7-PII+Questionnaire.xlsx

This is a data collection questionnaire submitted by the Utah State Board of Education (USBE) in connection with their Medicaid Billing Services Request for Proposals (Solicitation # USBE-CC26314-RFP) for Utah Schools for the Deaf and the Blind (USDB). The questionnaire documents the personally identifiable information (PII) and protected data elements that will be collected, stored, and used by the proposed system. The system is intended to track the delivery of health-related services, submit claims to Medicaid, and support special education services documentation and billing processes across business office, school, and staff levels. Data categories identified for potential system use include student PII (assessment scores, attendance, enrollment, contact information, performance data, and survey responses), student demographic information (date of birth, gender, ethnicity, language information), special indicators (English language learner status, low-income status, medical alerts, disability information, IEP/504 services), educator PII (name, identification number, school and class assignment, salary and license information), parent/guardian contact information, and PCI protected credit card data.

The questionnaire serves as a comprehensive inventory of data elements that vendors must acknowledge and address in their proposals to ensure compliance with data privacy and security requirements. The document does not specify pricing terms, contract duration, renewal options, or funding amounts within the questionnaire itself, as it functions solely as a data governance and compliance tool. Respondents to the RFP are required to identify which data elements their proposed system will utilize and provide additional information regarding data handling, storage, and security measures to demonstrate their capability to manage sensitive educational and health information appropriately.