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pdfOMB Control Number: 0938-TBD (Expires: TBD)
Issue
number
Description of the issue
(explain what happened)
Root cause analysis of the issue
(explain why it happened)
How was the issue discovered?
# of participants
impacted
Date issue
identified
(MM/DD/YY)
Date issue disclosed
(if applicable, MM/DD/YY)
To whom the issue was disclosed Was the issue fully remediated?
at CMS
(E.g., in the PO's system
(first and last name)
and/or for participants?
Y/N
Description of system/operational
remediation, if any.
Date system/operational
remediation initiated
(MM/DD/YY)
Date system/operational
remediation completed
(MM/DD/YY)
Description of remediation for negatively impacted
participants
Date participant
remediation initiated
(MM/DD/YY)
Date participant remediation
completed (MM/DD/YY)
| File Type | application/pdf |
| File Title | Pre-Audit Issue Summary |
| Subject | Pre-Audit Issue Summary, PACE; PRA |
| Author | Centers for Medicare and Medicaid Services |
| File Modified | 2017-03-02 |
| File Created | 2016-11-22 |