Credentialing Coordinator - PWS Rev 1.pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR

MDARNG Provider Credentialing Coordinator Services

1. General:

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform Provider Credentialing Coordinator Services, as defined in this PWS.

1.1.1 Period of Performance (PoP): The period of performance shall be one year from the award date.

1.2 Background: All licensed providers within the MDARNG require semiannual credentialing and privileging. The Credentialing Coordinator is responsible for organizing, maintaining, and verifying all aspects of the credentialing process for healthcare practitioners in a health care-related facility. In all activities, the Credentialing Coordinator will comply with all military legal and regulatory policies and procedures.

The credentialing coordinator is in charge of contacting military medical staff, commanders, Readiness NCOs ,the National Guard Bureau, and the Office of the State Surgeon and it representatives, as well as communicating with outside healthcare facilities to maintain up-to-date files on physicians, dentists, physician assistants, nurse practitioners, nurses, psychologists, and social workers. Additionally, the credentialing coordinator is responsible for answering inquiries regarding providers' credential status and working with colleagues to ensure the accuracy of all files by tracking the expiration of licenses and certifications. The Credentialing Coordinator is responsible for ensuring that all providers’ military medical credentialing and privileging is initiated, maintained, and transferred as required, throughout the term of their military service. The contract employee will also serve as the Office Manager for the MDARNG Office of the State Surgeon.

1.3 Quality Control (QC): The Contractor shall provide a preliminary Quality Control Plan (QCP) with their proposal The QCP shall include a detailed discussion of the steps proposed to ensure quality, adherence to schedule, proactive communication and adherence to budget. The QCP shall include a description of corrective action steps to take should the Contractor performance be substandard. An organizational depiction of the project team and chain(s)-of-command shall also be included in the QCP. The QCP shall be submitted as part of the proposal.

1.3.1 Quality Assurance (QA): The Government shall develop and utilize a quality assurance plan. This plan shall be primarily focused on what the Government must do to ensure the contractor has performed in accordance with the performance standards.

It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) (defect rate(s)).

1.3.2 Recognized Holidays: The following are recognized US holidays. The contractor is NOT required to perform services on these days:

1.3.2.1 New Year’s Day: January 1st

1.3.2.2 Martin Luther King, Jr.’s Birthday

1.3.2.3 President’s Day

1.3.2.4 Memorial Day

1.3.2.5 Juneteenth 19 June

1.3.2.6 Independence Day: July 4th

1.3.2.7 Labor Day

1.3.2.8 Columbus Day

1.3.2.9 Veteran’s Day: November 11th

1.3.2.10 Thanksgiving Day

1.3.2.11 Christmas Day

1.3.3 Place and Performance of Services:

Contract services shall be provided Tuesday through Friday 0630-1700 at Camp Fretterd Military Reservation, 5555 Rue Saint Lo Drive, Reisterstown, MD 21136, BLDG

201. Alternate work locations are authorized. Telework is not authorized for this position.

1.3.3.1 Unscheduled closure of facilities due to State declared emergencies, adverse weather conditions, by the fiat of the MDARNG Adjutant general, or closures by the security team may occur at any time preventing entrance or exit from the installation.

Interruptions occur infrequently and cannot be predicted or prevented. When possible we will notify the contract staff in advance of unexpected closures. Contractors will not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.3.3.2 The contractor’s employees shall become familiar with and obey the regulations of Camp Fretterd Military reservation including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance.

1.3.4 Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Contracting Officer’s Representative (COR). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.3.4.1 COMSEC/IT Security. All communications with DOD organizations are subject to communications security (COMSEC) review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DOD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DOD organizations. Therefore, the contractor is advised any time contractor place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DOD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.3.4.2 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the AEI. Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall: Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation. Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://informationassurance.us.army.mil). Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know. Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements. Practice safe network and Internet operating principles and take no actions threatening the integrity of the system or network.

