The committee’s actions were based on comments received earlier this year in a Request for Information (RFI) as well as additional comments and board discussion at the meeting. The public comment period for the updated review process ends Oct. 10.
PTAC proposes to review proposal submissions on a rolling basis and will begin accepting proposal applications by Dec. 1. PTAC also proposes to recommend approved APMs to the Center for Medicare & Medicaid Innovation by spring 2017. In addition, the PTAC’s goal is to have PFPMs operational by 2018.
Below is the proposed review process timeline:
Phase I: Proposal Preparation and Submission
- Letter of Intent: Stakeholders who are planning to submit a proposal to PTAC must submit a brief letter describing the nature of the proposal and the expected date of submission at least 30 days in advance of submitting a proposal.
- Request for Proposals: Once criteria for PFPMs are established by the Secretary of the Department of Health and Human Services (DHHS), PTAC will issue a Request for Proposals (RFP).
- Proposal Submission: Stakeholders may submit proposals following issuance of the RFP.
- Review of Proposals for Completeness and Adherence to RFP Requirements: Upon receipt of a proposal, PTAC will determine whether the proposal contains the information required by the RFP.
- Identification of and Remedies for Conflicts of Interest and Lack of Impartiality: PTAC members with conflicts of interest or a lack of impartiality related to a proposal will be identified and remedies determined.
- Formation of Preliminary Review Team: A proposal that contains the information required by the RFP will be assigned to a preliminary review team consisting of a subgroup of PTAC members.
- Preliminary Review of Proposal: A report containing findings regarding the proposal and a draft recommendation for discussion by PTAC will be developed by the preliminary review team.
- Public Meeting Deliberation and Recommendation: PTAC will decide on its recommendation regarding a proposal during a public meeting.
- Follow-Up on PTAC Decisions: PTAC will submit its comments and recommendations to the DHHS Secretary and make them available to the public.