D.6 Subcontractor Proposal Checklist.docx
DOCX document 17 KB Posted
- Attached to
- RAC Region 2 Federal contract opportunity
- Solicitation number
- 75FCMC21R0018
About this file
This document contains a subcontractor proposal checklist for the Recovery Audit Program Region 2 solicitation. The checklist requests information from potential subcontractors such as the prime offeror's name, the subcontractor's company details, parent company information if a newly formed entity, a list of proposed subcontractors, business size classification, tax identification number, DUNS number, CAGE code, and hours for exempt and non-exempt employees. The related federal contract opportunity is for audit services to reduce Medicare improper payments through detection and correction of improper fee-for-service Medicare claims paid by A/B Medicare Administrative Contractors in Region 2, excluding certain claim types. The Recovery Audit Contractor will review claims, recoup overpayments, pay underpayments, support the appeals process, and report review statuses by updating the RAC Data Warehouse and providing monthly reports. The opportunity is issued by the Department of Health and Human Services Centers for Medicare and Medicaid Services.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| RFP 75FCMC21R0018 RAC 2 Amendment 2.pdf | ||
| E.2 QA RFP 75FCMC21R0018 RAC 2.xlsx | XLSX spreadsheet | |
| 75FCMC21R0018 RAC Region 2 Amendment 1.pdf | ||
| E.1 Proposed Contingency Fee.xlsx | XLSX spreadsheet | |
| D.3 Past Performance Questionnaire.docx | DOCX document | |
| D.2 Contractor - Offeror Conflict of Interest.docx | DOCX document | |
| D.5 Prime Proposal Checklist.docx | DOCX document | |
| RFP 75FCMC21R0018 RAC Region 2.docx.pdf | ||
| E.3 Virus Detection Certification.docx | DOCX document | |
| E.2 Q&A Template.xlsx | XLSX spreadsheet | |
| D.4 Responsibility Questionnaire.docx | DOCX document | |
| D.1 RAC Region 2 SOW FINAL.pdf | ||
| D.7 Non Disclosure Statement.docx | DOCX document |
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Text version
| Attachment D.6 | 75FCMC21R0018 | |
| RAC Region 2 |
Proposal Checklist - Subcontractor
You are requested to complete the following checklist to allow CMS to more readily identify various aspects of your proposal. Please check the appropriate items and provide an explanation, if necessary.
1) Prime Offeror’s Name: _________________________________
2) Company name, address, point of contact and telephone number
3) If a newly formed company, provide name and address of parent companies forming the new entity and cage codes:
| a. __________________ | b.__________________ | |
| __________________ | __________________ | |
| __________________ | __________________ |
4) List of proposed subcontractors (if applicable):
a. _____________________________________
b. _____________________________________
c. _____________________________________
5) In accordance with the North American Industry Code 561440, indicate the business size of the prime entity/company.
□ Large Business
□ Small Business – check additional categories as applicable:
| ____ Disadvantaged |
| ____ Woman-owned |
| ____ Veteran-owned |
| ____ HUBZone |
6) TIN # _______________
7) DUNS# _______________
8) Cage Code _____________
9) Productive Hours for Exempt and Non-Exempt Employees ________
File details come from the government source that posted it. Updated .