1.3.4.3 Protection of Personally Identifiable Information (PII). The contractor shall protect all Personally Identifiable Information (PII) encountered in the performance of services in accordance with DFARS 224.103 and DoDD 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals who’s PII has been compromised.

1.3.4.4 CAC Requirements: The common access card (CAC) is the Department of Defense (DOD) Federal Personal Identity Verification (PIV) credential. In accordance https://informationassurance.us.army.mil/ with Directive Type Memorandum (DTM) 08-003, December 1, 2008, incorporating Change 5, October 8, 2013, Initial issuance of a CAC requires at a minimum, the completion of FBI fingerprint check with favorable results reflecting "No Record" and submission of a National Agency Check with Inquiries (NACI) to the Office of Personnel Management (OPM), or a DoD-determined equivalent investigation. The issuance of a CAC will be based on four criteria; (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-1, Personal Identity Verification (PIV) of Federal Employees and Contractors, March 2006, and DOD Regulation 5200.2-R, Department of Defense Personnel Security Program, January 1987, and (d) verification of a claimed identity. CAC eligible personnel must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either an authoritative personnel data feed from the appropriate Service or Agency or Trusted Associate Sponsorship System (TASS).

1.3.4.4.i HSPD-12 Background Investigation Requirements: The contractor ensure CACs are obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DoD network (and other eligible populations as specified in DTM-08-003 Attachment 3, paragraph 3a.) are required to, at a minimum, have received a favorable FBI fingerprint check and must have submitted to the Office of Personnel Management (OPM) a National Agency Check with Inquiries (NACI) or equivalent/higher investigation. It is the responsibility of the contractor to ensure all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at attachment at the earliest possible date and that this form is forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward to the NGB Personnel Security manager who will initiate the investigation process via the PSIP.

Contractor personnel will then receive two e-mail messages; the first will confirm the request has been received by the OPM, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the BI will be initiated. The contractor shall ensure all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system are complied with immediately. The contractor is cautioned the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from 2-6 weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

1.3.4.4.ii Trusted Associate Sponsorship System (TASS): The contractor is responsible for processing applications for CAC for every contractor employee who deploys with the military force OR who has need to access any government computer network in accordance with FAR 52.204-9, "Personal Identity Verification of Contractor Personnel."

The contractor is responsible for managing requests for new or renewal CAC cards in sufficient time to ensure all contractor employees have them when needed to perform work under this contract. The norm is at least ten calendar days advance notice to the trusted agent (TA), unless there are extenuating circumstances approved by the Contracting Officer's Representative (COR) or Contracting Officer. It is recommend a "Corporate Facility Security Officer" (FSO) be designated to serve as your firm's single point of contact for Background Investigation (BI), the TASS application process and other CAC and security related matters. If a FSO is not established, each contractor employee requiring a CAC will be required to process their own applications. CAC applications shall be processed through the TASS. The contractor's FSO Or contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA) before accessing the TASS website. The TASS TA for this requirement will be:The government will establish a TASS application account for each CAC Request and will provide each contractor employee a USER ID and Password, via email, to the FSO. The FSO or contractor employee shall access the TASS account and complete the CAC application (entering/editing contractor information as applicable) https://www.dmdc.osd.mil/tass/.

The FSO or contractor employee will submit completed applications in TASS and will follow up to ensure the TA is processing the request. A CAC cannot be issued without evidence the FSO has initiated a National Agency Check with Written Inquires (NACI).

