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Corrective Action Plan Template 07

This document is a corrective action plan (CAP) template for a delegate or vendor. It outlines 10 issues identified and requires the delegate/vendor to respond within 14 days with steps and dates to correct each issue. For each item, the delegate/vendor must provide a detailed explanation of corrective steps like training, policy revisions, system enhancements or work plans along with dates for the actions. The auditor and responsible party are also identified for each audit.

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Shahadat Hossain
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62 views

Corrective Action Plan Template 07

This document is a corrective action plan (CAP) template for a delegate or vendor. It outlines 10 issues identified and requires the delegate/vendor to respond within 14 days with steps and dates to correct each issue. For each item, the delegate/vendor must provide a detailed explanation of corrective steps like training, policy revisions, system enhancements or work plans along with dates for the actions. The auditor and responsible party are also identified for each audit.

Uploaded by

Shahadat Hossain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Delegation

Attachement I.C.1-4 Corrective Action Plan Template


Corrective Action Plan

Please review the Corrective Action Plan (CAP) below which outlines issues identified and timeframes for improvement. For each CAP item, describe
how
the issue will be corrected in the Delegate/ Vendor Response section. Please include the following in your response:
1. Detailed explanation of the steps (i.e., training, creation/ revision of policies and procedures, system enhancements, detailed work plans, etc.)
that will be taken to correct the noted issue; and

2. Dates of when corrective action steps will be taken.

Response Due <14 days from


Delegate/ Vendor Name: Enter Delegate Name Market(s): Enter Market
Date: issuance>

Response <for UM Consultant to


Delegate/ Vendor Responsible Party: Enter Delegate Contact Auditor Name: Enter Auditor Name
Received Date: populate>
CAP Resolution
Audit Date: 3/5-7/19 Audit Period/Type: <CAP due date>
Due Date:
CAP Resolution <for UM Consultant to
Delegated/ Contracted CAP Issue Date:
Function: Date: populate>
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Receipt
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Me(tTo(Tioncinlucdluedfeilefil#es#isf RReessppoonnssee To Include Consultant Commenttss)) t Due
Date
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1

10

MCO RFP #758 2000000202 Attachment I.C.1-4 1 of 1

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