Frequently Asked Questions

The Review Tool Report is a feature CPOCs, SRTs, Senior Reviewers, Package Approvers, Package Disapprovers, and CMS Report Admins can utilize to see Package Reviewable Units, Reviewers, Reviewable Unit Assessment Values, and Notes.

Log in as CMS Point of Contact or Submission Review Team member. Under the "Records" tab, select "Submission Packages". Then select the link to the submission package. In the left panel, select "Review Tool Report". You may sort the reviews of all Review Team members by Package Reviewable Unit, Reviewer, Reviewable Unit Assessment Value, or Note/Assessments by utilizing the drop-down boxes. You also have the ability to export this report to Excel by selecting "Export to Excel."

Analyst Notes are a form of brief internal communication for the CMS Review Team. These notes are a part of the official record; however, State users are not able to see these notes. Analyst Notes are part of the Review Tool for each Reviewable Unit and the SRT or CPOC may view the notes from other Review Team members (depending on the type of note) within the Review Tool, and add his/her own notes.

The CMS Point of Contact or Submission Review Team members may add Analysts Notes through the Review Tool. The types of notes available are referenced in a table below. You will start by logging in as the CMS Point of Contact or Submission Review Team member, then going to the "Records" tab. Under the "Records" tab select "Submission Packages" and then select the link to the package. In the left panel select "Analyst Notes". You will then have the ability to search notes entered by Review Team Members.

Analyst Note Type	Description	Visible By
Note to self	Private note for self only	Self
For POC (Formal Review)	Indicates information that should be included in disposition	CPOC
For Review Team	For other Review Team members	CPOC and SRT
For RAI	Indicates something that requires RAI	CPOC and SRT
For Correspondence Log	Indicates information that should be communicated to the SPOC	CPOC and SRT
Non SRT-User	Note on behalf of a CMS participant outside of the Review Team	CPOC and SRT
General Note	A note that doesn't fall into another category	All
Justification	Provides bases for a recommended disposition	POC Admin, CPOC and SRT
Post-Recommendation	Included by other CMS users during the package disposition review	POC Admin, CPOC and SRT

If certain fields are misaligned you may need to adjust your compatibility settings. Click the Tools button in the upper right side of your screen, and then click Compatibility View settings. Next click the Add button. The website is added to your Compatibility View and the screen will realign. You can always remove the website by clicking on the website in the list and clicking the Remove button. If an issue persists, please email the MACPro Help Desk at MACPro_HelpDesk@cms.hhs.gov

A State may withdraw a submission package once it has been submitted to CMS. Withdrawing a submission package takes it out of contention and the submission package cannot be edited or resubmitted. Log in as State Point of Contact, and select the "Records" tab. Then select "Submission Packages" for your State. Next, select the link to the submission package you wish to withdraw. In the left panel, select "Related Actions". Next, select "Withdraw Submission Package". Then select the green button labeled "Withdraw Submission Package". A box will pop up, select "Yes". Once the submission package is withdrawn, you will be redirected to the Records screen. A yellow notification will appear briefly at the top of the page indicating "Action Completed Successfully".

After the State Editor has forwarded the submission package to the State Point of Contact for Reviewing, the State Point of contact should log into MACPro. Then go to the "Records" tab and select "Submission Packages" for your state. Select the submission package you wish for CMS to view. In the left panel, select "Related Actions". Next, select "Allow CMS to View Screen". On the Allow CMS to View Screen page, select "Yes" under Visibility Setting, and then select the green "Update Visibility" button in the bottom right corner.

Note: Selecting this option will permit the CMS review team to see the screens in this submission package as they are now. It does not cause the package to be submitted as Draft or Official, and does not start a CMS review clock. Validation of the screens is not required. Notify your CMS contact that viewing is available and who you wish to see it; MACPro does not notify CMS staff. You can deselect this option at any time.

Refer to the table below.

Role	Actions
State Editor (SE)	Responsible for creating SPA submission packages
State Point of Contact (SPOC)	Responsible for reviewing and submitting the SPA submission package to CMS Responds to Requests for Additional Information (RAIs) from CMS Documents and reviews Correspondence Log
State Director (State Director)	Reviews and certifies SPA submission packages
State System Administrator (SSA)	Creates/maintains State Profile

The SPA ID is assigned by the State Editor and entered in a field in Official Submission packages. The SPA ID (SS-YY-NNNN-xxxx) is assigned by the State in Official Submission Packages and consists of the State abbreviation (SS), they year (YY), a four character sequence number (NNNN), and an optional four character alpha and numeric (xxxx).

Select the "Records" tab in the upper tool bar. Select "Submission Packages" for your state and then search for the package you would like to view.

Official Submission Package CMS suggests initially submitting simple program amendments or new programs that are similar to existing programs as official submission packages.	Draft Submission Package CMS suggests submitting complex programs or new Health Home models and new targeted amendments as draft submission packages.
Official submissions start the 90 day policy clock upon submission to CMS for review and disposition.	Drafts submitted to CMS do not start the 90 Day Policy Clock.
CMS may review and view package.	States may allow CMS to view the submission package informally prior to official submission.
CMS may approve, disapprove, request additional information (RAI), or submit a clarification for the official submission package.	CMS may review, but cannot approve, disapprove, implement an RAI, or request clarification for the draft submission package.
The State may allow CMS to view the submission package informally prior to official submission.	When CMS returns the package to the State they may provide feedback in the correspondence log or offline.
	If the state chooses not to edit the returned draft package, it may be closed and converted to an official package for submission to CMS starting the 90 Day Policy Clock.
	If the state chooses to edit the returned submission package, the state must re-submit the draft to CMS as a draft submission package for re-review prior to closing the draft submission and converting to an official submission package.
	Closed draft submissions cannot be edited.
	Official submissions that were converted from drafts cannot be edited with the exception of the SPA ID and proposed effective date prior to submissions to CMS.

The package ID is an auto-generated ID consists of the two letter state abbreviation, the year, the authority in this case MH for Medicaid Health Homes, an automatic number assignment, and the letter O for official or D for draft. The package ID is used to track this submission package. The SPA ID (SS-YY-NNNN-xxxx) is assigned by the State in Official Submission Packages and consists of the State abbreviation (SS), they year (YY), a four-character sequence number (NNNN), and four-character optional alpha and numeric (xxxx).