The government will inform the contractor's applicant, via email, of one of the following:

Approved.* Upon approval, the information is transferred to the Defense Enrollment Eligibility Reporting System (DEERS) database and an email notification is sent to the contractor with instructions on obtaining their CAC. The contractor proceeds to a Real- Time Automated Personnel Identification System (RAPIDS) station (RAPIDS Site Locator: http://www.dmdc.osd.mil/rsl/). Rejected.* The Government, in separate correspondence, will provide reason(s) for rejection. Returned. Additional information or correction to the application required by the contractor employee.*The contractor shall maintain records of all approved and rejected applications. At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor by SSN and two forms of identification. Identity source Documents must come from the list of acceptable documents included in Form I-9, OMB No. 115-0136, "Employment Eligibility Verification." Consistent with applicable law, at least one document from the Form I-9 list shall be a valid (unexpired) State or Federal Government-issued picture identification (ID). The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS and will then issue a CAC. Issued CACs shall be for a period of performance not longer than three (3) years or the individual's contract end date (inclusive of any options), whichever is earlier. The contractor shall return issued CAC's to the COR/KO office upon departure or dismissal of each contractor employee. Obtain a receipt for each card.

1.3.4.4.iii The contractor shall obtain an Army Knowledge Online (AKO) email address for each applicant, including subcontractors, who may be deployed or require logical https://www.dmdc.osd.mil/tass/ http://www.dmdc.osd.mil/rsl/ access to a government computer network. This can be done by going to:

http://www.us.army.mil and register as an "Army Guest," with the sponsor being the COR or a COR designated individual if the COR is ineligible to Serve as an AKO Sponsor. Note: If an employee of a contractor loses the Privilege to access AKO, they lose the ability to renew their CAC. Therefore it is critical contractor employees maintain their AKO accounts.

1.3.5 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.3.5.1 Key Control. None.

1.3.5.2 Lock Combinations. None.

1.3.6 Special Qualifications: The Contractor shall have a minimum of two years practical experience in provider credentialing and privileging i.e. receiving and compiling medical provider legal documentation (medical diplomas, Drug Enforcement Agency (DEA) licenses, state licenses, National Practitioner Database records, malpractice insurance documents, certifications, post-graduate training, references, etc.), building comprehensive credentialing packets and ensuring their absolute integrity. Experience and knowledge of Army and National Guard Bureau regulations and policies relating to provider credentialing and privileging, and utilizing the Defense Health Agency’s Centralized Credentials Quality Assurance System (CCQAS) are preferred.

1.3.6.1 Perform all aspects of military provider credentialing and privileging of ALL assigned providers.

1.3.6.2 Collect all required legal documentation for each provider to be credentialed including but not limited to: medical diploma, DEA license, state license, National

Practitioner Database records, malpractice documentation, certifications, post-graduate training records, and references in accordance with HIPAA guidelines.

1.3.6.3 Validate the accuracy and completeness of all records received. Ensure all new initial provider applications are complete, and initiate their credentialing and privileging.

1.3.6.4 Maintain custody of all credentialing materials via the Centralized Credentials Quality Assurance System (CCQAS).

1.3.6.5 Upload records to build and maintain provider profiles to include, but not limited to, demographic information, educational documentation, continuing education credits, intra-facility credentialing transfer briefs (ICTBs), custody transfers, and adverse action reports.

http://www.us.army.mil/

1.3.6.6 Track document expiration status in CCQAS and ensure records are updated in a timely manner.

1.3.6.7 Using validated credentialing materials to build comprehensive credentialing packets, and ensure their absolute integrity, for submission to the Centralized

Credentialing and Privileging Board (CCPB).

1.3.6.8 Attend CCPB meetings and present credentialing packets to the Board for approval.

1.3.6.9 Utilize validated credentialing materials to create state privileging packets for approval by State Surgeon.

1.3.6.10 Build ICTBs as required for all providers attending Annual Training or mobilizing outside of Maryland.

1.3.6.11 Validate document currency for all records in the ICTBs prior to submission.

1.3.6.12 Follow-up on all ICTB submissions to ensure their completion and transfer to the gaining facility.

1.3.6.13 Routinely collaborate with all MDARNG providers, Centralized Credentialing personnel, and the National Guard Bureau Office of the Chief Surgeon staff to assure that all requirements are being met as well as identifying process changes

1.3.6.14 Receive medical documentation and maintain HIPPA compliance throughout routing to the appropriate personnel.

1.3.6.15 Follow the regulations and policies applicable to credentialing and privileging outlined in Army regulation 40-68 Clinical Quality Management.

