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[null,"SRC Plan Selection",{"$nulls":11},"Plan/Vendor Name:"]
[{"$nulls":17},"Sunshine Health Network d/b/a Sunshine LLC"]
[{"$nulls":19},"Calendar Years",null,"Population"]
[{"$nulls":15},"Plan State: ",null,"Florida",2019,2020,2021,{"v":20000000,"d":"20,000,000"}]
[{"$nulls":15},"Comparison State 1: ",null,"Tennessee",2018,2019,2020,{"v":13000000,"d":"13,000,000"}]
[{"$nulls":15},"Comparison State 2: ",null,"Montana",2019,2020,2021,{"v":11000000,"d":"11,000,000"}]
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[null,"Comprehensive Plans"]
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[null,"Specialty Plans"]
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[null,"MMA Only Plans"]
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[null,"LTC Plus Plans"]

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["Template Instructions"]

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["SRC #12: Proposed Subcontractors (UNSCORED)"]
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["Enter Respondent Name Below"]
[]
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["Subcontractor Name (Full Legal Name of Proposed Subcontractor)","Service Type (if applicable; e.g., transportation, behavioral health, third party administrator)","Applicable Line of Business ","Delegated Function","Delegated Function Description","Region(s) or Statewide","Years of Experience in Medicaid","Years of Current Delegation"]
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["DELEGATED FUNCTION (FOR REF)",{"$nulls":3},"Function Options >",null,"Coverage of Services","Grievance and Appeal System","Provider Services","Quality","Administration and Management Services"]
["Coverage of Services","< table called \"Function\", used as a var elsewhere",{"$nulls":4},"Care Coordination/Case Management","Notice of Adverse Benefit Determination Insurance & Completion","Network Management","Performance Measures","Electronic Visit Verification"]
["Grievance and Appeal System",{"$nulls":5},"Utilization Management",null,"Provider Contracting","Performance Improvement Projects","Fraud, Abuse, & Waste Recoveries"]
["Provider Services",{"$nulls":5},"Service Authorization",null,"Provider Complaint System",null,"Pharmacy Benefits Manager"]
["Quality",{"$nulls":5},"Participant Direction Option (PDO)",null,"Claims & Provider Payment"]
["Administration and Management Services",{"$nulls":7},"Physician Incentive Program"]
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["V SAMPLE DROPDOWN OF FUNCTIONS V","V SAMPLE DEPENDENT DROPDOWN V",{"$nulls":3},"<< TEST CELLS"]
["Coverage of Services","Utilization Management",{"$nulls":6},"FILTERED LIST (FOR REF)"]
["Quality","Performance Improvement Projects",{"$nulls":6},{"$f":"_xlfn._xlws.FILTER(_xlfn.XLOOKUP($A9,$G$1:$K$1,$G$2:$K$6),_xlfn.XLOOKUP($A9,$G$1:$K$1,$G$2:$K$6)<>\"\")","v":"Care Coordination/Case Management"}]
[{"$nulls":8},"Utilization Management"]
["Applicable Line of Business",{"$nulls":7},"Service Authorization"]
["Medical",{"$nulls":7},"Participant Direction Option (PDO)"]
["LTSS"]
["Specialty"]
["All",{"$nulls":7},"^ From Sample Dropdown"]
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[{"$nulls":6},"Notice of Adverse Benefit Determination Insurance & Completion"]
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[{"$nulls":6},"Provider Contracting"]
[{"$nulls":6},"Provider Complaint System"]
[{"$nulls":6},"Claims & Provider Payment"]
[{"$nulls":6},"Physician Incentive Program"]
[{"$nulls":6},"Performance Measures"]
[{"$nulls":6},"Performance Improvement Projects"]
[{"$nulls":6},"Electronic Visit Verification"]
[{"$nulls":6},"Fraud, Abuse, & Waste Recoveries"]
[{"$nulls":6},"Pharmacy Benefits Manager"]

{"sheet":"Instruct-Template","index":4,"n_rows":1,"n_cols":1,"rows_kept":1,"hidden":true,"merged":[[0,0,1,8]]}
["SRC #__: <Name> Instructions"]

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["SRC #__: SRC Name"]
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["Item","Score"]
["Total Score Possible: "]
["[Title] SRC Score Earned: ",{"$f":"D34","v":0}]
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["Scores: "]
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[null,"State Points Earned: "]
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