Section 10.09 - Performance Improvement Plan Proposal(1) Proposed Performance Improvement Plans shall be filed in a manner and form prescribed by the Commission.(2) Any proposed Performance Improvement Plan shall be developed by the PIP Entity and shall include, at a minimum:(a) Identification of the cause(s) of the PIP Entity's cost growth, with supporting analytic materials as applicable;(b) Specific strategies, adjustments, and action steps the PIP Entity proposes to implement to improve health care spending performance without compromising quality of or access to needed services;(c) A proposed timetable for implementing each strategy, adjustment or action step proposed in 958 CMR 10.09(2)(b), with an overall timetable for implementation of 18 months or less;(d) Specific identifiable and measurable expected outcomes, with a timetable for measurement, achievement, and reporting of such outcomes;(e) Proposed process and outcome metrics for evaluating the progress and success or failure of the Performance Improvement Plan;(f) Any requests by the PIP Entity for implementation assistance from the Commission;(g) Any documentation necessary to support any claims or assertions contained in the proposed Performance Improvement Plan;(h) A list of any regulatory reviews or filings that would be necessary to implement components of the Performance Improvement Plan; and (i) Other items as may be identified by the Commission from time to time.(3) The PIP Entity may consult with the Commission throughout development of the Performance Improvement Plan to ensure that the criteria of 958 CMR 10.09(2) have been met.Adopted by Mass Register Issue 1337, eff. 4/21/2017.