04 Appendix A-2 BDD Psychologist Requirements Checklist.docx
DOCX document 20 KB Posted
- Attached to
- 12 BDD Psych Services
- Solicitation number
- 6100055942
About this file
This document is an appendix to a Bidder's Checklist for Psychologist Services related to a state contract opportunity in Pennsylvania. The checklist outlines the requirements for bidders and their employees/subcontracted individuals providing psychological case review services under Contract No. 6100055942. Key requirements include: having an unlimited license to practice psychology in Pennsylvania, being listed in The National Register of Health Service Psychologists or possessing a doctorate degree in psychology, and being willing to perform a minimum of 40 case reviews per week. Bidders must also demonstrate the ability to use a computer with a Windows-based platform, provide malpractice insurance, and submit a current criminal background check.
The document also requests that bidders indicate their total experience with prior Behavioral Disability Determination (BDD) psychological case review services in years and months. Successful bidders will be required to participate in training prior to rendering services, if necessary.
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Other files
| File | Type | Posted |
|---|---|---|
| 02 Terms and Conditions_6100055942.pdf | ||
| 03 Appendix A-1 BDD Psychiatrist Requirements Checklist.docx | DOCX document | |
| 07 BOP-2201 Worker Protection Form.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 | |
| 05 Domestic Workforce Utilization Certificate.pdf | ||
| 06 BOP-1307 Lobbying Certification Form.docx | DOCX document | |
| Solicitation Addendum 1_6100055942.docx | DOCX document |
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APPENDIX A-2
CHECKLIST-PSYCHOLOGIST
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 services.
INDIVIDUAL PERFORMING SERVICES: ___________________________________
BIDDER NAME: ______________________________________________________
BIDDER EMAIL ADDRESS: _____________________________________
BIDDER PHONE: _____________________________________
| REQUIREMENT |
| YES |
| NO |
| 1 |
| Does Bidder/individual providing case review have an unlimited license to practice psychology in the Commonwealth of Pennsylvania? |
| 2 |
| Is Bidder/individual providing case review: |
A) Listed in The National Register of Health Service Psychologists and possess two years of supervised clinical experience as a psychologist in health service, at least one year of which is post master’s degree; Or C) Possess a doctorate degree in psychology from a program in clinical psychology of an educational institution accredited by an organization recognized by the Council for Higher Education Accreditation, formerly the Council on Post-Secondary Accreditation and possess two years of supervised clinical experience as a psychologist in health service, at least one year of which is post master’s degree *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 malpractice insurance? |
| 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 Psychological case review services |
| YEARS |
| MONTHS |
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