1-GRAMA claim of business confidentiality.pdf

PDF 397 KB Posted

Attached to
Utah Schools for the Deaf and the Blind - Medicaid Billing Services
Solicitation number
USBE-CC26314-RFP
Issued by
Utah

About this file

This is a GRAMA (Government Records Access and Management Act) Business Confidentiality Claim form used by the Utah State Board of Education for the Utah Schools for the Deaf and the Blind (USDB) Medicaid Billing Services procurement (Solicitation # USBE-CC26314-RFP). The form allows contractors and private providers to identify and protect trade secrets and commercial financial information from public disclosure under Utah Code 63G-2-305 and 63G-2-309. Claimants must submit the completed form concurrently with their confidential information and provide a concise statement of reasons supporting the confidentiality claim. The RFP seeks a qualified offeror to provide a documentation program that tracks health-related service delivery and submits Medicaid claims for allowable services provided to USDB. The solution must offer an intuitive user experience for service providers and administrators while streamlining documentation and billing processes to improve efficiency and enable timely Medicaid claiming. The system must support data collection necessary to optimize special education service delivery and accommodate USDB business processes at the business office, school, and staff levels. A single contract award is anticipated from this procurement.

This confidentiality claim form does not contain specific pricing information, set-asides, contract terms, renewal options, funding amounts, or award dates. The form serves as a procedural document that protects sensitive business information submitted during the proposal process. Claimants must indicate which pages and paragraphs contain confidential information and provide detailed reasons for the confidentiality request. The form notes that submitting a confidentiality claim does not guarantee protected classification if the government receives a public records request. Claimants may optionally provide a redacted public version of their records alongside the confidential submission.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

http://archives.utah.gov/opengovernment/ombudsman.html Office of the Government Records Ombudsman Utah State Archives

Business Request for GRAMA Business Confidentiality Claim use by contractors or private providers to identify protected records or information

Note: Utah Code § 63G-2-305(1) states that trade secrets can be protected if the person submitting the trade secret provides the governmental entity with a confidentiality claim. Likewise, Utah Code § 63G-2-305(2) states that commercial financial information can be protected if disclosure could reasonably be expected to result in unfair competitive injury to the person submitting the information, and that person has provided a confidentiality claim. Confidentiality claims are described in Utah Code § 63G-2-309. A claim must include a concise statement of reasons supporting the claim and must be submitted with the information requested to be protected.

State: ZIP code:

Email address:

Date:

Following is a concise statement of reasons supporting this confidentiality claim:

Signed:________________________________________

GRAMA Business confidentiality claim

Date:______________________________

Claimant information:

Company name:

Address:

City:

Name of company representative:

Telephone number:

Details about confidentiality claim:

This claim applies to records submitted to:

Reason for submission:

Is a public (redacted) copy of the records also being provided? yes no Note: Making a confidentiality claim does not guarantee protected classification if government receives a records request.

Confidentiality request applies to:

page paragraph reason http://archives.utah.gov/opengovernment/ombudsman.html http://le.utah.gov/xcode/Title63G/Chapter2/63G-2-S204.html https://le.utah.gov/xcode/Title63G/Chapter2/63G-2-S305.html?v=C63G-2-S305_2020051220200512 https://le.utah.gov/xcode/Title63G/Chapter2/63G-2-S309.html?v=C63G-2-S309_2019051420190514

company name:
street address:
city:
state:
ZIP code:
company representative:
telephone number:
email address:
governmental entity:
date:
reason #2:
paragraph #2:
page #2:
page #1:
paragraph #1:
reason #1:
explanation:
page #3:
paragraph #3:
reason #3:
statement of reasons:
date signed:
reset:
print:
reason #4:
paragraph #4:
page #4:
Group1: Off

File details come from the government source that posted it. Updated .