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ARW Requirements

Annual Report Worksheet 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 Annual Report Worksheet (ARW) through the online application. There are ten tabs
within the worksheet and not all tabs apply to all QEs. Applicability of tabs depends on the program
phase, 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



Changes to Cloud Service Provider (CSP)



Changes to Data Storage Location



Changes to Data Security contractors



Changes to Storage or Security Processes and Procedures



Attesting Signature of Data Custodian



New Data Security Review statements related to the current version of
Centers for Medicare & Medicaid Services (CMS) Acceptable Risk
Safeguards (ARS)

Tab 5: Responses to Requests

Tab 6: Data Security Incidents

November 27, 2023

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ARW Requirements

Tab
Tab 7: Non-Public Analyses

Tab 8: Data

Tab 9: Opportunity for
Feedback (optional)

Tab 10: Attestation and
Submission

November 27, 2023

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 Evidence review assistance



Reference materialsUser Application experience



Communication with QECP Team



Annual Reporting process



Comments



Explanation of self-assessment



Attestation to accuracy

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