03 Appendix A-1 BDD Psychiatrist Requirements Checklist.docx
DOCX document 15 KB Posted
- Attached to
- 12 BDD Psych Services
- Solicitation number
- 6100055942
About this file
This document is an appendix to a state and local government contract opportunity, detailing the requirements for a Psychiatrist Bidders to provide case review services for a Behavioral Disability Determination (BDD) program in the Commonwealth of Pennsylvania. The key requirements include: the Bidder/individual must have an unlimited medical license in Pennsylvania, be a Diplomate of the American Board of Psychiatry and Neurology or have completed a Board approved residency, be willing to perform a minimum of 40 case reviews per week, have the ability to use a computer with a Windows-based platform, and provide proof of medical malpractice insurance. The Bidder must also submit to a criminal background check. The document outlines the experience required in prior BDD psychiatric case review services.
The document does not provide details on pricing terms, set asides, incumbents, funding requirements or sources, contract term or renewal options. It solely focuses on the qualifications and requirements for the Psychiatrist Bidders to provide the specified case review services.
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| Solicitation Addendum 1_6100055942.docx | DOCX document | |
| 01 BDD Psych Consults SOW_Final.docx | DOCX document | |
| 08 Business Associate Addendum HIPAA 11.24.2014.pdf | ||
| 09 Attachment 1 Case Qty.docx | DOCX document |
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Text version
APPENDIX A-1
CHECKLIST - PSYCHIATRIST
BDD PSYCH REVIEW SERVICES
6100055942
Note: Please select the appropriate Yes/No answers and submit a copy with your SRM bid for you and each employee/subcontracted individual performing case reviews.
INDIVIDUAL PERFORMING SERVICES: ___________________________________
BIDDER NAME: ______________________________________________________
BIDDER EMAIL ADDRESS: _____________________________________
BIDDER PHONE: _____________________________________
| REQUIREMENT |
| YES |
| NO |
| 1 |
| Does the Bidder/individual providing case review have an unlimited license to practice medicine in the Commonwealth of Pennsylvania? |
| 2 |
| Is Bidder/individual providing case review a Diplomate of the American Board of Psychiatry and Neurology with a certification in Psychiatry or has Bidder/individual providing case review completed a Board approved residency in Psychiatry without Board Certification? |
*Submit one copy of appropriate certification with your bid*
| 3 |
| Is Bidder/individual providing case review willing to perform a minimum of 40 case reviews per week? |
| 4 |
| Is Bidder/individual providing case review able to participate in training prior to rendering services, if required? |
| 5 |
| Does Bidder/individual providing case review have the ability to use a computer with window-based platform? |
| 6 |
| Does Bidder/individual providing case review have medical malpractice insurance in accordance with the MCARE Act? |
*Submit one copy of appropriate certification with your bid*
| 7 |
| A criminal background check is required for all Bidders. The background should be submitted through the PSP epatch system - Pennsylvania Access To Criminal History - Home (state.pa.us). |
*Submit a current criminal background check with your bid*
| 8 |
| Indicate total experience with prior BDD Psychiatric case review services. |
| YEARS |
| MONTHS |
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