ATTM 003.pdf
PDF 152 KB Posted
- Attached to
- MEDICAID CLINICAL DATA EXCHANGE
- Solicitation number
- 5400030026
- Issued by
- Richland County, South Carolina
About this file
This file is a Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion form for lower tier covered transactions, applicable to the South Carolina Department of Health and Human Services' Medicaid Clinical Data Exchange procurement. The certification requires prospective lower tier participants to attest that they and their principals are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal transactions by any federal department or agency. Any prospective participant unable to certify to these conditions must attach an explanation to their proposal. Signatories further agree to include this certification clause without modifications in all lower tier covered transactions and solicitations related to this project.
This mandatory compliance document does not establish pricing terms, set asides, or funding requirements; rather, it functions as a pre-award integrity requirement tied to the broader Medicaid Clinical Data Exchange contract opportunity, which involves system development and implementation for capturing and routing admission, discharge, and transfer events and bed status data from acute care hospitals to managed care organizations. The document serves as a safeguard mechanism to ensure contractor eligibility and compliance with federal requirements as specified in 45 CFR Part 76.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Amendment 1.pdf | ||
| Amendment 2.pdf | ||
| PL 001.pdf | ||
| ATTM 005.pdf | ||
| PL 005.pdf | ||
| ATTM 025.pdf | ||
| ATTM 019.pdf | ||
| ATTM 013.xlsx | XLSX spreadsheet | |
| ATTM 004.pdf | ||
| ATTM 017.pdf | ||
| ATTM 010.pdf | ||
| PL 002.pdf | ||
| ATTM 002.pdf | ||
| ATTM 007.pdf | ||
| ATTM 022(b).xlsx | XLSX spreadsheet | |
| ATTM 020.pdf | ||
| ATTM 018.pdf | ||
| ATTM 023.pdf | ||
| PL 004.pdf | ||
| ATTM 009.xlsx | XLSX spreadsheet | |
| ATTM 022(a).pdf | ||
| _MCDE RFP.pdf | ||
| ATTM 015.pdf | ||
| ATTM 006.pdf | ||
| ATTM 024.pdf | ||
| PL 003.pdf | ||
| ATTM 001.pdf | ||
| ATTM 008.xlsx | XLSX spreadsheet | |
| ATTM 014.pdf | ||
| ATTM 012.xlsx | XLSX spreadsheet | |
| ATTM 011.pdf | ||
| ATTM 021.pdf | ||
| ATTM 016.pdf |
Show all 33
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Text version
ATTM 003 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion – Lower Tier Covered Transactions
(To Be Supplied to Lower Tier Participants)
By signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 45 CFR Part 76, certifies to the best of its knowledge and belief that it and its principals:
a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency.
b) where the prospective lower participant is unable to certify to any of the above, such prospective participant shall attach an explanation to this proposal.
The prospective lower tier participant further agrees by submitting this proposal that it will include this clause entitled Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion-Lower Tier Covered Transactions without modifications in all lower tier covered transactions and in all solicitations for lower tier covered transactions.
Authorized Signature
ATTM 003 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion – Lower Tier Covered Transactions
File details come from the government source that posted it. Updated .