U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce

2003-35

12/17/2003

2004 Consumer Assessment of Health Plans Survey Requirements

Appendix A - Adult Questionnaire

Appendix B- Survey Participation Form

Appendix C- FEHB Plan and Subcode

Appendex D- Sample Crosswalk

2003-34

12/10/2003

Using the FEHB Disenrollment Regulations on CLER Discrepancies; Pseudo Social Security Numbers

Attachment 1 - Notice of Intent to Disenroll

Attachment 2 - Summary of Requirements and Recommendations for CLER for Both FEHB Carriers and Government Agencies

2003-33

11/03/2003

HIPAA compliant enrollment transactions

[842 KB]

[1,275 KB]

2003-32

10/30/2003

2003-31

10/08/2003

Financial Reporting Instructions for Federal Fiscal Year 2003 (Experience-rated Carriers)

Enclosure B1 - Guidelines and Table of Contents

Enclosure B2 - Preliminary Reporting Package Requirements

Enclosure B3 - Final Reporting Package Requirements

2003-30-A

10/02/2003

Changes to the Standard Contract- Community-rated HMOs

Enclosure

[53 KB]

[59 KB]

2003-30-B

10/02/2003

Changes to the Standard Contract- Experience-rated HMOs

Enclosure

[46 KB]

[74 KB]

2003-30-C

10/02/2003

Changes to the Standard Contract- Fee-for-Service

Enclosure

[46 KB]

[71 KB]

2003-28

09/05/2003

Avoiding Potential Misuse of Social Security Numbers in the Federal Employees Health Benefits Program

2003-27

08/18/2003

Financial Reporting and Auditing Requirements for Federal Fiscal Year 2003

2003-26

08/13/2003

Brochure Development, Production and Distribution for 2003 (letter only)

Enclosure 1 - Sample Rate Sheet

[37 KB]

[61 KB]

Enclosure 2A - Fee-for-service Brochure Examples

[172 KB]

[716 KB]

Enclosure 2B - HMO Brochure Examples

[214 KB]

[687 KB]

Enclosure 3 - Additional Guidance for Typesetting Brochure Cover
Enclosure 4 - Printing, Distribution, and Shipping Specification for FEHB Brochure
Enclosure 5 - Brochure Quantity Forms for Fee for Service and HMO Plans

[51 KB]

[143 KB]

Enclosure 6 - Shipping Labels

[62 KB]

[83 KB]

Enclosure 7 - Instructions for Creating PDF Versions of your FEHB Brochure

[130 KB]

[122 KB]

2003-25

08/13/2003

Revised FEHB Quality Assurance and Fraud and Abuse Reports

Attachment 1 - 2004 Quality Assurance Report

[21 KB]

Attachment 2 - 2004 Fraud and Abuse Report

[31 KB]

2003-24

08/12/2003

Accuracy of Health Plan Web Site Information

2003-23

06/18/2003

Industry Standards for Fraud & Abuse (F&A) Programs

2003-22

05/16/2003

Director Kay Coles James' HealthierFeds Campaign

Attachment - April is National Donate Life Organ and Tissue Donor Awareness Month

Attachment - May is High Blood Pressure Awareness Month

[36 KB]

2003-21

05/136/2003

CAHPS Survey Data & Crosswalk Reminder

Appendix C - Plan Subcode List

Appendix D - Sample Crosswalk

2003-20

05/09/2003

Patient Safety Information on the FEHB Web Site

2003-19

05/06/2003

2004 Rate Instructions for Experience-Rated Plans

2003-18(a)

05/06/2003

2004 Technical Guidance and Instructions for Preparing HMO Benefit and Service Area Proposals

Enclosure

2003-18(b)

05/06/2003

2004 Technical Guidance and Instructions for Preparing Benefits and Service Area Proposals for New HMOs

Enclosure

2003-18(c)

05/06/2003

2004 Technical Guidance and Instructions for Preparing Proposals for Fee-For-Service Carriers

Enclosure

2003-17

04/30/2003

The State of Missouri Pharmacy Assessment

Enclosure

2003-16

04/30/2003

Surcharges and Assessments Under the New York Health Care Reform Act of 2000

Enclosure

2003-15

04/18/2003

Federal Employees Health Benefits Program Annual Call Letter

Enclosure - Checklist

2003-14

04/18/2003

2004 RATE INSTRUCTIONS - Community-Rated Carriers

Enclosure

2003-13

04/16/2003

Administrative Changes

2003-12

03/25/2003

Reconciliation Instructions for 2003 Rates—Community-Rated Carriers

Enclosure

2003-11

03/18/2003

LEVEL ORANGE ALERT

2003-10

03/10/2003

Emergency Prescription Drug Availability

2003-09

03/04/2003

Calendar 2002 Financial Reporting

Enclosure B - Automated AAS (for electronic submissions)

Enclosure C - Instructions for Automated AAS (for electronic submissions)

Enclosure D - Certification of Annual Accounting Statement (for both electronic and paper submissions)

Enclosure E - Annual Reporting Package (for paper submissions)

Enclosure F - Summary Statement Form (for paper submissions)

2003-08

03/04/2003

Brochure changes for 2004

2003-07

02/21/2003

Proposed Regulations

Enclosure

2003-06

02/19/2003

2003 Medicare Match

Enclosures

2003-05

02/04/2003

MHSA Parity Implementation Report

Attachment

2003-04

01/24/2003

Processing FEHB Enrollments

2003-03

01/24/2003

FEHB Carrier Conference

2003-02

01/21/2003

HEDIS^® Data and QA and Fraud and Abuse Reporting

Attachment 1 — Fraud & Abuse Report

Attachment 2 — FFS Quality Assurance Report

Attachment 3 — HMO Quality Assurance Report

2003-01

01/13/2003

The State of Massachusetts Assessment on Pharmacies

Enclosure