Press n or j to go to the next uncovered block, b, p or k for the previous block.
| 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 | 3x 3x | import { PdfList, Template } from "../utils";
export const ABP_TEMPLATES: Template[] = [
{
title: "ABP General Information",
href: "/abp/IG_ABPSPATemplates.pdf",
},
{
title: "ABP 1",
text: "Alternative Benefit Plan Populations",
href: "/abp/ABP1.pdf",
},
{
title: "ABP 2a",
text: "Voluntary Benefit Package Selection Assurances - Eligibility Group under Section 1902(a)(10)(A)(i)(VIII) of the Act",
href: "/abp/ABP2a.pdf",
},
{
title: "ABP 2b",
text: "Voluntary Enrollment Assurances for Eligibility Groups other than the Adult Group under Section 1902(a)(10)(A)(i)(VIII) of the Act",
href: "/abp/ABP2b.pdf",
},
{
title: "ABP 2c",
text: "Enrollment Assurances - Mandatory Participants",
href: "/abp/ABP2c.pdf",
},
{
title: "ABP 3",
text: "Selection of Benchmark Benefit Package or Benchmark-Equivalent Benefit Package",
href: "/abp/ABP3.pdf",
subtext: [
"Use only if ABP has an effective date earlier than 1/1/2020 or if only changing the Section 1937 Coverage Option of an ABP implemented before 1/1/2020",
],
},
{
title: "ABP 3.1",
text: "Selection of Benchmark Benefit or Benchmark-Equivalent Benefit Package",
href: "/abp/ABP3.1.pdf",
subtext: ["Use only for ABPs effective on or after 1/1/2020"],
},
{
title: "ABP 4",
text: "Alternative Benefit Plan Cost Sharing",
href: "/abp/ABP4.pdf",
},
{
title: "ABP 5",
text: "Benefits Description",
href: "/abp/ABP5.pdf",
},
{
title: "ABP 6",
text: "Benchmark-Equivalent Benefit Package",
href: "/abp/ABP6.pdf",
},
{
title: "ABP 7",
text: "Benefits Assurances",
href: "/abp/ABP7.pdf",
},
{
title: "ABP 8",
text: "Service Delivery Systems",
href: "/abp/ABP8.pdf",
},
{
title: "ABP 9",
text: "Employer-Sponsored Insurance and Payment of Premiums",
href: "/abp/ABP9.pdf",
},
{
title: "ABP 10",
text: "General Assurances",
href: "/abp/ABP10.pdf",
},
{
title: "ABP 11",
text: "Payment Methodology",
href: "/abp/ABP11.pdf",
},
];
export const AbpSpaTemplates = () => (
<section className="space-y-2">
<p>
Medicaid Alternative Benefit Plan (ABP) SPA templates can be downloaded at the links below.
After downloading and completing the templates you need, upload them as part of the SPA
submission. The template PDFs can only be opened using Adobe Reader or Acrobat.
</p>
<PdfList list={ABP_TEMPLATES} label="template" />
</section>
);
|