1.4 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO. The KO, Contracting Officer’s Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor performance.

1.5 The contactor shall provide a primary point of contact and alternate who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the individual is absent, shall be designated in writing to the COR/KO. The individual or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The individual shall work with the COR, (or the KO if a COR is not assigned), to resolve issues, receive technical instructions, and ensure adequate performance of services.

The individual(s) shall ensure contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The individual(s) shall ensure contractor employees understand services performed outside the scope of the contract are not permitted.

1.6 Identification of Contractor Employees: Contractor employees will require badges to be worn at all times in the performance of this contract. All contractor personnel attending meetings, answering Government telephones are required to identify themselves as contract employees to avoid creating an impression they are Government employees. The contractor shall ensure all documents or reports produced by contractor personnel are suitably marked as contractor products or contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities/ Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed. The contractor shall retrieve all identification media (including vehicle passes) from their employees who depart employment for any reason. All identification media (i.e., badges and vehicles passes) shall be returned to the COR/KO within 14 calendar days of an employee’s departure.

1.7 Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions will be taken against employees for violations of this policy. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment. The Contractor shall take appropriate action, up to and including termination, against employees or subcontractors violate the US Government policy as described at FAR 22.17.

1.8 Contractor Travel: Travel shall be in accordance with the Joint Travel Regulation.

Travel may be required for all Contractor personnel performing on this requirement.

Contractor shall be required to comply with travel policies as outlined in the DoD Financial Management Regulation and the Joint Travel Regulation (JTR).

1.9 Data Rights. N/A. No military data will be transmitted, shared or dispersed to a DoD recipient without the approval of the COR.

1.10 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO and in the event the KO unilaterally determines any such OCI cannot be satisfactorily avoided or mitigated, the KO may affect other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.11 Transition: None

2. Definitions and Acronyms

2.1 Definitions

2.1.1 CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2 CONTRACTING OFFICER (KO). A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3 CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government designated by the KO to monitor contractor performance. Such appointment shall be in writing and shall state the scope of authority and limitations.

This individual has authority to provide technical direction to the Contractor as long as the direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4 DEFECTIVE SERVICE. A service output which does not meet the standard of performance associated with the Performance Work Statement.

2.1.5 DELIVERABLE.A deliverable is anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.6 KEY PERSONNEL. Contractor personnel who may be required to be used in the performance of a contract as Key Personnel listed in the PWS.

2.1.7 PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.8 QUALITY ASSURANCE. The government procedures to verify services being performed by the Contractor are performed according to acceptable standards.

2.1.9 QUALITY ASSURANCE. SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10 QUALITY CONTROL. All necessary measures taken by the Contractor to assure the quality of an end product or service meets contract requirements.

2.1.11 SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.12 WORK HOURS and WORK WEEK. Standard days of performance will be Monday through Friday, however, adjustments can be made to days and hours of performance as mission dictates long as Contract employee does not exceed forty (40) hours in a normal workweek. Occasional work on Saturday and Sunday will be on an as needed basis. Contractors will be notified (7 calendar days) for weekend requirements.

The contracted employee(s) cannot individually exceed two-thousand (2000) hours of work in a contract year. Mission needs will be identified by Deputy State Surgeon, MD State Surgeon. Duty days may be up to 8 -10 hours in duration. The contractor will not be paid for the lunch period.

