Attachment II - Performance Requirements Summary Table.xlsx

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Attached to
G009--VA Dental Insurance Program (VADIP) Reauthorization (VA-22-00011137)
Solicitation number
36C79122R0006
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Sheet1

Deliverable NumberSolicitation SectionDescriptionDelivery TimeSubmit to
ELIIGIBILITY, ENROLLMENT & NETWORK
A1B.4.2.1Marketing Plan to VeteranAnnuallyCOR
A2B.4.2.3Enrollment ReportsQuarterlyCOR/CO
Total Enrollment to dateAnnuallyCOR
A3B.4.2.3Telephone CallsMonthlyCOR
Average Speed of Answer (ASA)
A4B.4.2.3Website HitsMonthlyCOR
A5B.4.2.3Access PercentageMonthlyCOR
A6B.4.2.5Dental Network RosterAnnuallyCOR
A7B.4.2.5Network AdequacyQuarterlyCOR
Urban within 10 miles
Rural within 50 miles
Highly Rural within 150 milres
SECURITY & MANAGEMENT REQUIREMENTS
B1B.4.3.1ClaimsQuarterlyCOR
Processed (30 Days)
B2B.4.3.1AppealsQuarterlyCOR
Claims
Disenrollment
Time Email Response (7 Days)
B3B.4.3.1Customer Service Calls (30 seconds)QuarterlyCOR
Time Email Response (3 Days)
B6B.4.3.1Data BreachImmediatelyCOR/CO
HIPPA Security
B4B.4.3.1Dental Plan changesAnnualyCOR
B5B.4.3.1System Security PlanAnnualyCOR
B7B.4.3.3Confilict of InterestImmediatelyCOR/CO
B8
PROGRAM OFFICE
C1B.4.4.1Contractor Quality Control PlanAnnuallyCOR
C2B.4.4.2Contractor Management ReportsAnnualyCOR
C3B.4.4.2Contractor Compliance with PWSAnnualyCOR
C4B.4.4.2Patient Saftey IssuesQuarterlyCOR
C5B.4.4.2Marketing Plan RevisionAnnuallyCOR
C6B.4.4.2Premiums Paid by planAnnuallyCOR

Sheet2

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