The summary is as follows:
1. ABC Co. is implementing a new prescription drug plan with a timeline from September 2011 through December 2011.
2. Key tasks include ordering and signing client services agreements, holding retiree meetings, inputting census data, setting up the group in the PBM system, and preparing initial bills.
3. Responsible parties for tasks include the TPA, PBM, ABC Co., and AgencyONE, with weekly implementation calls scheduled.
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A Bample C Smplementation Eimeline
1. Sample Implementation Timeline for ABC Co.
2011
Due Date September October November December STATUS
Task Category Task Responsible Party(s) Week of: 5 12 19 26 3 10 17 24 31 7 14 21 28 5 12 19
Installation Order PBM Client Services Agreement TPA, PBM
Installation Receive Client Services Agreement from PBM PBM, TPA
Installation Send PBM Services Agreement to ABC TPA, AO, ABC
Installation Begin Weekly Implementation Conference Calls TPA, AO, ABC
Installation Receive signed Client Services Agreement from AO, ABC
ABC
Installation Send signed Client Services Agreement to PBM TPA
*Retiree Communications Work on Announcement Letter about new Rx TPA, AO, ABC
plan and retiree meetings
*Retiree Communications Send out Announcement Letter to retirees TPA, ABC
Installation Receive census data from PBM PBM
Installation Input census data into system TPA
Installation Send census data over to PBM for a test run TPA, PBM
Installation PBM will do the test run and inform TPA of any PBM, TPA
errors that appear
Installation Discussion on enrollment/disenrollment and PBM, TPA, ABC, AO
transition polices
Installation Work with ABC to correct any errors on the TPA, ABC
census
Installation Discussion on member communications and PBM, TPA, ABC
permitted customizations
*Retiree Communications Hold first retiree meeting ABC, AO, PBM, TPA
Installation Set up Group Rx Plan in system TPA
*Retiree Communications Hold second retiree meeting ABC, AO, PBM, TPA
Installation Discussion on any changes in benefits that may PBM
impact members
Installation Prepare final census data and send to PBM TPA
Insstallation Load census data and set up group in system PBM
*Retiree Communications Send required letters out to members. ABC, TPA
Installation Send File Over to CMS for Approval PBM
*Retiree Communications Send Rx Fulfillment Kit with ID Card PBM
Billing Set Up Confirm rate and method of billing TPA, ABC, AO
Billing Set Up Prepare initial bill for ABC TPA
Responsible Parties: TPA - Third Party Administrator
AO - AgencyONE
PBM - Pharmacy Benefit Manager (EPWG Sponsor)
ABC - ABC Co
* Required if RX plan is modified