D.7 Non Disclosure Statement.docx
DOCX document 20 KB Posted
- Attached to
- RAC Region 2 Federal contract opportunity
- Solicitation number
- 75FCMC21R0018
About this file
This document contains a non-disclosure statement template and details of a solicitation for recovery audit services. The non-disclosure statement outlines requirements for contractors to protect proprietary or confidential data provided by the government or its contractors related to a specific contract. Contractors and subcontractors must restrict access to authorized personnel and inform any affiliates of the proprietary nature of the information.
The related solicitation is for recovery audit services in Region 2 to reduce Medicare improper payments. The recovery auditor will review claims submitted to Medicare Administrative Contractors excluding certain types, and work with CMS and MACs to adjust claims, recoup overpayments, pay underpayments, support the appeals process, and report review status by updating the RAC Data Warehouse and providing monthly reports. The soliciting agency is the Centers for Medicare and Medicaid Services within the Department of Health and Human 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 | ||
| RFP 75FCMC21R0018 RAC Region 2.docx.pdf | ||
| E.3 Virus Detection Certification.docx | DOCX document | |
| D.1 RAC Region 2 SOW FINAL.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 | |
| E.2 Q&A Template.xlsx | XLSX spreadsheet | |
| D.6 Subcontractor Proposal Checklist.docx | DOCX document | |
| D.4 Responsibility Questionnaire.docx | DOCX document |
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Text version
| Centers for Medicare & Medicaid Services | 75FCMC2021R0018 | |
| D.7 |
NON-DISCLOSURE STATEMENT
(Only to be signed by Awardee when the contract is signed)
References: 48 CFR (Federal Acquisition Regulation) Sections 3.104, 5.401, and relevant corresponding sections of the Health and Human Services Acquisition Regulation.
Non-disclosure of proprietary/confidential data
Certain information of a proprietary or confidential nature (i.e., Information from other CMS contractors) will be provided to you by the government and/or its contractors. While performing under ____________________________ (insert Contract number) employees and any Subcontractors agree to use and examine this information exclusively in the performance of this contract and to take the necessary steps to prevent disclosure of such information to any party outside the government, as long as it remains proprietary/confidential.
Additionally, the contractor and any subcontractors agree to indoctrinate their affiliates who will have access to this information as to the proprietary nature of the information and the relationship under which they have possession of the information. Affiliates will also be informed that they may not engage in any other actions, venture or employment where this information will be used for the profit of any party other than the party furnishing this information. The contractor and subcontractors will restrict access to proprietary information to the minimum number of employees necessary for performance of this contract.
Affirmation
I, the undersigned, recognize that information provided by the government and/or its contractors may be proprietary and confidential. Further, I do understand the requirements of the nondisclosure statement and agree to refrain from discussing or disclosing any sensitive data or information obtained or generated under this contract. I further understand that if I have any questions concerning this matter, I should consult the CMS Contracting Officer assigned to ____________________________ (insert Contract Number TBD).
| __________________________________ | ______________________ | |
| Signature | Date |
Printed Name and Title
| __________________________________ | ______________________ | |
| Witness | Date |
File details come from the government source that posted it. Updated .