be accessible to the plan’s members. Applicant plans should not list the actual hours of operation (i.e., 9AM to 5PM), but the total number of operating hours per week.

9. Provider Name – Enter the name of the facility or service provider.

Provider Note: Acute inpatient hospital names MUST be entered exactly the same way as they appear on HSD-2. Any variances will result in incorrect summaries of data, etc.

8. Columns 8 through 12

10. Service Address – Specify the address (i.e., street, city, state, zip code, and county) where services are provided. If a provider sees patients at more than one location, list each location separately. P.O. Boxes and street intersections are not appropriate service location addresses. For DME and Home Health, indicate the business address for contacting these vendors.

F. Table HSD-3a: Ancillary/Hospital Contract Signature Page Index

The purpose of this index is to map contracted ancillary or hospital providers listed in HSD3 to the tab indicating the template contract used to execute the make official the relationship between the applicant and the provider. The grid will also document whether any of the applicant’s current providers will be part of the network available in the expansion area. If so, the provider should be reflected in the index to 1) establish the provider as a part of the contracted network for the expansion county, and 2) to provide the template contract used to formalize the arrangements. However, since these providers are already established as providers for the applicant, signature pages will not be requested to further support the existence of written arrangements. It is assumed that these arrangements were in place prior to the filing of the service area expansion.

Column Explanations:

1. Ancillary/Hospital HSD3 – Enter the contract name as indicated in HSD3 Detail for all ancillary and hospital contracts.

2. Contract TemplateTab Name – Indicate the Tab Name containing the template contract executed between the provider and the applicant.

3. Existing Network – Indicate whether the provider was previously established as a network provider in the applicant’s existing service area. (Not applicable for new MA applicants)

G. Table HSD-4: Arrangements for Additional and Supplemental Benefits

Instructions:

If there are other services that are not listed, add columns to the right of the "Screening-Vision" column to cover these services.

Only list the providers who provide the additional and supplemental benefit services as listed in the "services" columns (columns 7-12). Note: if other services are added to the right of the "Screening-Vision" column (column 12), those providers should also be listed.

If any providers listed on HSD-2 provide the services reviewed on HSD-4, list them as follows:

If all of the providers listed on HSD-2 provide one or more of the services listed in columns 7-12, enter "all providers listed on HSD-2" in the "Name of Provider" column; leave columns 2-6 blank; and place an "X" in column(s) that represent the services provided by all of the providers listed on HSD-2.

If all providers of a certain specialty listed on HSD-2 provide one or more of the services listed in columns 7-12, enter "all providers listed on HSD-2 with specialty (enter specialty) " in the "Name of Provider" column; leave columns 2-6 blank; and place an "X" in column(s) that represent the services provided by the providers of a certain specialty as listed on HSD-2.

If all providers listed on HSD-2 will serve as "PCPs" and provide one or more of the services listed in columns 7-12, enter "all providers listed on HSD-2 who may serve as a PCP " in the "Name of Provider" column; leave columns 2-6 blank; and place an "X" in column(s) that represent the services provided by the providers that may serve as PCPs as listed on HSD-2.

Please list all direct and downstream providers of services.

Arrange benefits alphabetically by county and then numerically by zip code.

Column Explanations:

1. Name of Provider – Enter name of the contracted provider, for example – Comfort Dental Group(Dental); Comfort Eyewear Associates (Eyeglasses/Contacts); Comfort Hearing Aids Associates (Hearing Aids); XYZ Pharmacy (Prescription Drugs – outpatient); Comfort Hearing, Inc. (Screening-Hearing); Comfort Vision Specialists (Screening – Vision).

2. Location – Enter street address/city/state/zip code, for example – 123 Main Street, Baltimore, MD 11111

3. County Served by Provider – List one county the provider serves from this location. (If more than one county is served, repeat information as entered in columns 1-5 and columns 7-12, changing column 6 as applicable.) Examples: Canyon County, Peaks County.

4. Services (columns 7 though 12) – Mark an "X" in the box if the provider provides this service. For the providers that are listed in Column 1, please indicate which services this provider provides.

H. Table HSD-5: Signature Authority Grid

The purpose of this grid is to evidence whether physicians of a provider group are employees of the medical practice. The grid will display the medical group, the person authorized to sign contracts on behalf of the group and the roster of employed physicians of that group.

Column Explanations:

1. Practice Name – The name of the provider group for which a single signature authority exists on behalf of the group.

2. Signature Authority – The representative of the medical practice with authority to execute arrangements on behalf of the group

3. Physicians – Reflect all of the physicians in HSD2 for which the signature authority is applicable

I. Requesting Exceptions

Prior to the initial application submission, the applicant plan will have the opportunity to run a pre-submission test of HSD-1, -2, -3 Summary, and -3 Detail tables. This test will identify where the plan may not meet the minimum number of required providers and time and distance standards for each specialty. The applicant plan will then have the opportunity to continue to contract with additional providers and retry the pre-submission criteria assessment.

If the applicant plan still receives deficiency indications from the pre-submission assessment, the plan can continue to contract with providers or submit the HSD tables for consideration as part of the initial application submission and request an Exception. However, even if the plan requests an Exception review, the HSD tables must be submitted to the system for assessment.

If an applicant plan is unable to meet minimum requirements or time and distance requirements, it may request an Exception under these limited circumstances inc

• Insufficient number of providers/beds in service area

• No providers/facilities that meet the specific time and distance standards in service area

• Patterns of care in the service area do not support need for the requested number of and/or provider/facility type

• Services can be provided by an alternate provider type/Medicare-certified facility

The applicant plan will be able to select the reason for the Exception request from a pre-defined drop-down list of options. Once selected, the HPMS system will inform the applicant plan what types of documentation must be submitted for reviewer consideration.

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Draft June 2009 (Rev. Sep. 2009)v.1)