10.1.5 RFP Liquidated Damages.xlsx

XLSX spreadsheet 22 KB Posted

Attached to
Centralized Credentialing
Solicitation number
40DHHS-S2377
Issued by
Churchill County, Nevada

About this file

This document is an attachment titled "10.1.5 RFP Liquidated Damages.xlsx" related to a Centralized Credentialing Request for Proposal (RFP) issued by the State of Nevada. The RFP outlines a Centralized Credentialing System to be made available to end-users 98% of the time, 24 hours a day, 7 days a week, excluding approved downtime. The system must meet various performance requirements, including timely processing of file updates, reporting, security, and training for stakeholders. Liquidated damages up to $10,000 per day may be assessed for failure to meet the specified standards, such as system availability, response times, and timely reporting.

The RFP applies to the state of Nevada and the jurisdictions of Carson City. The contract term is not specified, but the Centralized Credentialing Vendor must be NCQA certified at the start of the contract and maintain certification throughout the duration. Pricing information is not provided, but the RFP references funding from the American Rescue Plan Act (ARPA) and the need to comply with related timeframes.

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Liquidated Damages

RFP
NV CENTRALIZED CREDENTIALING RFP Attachment L - Liquidated Damages
Program IssuesDamage
Centralized Credentialing System Availability and Response TimeUp to one thousand two hundred and fifty dollars ($1,250.00) per hour may be assessed for system unavailability as defined in this RFP.
Minimum File Update Processing CyclesUp to three thousand dollars ($3,000.00) per day in damages may be assessed for each day of delay in completing file update processes as described in this RFP, unless prior written approval is authorized by the State.
Failure by the Contractor to meet the standards for privacy, security, and confidentiality of individual data as evidenced by a breach of the security.The damage that may be assessed shall be one thousand dollars ($1,000.00) per affected member per occurrence.
Failure by the Contractor to execute the appropriate agreements to effectuate transfer and exchange of PHI or State confidential information including, but not limited to, a data use agreement, trading partner agreement, business associate agreement or qualified protective order prior to the use or disclosure of PHI to a third party.The damage that may be assessed shall be one thousand dollars ($1,000.00) per affected member per occurrence.
Failure by the Contractor to timely report violations in the access, use and disclosure of PHI or timely report a security incident or timely make a notification of breach or notification of suspected breachThe damage that may be assessed shall be one thousand dollars ($1,000.00) per affected member per occurrence.
Failure by the Contractor to comply with a Control Memorandum and Control Directive (CM/CD) or Corrective Action Plan (CAP).The damage that may be assessed shall not exceed two thousand dollars ($2,000.00) per calendar day for each separate failure to comply with a CM/CD or CAP until compliance is met.

If the Contractor fails to comply with the CM/CD or CAP for more than thirty (30) calendar days from the date of issuance of the CM/CD or CAP, The State may assess an additional two thousand dollars ($2,000) per calendar day until the Contractor complies with the CM/CD or CAP.

Failure by the Contractor to satisfactorily complete all implementation actions and requirements prior to Go-Live dates in accordance with the approved Implementation Schedules.The damage that may be assessed shall be ten thousand dollars ($10,000.00) for each calendar day Go-Live is delayed past the date set out in the implementation plan.
Failure by the Contractor to comply with any State CVO

Program general or Key Staff requirements, including failure by the Contractor to have replacement in place within seven (7) calendar days of the termination date of employment of any key personnel member, unless the State grants an exception to the requirement. The damage that may be assessed shall be one thousand dollars ($1,000.00) per calendar day, per occurrence. If the Contractor fails to comply with the Key Staff requirements for more than thirty (30) days, the damage that may be assessed shall be two thousand ($2.000) per calendar day, per occurrence.

For CMS certificaion, the damage that may be assessed shall be $2,500 per week per employee, and may continue until receipt of the certification verification by the State.

Failure to notify the State within one (1) hour of the time when the Contractor knows or should have known of a system or business interruption that is ten (10) minutes or longer in duration.The State may assess damages of $1,000 per occurrence.
Accurately produce and deliver all reports according to the date and frequency required in the Contract.A maximum of one hundred dollars ($100.00) for each day following the date that a reporting error is discovered in which the corrected report is not delivered.

A maximum of five hundred dollars ($500.00) for each day for each report the Contractor fails to deliver by the date or frequency specified in the Contract.

A maximum of five hundred dollars ($500.00) for each day that the Contractor fails to deliver an ORR report.

