Attachment J.10 - Contract Data Requirements List.pdf
PDF 313 KB Posted
- Attached to
- Health Care Benefits Services Contract - Request For Proposal (RFP) Federal contract opportunity
- Solicitation number
- 1145PC22R0001
- Issued by
- Peace Corps
About this file
This document is a Contract Data Requirements List (CDRL) specifying 21 data items that the contractor must submit to the Peace Corps under a Health Care Benefits Services contract. The contractor must provide items such as monthly authorization reports, customer service satisfaction reports, claims processing procedures manuals, and transition plans on a recurring basis according to deadlines in the 15th of each month or quarterly. Other required recurring deliverables include financial transaction records, enrollment reports, and security reports such as vulnerability scan reports and plans of action for remediation. Non-recurring requirements consist of a user guide for the healthcare authorization and eligibility system within 30 days of award and a final closeout report at the end of the period of performance. The Peace Corps is the contracting agency, and submissions must be made to the contracting officer or contracting officer representative according to the distribution and delivery method specified for each data item, which include email and electronic access.
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Text version
Data Item No. Title of Data Item Contract Reference Frequency First Submission Subsequent Submissions Distribution Source of Delivery
A001 Authorization Report C.10.1. Monthly 15th Calendar Day of 2nd Month of Health Care Delivery (HCD)
15th Calendar Day of Each Month COR, CO Email
A002 Customer Service Satisfaction Report C.10.2. Semi-Annual 180 Days After Contract Award
(ACA)
December and June of Each Year COR, CO Email
A003 Customer Service Support Report C.10.3. Monthly 15th Calendar Day of 2nd Month of
HCD
15th Calendar Day of Each Month COR, CO Email
A004 Customer Service Telephone Report C.10.4. Monthly 15th Calendar Day of 2nd Month of 15th Calendar Day of Each Month COR, CO Email
A005 Claims Processing Procedures Manual C.2.2.1; C.10.5. One Time 10 Business Days ACA As Updates Occur COR
1st Submission - Best Commercial Practice; Subsequent Submissions - e-
Commerce (Web Portal) A006 Contract Activity Report C.2.3.5; C.10.6 Annually 180 Days ACA January of Each Year COR, CO Email
A007 Claims Activity Report C.10.7. Monthly 15th Calendar Day of 2nd Month of Health Care Delivery (HCD)
15th Calendar Day of Each Month COR, CO Email
A008 Appeals Assessment Report C.10.8. Quarterly 90 Days ACA Last Business in the Month of Oct., Jan., Apr., COR, CO Email
A009 Credential, Accreditation and/or Certification Report
C.10.9.
Quarterly 90 Days ACA
Last Business in the Month of Oct., Jan., Apr., Jul. COR, CO Email
C.2.3.7.; C.10.10. One Time 30 Days after Contract Final PoP None COR, CO Best Commercial Practice C.10.11 Quarterly 90 Days ACA Last Business in the Month of Oct., Jan., Apr., COR, CO Email
C.2.4.2.; C.10.12. Quarterly 90 Days ACA Last Business in the Month of Oct., Jan., Apr., Jul. COR, CO Email C.3.1. C.10.13. One Time Contract Award As Changes Occur COR, CO Email
C.10.14. Weekly 7 Business Days ACA Tuesday of Each Week for Duration of Transition COR, CO Email
C.3.2.; C.10.15. One Time Contract Award As Changes Occur COR, CO Email
C.4.; C.10.16 Monthly 15th Calendar Day of 2nd Month of
HCD
15th Calendar Day of Each Month COR, CO Email
C.2.1.4.; C.10.17.; C.4.1.3. Monthly 15th Calendar Day of 2nd Month of
HCD
15th Calendar Day of Each Month COR, CO Email
C.5.4.; C.10.18 As Required 2 Business Days following Air Ambulance Services Same as First Submission COR, CO Email
C.10.19. Monthly
15th Calendar Day of 2nd Month of
HCD
15th Calendar Day of Each Month
COR, CO
Electronic Access with an Annual Aggregate Electronic Copy Emailed the
15th of Dec.
C.7.; C.10.20. Monthly 15th Calendar Day of 2nd Month of
HCD
15th Calendar Day of Each Month COR, CO Email
Monthly 180 Days ACA 15th Calendar Day of Each Month COR, CO Email Annual 365 Days ACA January of Each Year COR, CO Email
C.13.5.; Annual 365 Days ACA January of Each Year or As Changes Occur PC ISSO, ISSM, and/or Email
A010 Financial Transaction Records A011 HIPAA Privacy Complaint Report
Internal Quality Control/Quality A012 Improvement Plan A013 Transition - In (Phase -In) Plan
A014 Transition-In Status Report
A015 Transition - Out (Phase -Out) Plan
A016
A017 Enrollment Report
A018 Air Ambulance Report
A019 Drug Utilization Report
A020 Group Health Insurance Policy Component Report
A021 Outstanding Check Report A022 Outstanding Check Report A023 Privacy Threshold Assessment (PTA) A024 Privacy Impact Assessment (PIA)
C.13.5. Every 3 Years Contract Award 3 Years from First Submission or As Changes Occur
PC ISSO, ISSM, and/or
COR
A025 System Security Plan (SSP) C.9.; C.13.3; C.13.4.; H.11. Annual 365 Days ACA January of Each Year or As Changes Occur PC ISSO, ISSM, and/or Email A026 Security Assessment Report (SAR) C.9.; C.13.3; C.13.4.; H.11. Every 3 Years Contract Award 3 Years from First Submission or As Changes
Occur PC ISSO, ISSM, and/or
COR
A027 Vulnerability Scan Report C.13.4.
Quarterly 90 Days ACA
Last Business in the Month of Oct., Jan., Apr., Jul.
PC Information System Security Officer (ISSO), Information System Security Manager (ISSM), and/or Contracting Officer
Representative (COR) Email A028 Plans of Action &
Milestones/Mitigation (POA&M) Remidation Report
C.13.3.; C.13.4.;
Quarterly 90 Days ACA
Last Business in the Month of Oct., Jan., Apr., Jul. PC ISSO, ISSM, and/or
COR Email
Microsoft Excel
Microsoft Excel
Microsoft Excel
Microsoft Excel
Microsoft Excel
Microsoft Excel 1st Submission -
No Specific Format;
No Specific File
Microsoft Excel
Microsoft Word or Excel
Microsoft Word or Excel
Microsoft Word or Excel
Microsoft Word or Excel
Microsoft Word
Microsoft Word or Excel
Microsoft Word or Excel
Attachment J.10 - Contract Data Requirements (CDR) List
Microsoft Word
Microsoft Word Microsoft Word or Excel
File Format
Microsoft Excel
Electronic Access to Report with an Annual Aggregate No Specific File
Format
Microsoft Word or Excel
Microsoft Word
Microsoft Excel
Microsoft Excel
No Specific File Format
Microsoft Excel
A029 Automated Healthcare Authorization and Eligibility System Users Guide or Instruction Manual for all Contractor processes/
C.10.21 One Time 30 days ACA As Updates Occur Microsoft Word COR, CO Email
Invitee/Reimbursement Component
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