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pdfARW Requirements
Annual Report Worksheet (ARW) Requirements
Qualified Entities (QEs) provide annual reports containing information on program adherence, allowing
the Qualified Entity Certification Program (QECP) Team to monitor and assess program performance. A
QE can access the ARW through the online application. There are ten tabs within the worksheet; not all
tabs apply to all QEs. Applicability of tabs depends on the phase in the program, Corrections and
Appeals process, release of public performance reports, and non-public analyses/data provided or sold.
Table 1 presents each worksheet tab with the information a QE provides.
Table 1: ARW Requirements
Tab
Details
Tab 1: Documents
•
Evidence document uploads
Tab 2: Background and Volume
of Claims Data
•
Changes to Data Suppliers
•
Medicare Advantage Claims
•
Quasi-QE Provider Count
•
Number of Covered Lives
Tab 3: Number of Performance
Measures
•
Number of Measures calculated in Public Report
•
Measures not included in Public Report with explanation
Tab 4: Provider Requests for
Corrections or Appeals
•
Number of providers and suppliers requesting claims data through
Corrections and Appeals process
•
Number of requests for claims data fulfilled
•
Number of error corrections
•
Types of problems leading to requests for error correction
•
Amount of time to acknowledge and respond to requests for error
correction
•
Number of requests for error correction resolved
•
Data Security incidents that occurred in the calendar year
•
Security and privacy status of QE Medicare data
•
Changes in data security environment since Phase 2 approval
Tab 5: Responses to Requests
Tab 6: Data Security Incidents
1
ARW Requirements
Tab
Tab 7: Non-Public Analyses
Tab 8: Data
Tab 9: Opportunity for
Feedback (optional)
Tab 10: Attestation and
Submission
Details
•
Number of analyses provided or sold
•
Number of analyses disclosed with unresolved requests for error
correction
•
Number of purchasers of non-public analyses
•
Total fees received for non-public analyses
•
Description of topic or purpose of non-public analysis
•
Information on the authorized user that received the data, including
name and type (e.g., provider, issuer, state government, etc. of user)
•
How data were used in the non-public analyses
•
Total amount of fees received by the QE for providing, selling, or sharing
data
•
Number of QE Data Use Agreement (DUA) or non-public analyses
agreement violations
•
Description of the nature of each violation
•
Program expectations
•
Technical assistance
•
Reference materials
•
Communication with QECP Team
•
Comments
•
Explanation of self-assessment
•
Attestation to accuracy
2
| File Type | application/pdf |
| File Title | ARW Requirements |
| Subject | ARW |
| Author | CMS |
| File Modified | 2024-01-18 |
| File Created | 2024-01-16 |