Failure to accurately produce and deliver all CMS required on-going Operations reports/Metrics according to the date and frequency agreed to with the State.The State may assess damages of one hundred dollars ($100.00) for each day following the date that a reporting error is discovered in which the corrected report is not delivered.
Failure to maintain ongoing operational performance of Centralized Credentialing that meets or exceeds established CMS Outcomes and Metrics to maintain CMS CertificationThe State may assess damages of five hundred dollars ($500.00) for each day the Contractor fails to meet or exceed the established CMS Outcomes
CVO Vendor shall thoroughly test the Centralized Credentialing Solution and demonstrate proof of successful testing for 100% of the specifications presented in the contract in accordance with testing schedule presented in the DHCFP-approved project management plan.Up to one thousand two hundred and fifty dollars ($1,250.00) per day in damages may be assessed for failure to test as specified.
CVO Vendor Shall provide training to stakeholders (DHCFP, Managed Care Entities, credentialers, providers, and authorized users) on system functionality and processes prior to go-live and upon request as agreed upon between the Vendor and DHCFP.Up to one thousand two hundred and fifty dollars ($1,250.00) per day, per occurrence of failure to provide training.
CVO Vendor Shall submit a Business Continuity/Backup and Recovery Plan for approval within thirty (30) calendar days of contract signing, and update plan at least annually thereafter.Up to $500 per day, per occurrence of failure to provide Plan.
Implement Centralized Credentialing Solution capabilities and services to comply with American Rescue Plan Act (ARPA) grant funding timeframes.Amount equal to the reduction in federal ARPA assistance.
The CVO Vendor Shall retrieve the NV Medicaid provider file within two (2) business days of posting.$1,250 per day past the two business day limit.
The CVO Vendor Shall provide access to credentialing documentation to stakeholders within three (3) business days of completion of credentials verification process.$1,250 per day per incident for failure to provide credentialing documentation.
The CVO Vendor Shall perform source verification within a 99% accuracy rate.Up to $5,000 per incident.
The CVO Vendor Shall complete the credentials verification process within sixty (60) calendar days of the initial date of receipt of the provider credentialing documentation.$1,250 per day per incident
The CVO Vendor Shall communicate in writing any proposed changes to the credentials verification process thirty (30) calendar days prior to change in process.$1,250 per day per incident
CVO Vendor Shall create and implement a re-credentialing alignment plan within 12 months of contract begin date to ensure each provider has a single credentialing date.Up to $1,250 per day may be assessed for failure to comply as specified.
The CVO Vendor Shall be NCQA certified at contract start date and Shall maintain NCQA CVO certification based on the most current standards throughout the duration of the contract.
$10,000 in damages may be assessed for failure to maintain certification unless evidence provided to the state of a granted grace period by NCQA.
CVO Vendor shall provide a written report and assessment to DHCFP within one (1) business day following the identification of any security Incident. The report shall detail all actions taken concerning the incident, including the type of incident, the current status, and any potential impact(s), the cause of the incident, and a corrective action plan to prevent future incidents.Up to $1,250 per day, per report in damages may be assessed for failure to produce reports.
Centralized Credentialing Solution shall be available with real time updates to end users 98% of the time, twenty-four (24) hours a day, seven (7) days a week, excluding DHCFP approved planned downtime.Up to $5,000 per day in damages may be assessed for failure to comply with system availability.
Scheduled Centralized Credentialing Solution downtime notification reminders shall be communicated to all Centralized Credentialing Solution users forty-eight (48) hours prior to the scheduled downtime.Up to $1,250 per day in damages may be assessed for failure to notify.
Notification shall be communicated within one (1) hour to all Centralized Credentialing Solution users when unscheduled system downtime occurs.Up to $375 per hour in damages may be assessed for failure to notify.
Centralized Credentialing Vendor shall provide technical support by phone and online in accordance with DHCFP’s regular business hours for the duration of the contract.Up to $375 per hour may be assessed for failure to provide technical support as specified.
Staffing levels shall be maintained so that no more than ten percent (10%) of the calls placed into the queue remain on hold for more than one (1) minute, and to ensure the abandon rate is no greater than five percent (5%).Up to $375 per day may be assessed for failure to provide customer care support as specified.
Centralized Credentialing Vendor shall respond to all received telephone, email communications, and written correspondence from stakeholders within two (2) business days of receipt of the inquiry.Up to $375 per day may be assessed for failure to comply as specified.
Respond to all DHCFP inquiries within one (1) business day.Up to $375 per day may be assessed for failure to comply as specified.
Ongoing training and outreach materials shall be reviewed and approved by DHCFP, 5-10 business days prior to a scheduled training or outreach event.Up to $1,250 per day may be assessed for failure to comply as specified.
Training Shall be provided at least five (5) business days in advance of system upgrades or changesUp to $1,250 per day, per occurrence of failure to provide training.
CVO Vendor shall distribute accurate reports as follows:
A.Weekly reports shall be made available to DHCFP within two (2) business days following the reporting period;
B.Monthly reports shall be made available to DHCFP within five (5) business days following the reporting period;
C.Requests for ad hoc reports shall be fulfilled and available to DHCFP within three (3) business days of request submission;
D.Reports generated on occurrence (event based) shall be available within twenty-four (24) hours of the occurrence.Up to $500 per day, per report in damages may be assessed for failure to produce reports.
Centralized Credentialing Solution shall have at least six (6) years (from the end of the calendar year in which the report was finalized) of reporting available online to DHCFPUp to $500 per day in damages may be assessed for failure to comply as specified.

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