2.2 Acronyms:

2.2.1 AFARS Army Federal Acquisition Regulation Supplement

2.2.2 AR Army Regulation

2.2.3 AT/OPSEC Antiterrorism/Operational Security

2.2.4 CAC Common Access Card

2.2.5 CM Case Management

2.2.6 CFR Code of Federal Regulations

2.2.7 CONU Continental United States (excludes Alaska and Hawaii)

2.2.8 COR Contracting Officer Representative

2.2.9 COTS Commercial-Off-the-Shelf

2.2.10 DA Department of the Army

2.2.11 DD250 Department of Defense Form 250 (Receiving Report)

2.2.12 DD254 Department of Defense Contract Security Requirement List

2.2.13 DFARS Defense Federal Acquisition Regulation Supplement

2.2.14 DOD Department of Defense

2.2.15 DM Disease Management

2.2.16 FAR Federal Acquisition Regulation

2.2.17 FMR Fully Medically Ready

2.2.18 GFP/M/E/S Government Furnished Property/Material/Equipment/Services

2.2.19 IA Information Assurance

2.2.20 IMR Individual Medical Readiness

2.2.21 IS Information System(s)

2.2.22 KO Contracting Officer

2.2.23 OCI Organizational Conflict of Interest

2.2.24 ODC Other Direct Costs

2.2.25 MHS Military Health System

2.2.26 MM Medical Management

2.2.27 MRDP Medical Retention Decision Point

2.2.28 PII Personally Identifiable Information

2.2.29 PIPO Phase In/Phase Out

2.2.30 POC Point of Contact

2.2.31 PoP Period of Performance

2.2.32 PRS Performance Requirements Summary

2.2.33 PWS Performance Work Statement

2.2.34 QA Quality Assurance

2.2.35 QAP Quality Assurance Program

2.2.36 QASP Quality Assurance Surveillance Plan

2.2.37 QC Quality Control

2.2.38 QCP Quality Control Program

2.2.39 RN Registered Nurse

2.2.40 TE Technical Exhibit

2.2.41 UM Utilization Management

3. Government Furnished Property, Materials, and Equipment (GFP/M/E):

3.1 Property: Government Computer and work station.

3.2 Materials: Basic office supplies

3.3 Equipment: The government will provide required computers, scanners, telephones and materials necessary to comply with contract requirements at the job site.

3.4 Services: None.

3.5 Utilities: None.

4. Contractor Furnished Property, Materials, and Equipment (CFP/M/E): Name Tag.

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as required by the contract.

4.2 Secret Facility Clearance: Not required.

5. Requirements: The intent of this requirement is to provide credentials verification services for the MDARNG in support of surge and contingency requirements as well as its steady-state mission. Any changes to the initial staffing will be completed through a bilateral supplemental agreement.

5.1 Contractor shall provide a credentials coordinator to provide credentialing support to the MDARNG. Personnel assigned to this requirement shall possess the required technical skills and expertise to perform the functions with minimum guidance.

Technical skills include PC proficiency, specifically Microsoft Word and Excel.

5.1.1 The Government will provide training for military data bases to the contractor.

DELIVERABLES

Contract Objective: The purpose of this requirement is to provide credentialing services in support of MDARNG provider readiness. This requirement is designed to be flexible, responsive, and meets the ever-evolving needs of the government. The ultimate goals are to produce real-time reports based on complete, accurate data.

Deliverable

Performance Standard

Acceptable Quality Level (AQL)

Method Used

/ Frequency

1.3.6.2 Abide by Privacy Act

and HIPPA regulations at all times.

• The contractor shall ensure integrity and confidentiality of all medical records and information, and ensure its physical security.

Periodic Inspection –

COR will monitor compliance

1.3.6.6. Track document

expiration status in CCQAS and ensure records are updated in a timely manner

• The contractor shall maintain all CCQAS provider records and ensure expiration dates are communicated to providers, and updated records are received and uploaded in a timely manner

Periodic Inspection –

COR will monitor compliance

1.3.6.4 Maintain custody of all

credentialing materials via the Centralized Credentials Quality Assurance System

(CCQAS).

• The contractor shall maintain all provider records and documents CCQAS

Periodic Inspection –

COR will monitor compliance

1.3.6.15 Army Regulations

regarding credentialing and privileging will be followed in all situations.

• Follow the regulations and policies applicable to credentialing and privileging outlined in Army regulation 40-68 Clinical Quality Management.

Periodic Inspection –

COR will monitor compliance