WCMBP_Section_J_Attachment_3_-_Compliance_Matrix_AMD_5.xlsx

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Solicitation Notice for Workers' Compensation Medical Bill Processing (WCMBP) Federal contract opportunity
Solicitation number
DOL141RP21903
Issued by
Department of Labor Office of the Assistant Secretary for Administration and Management

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WCMBP_Section_J_Attachment_3_-_Compliance_Matrix

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Requirements Compliance Matrix

WCMBP COMPLIANCE MATRIX (Requirements from Sections B-K)
*** In the event of a discrepancy between this matrix and sections of the RFP, the RFP is the authority ***
*** "Shall" statements from Section I (Contract Clauses) are contractually binding, but are not included in this matrix ***
*** The Government advises the Offeror to accurately and specifically identify the location of each requirement within its proposal. Failure to do so may adversely affect the rating of its proposal ***
Section IdentifierSection NameRequirement IdentifierRequirement TextProject ReferenceProposal ReferenceCompliesException/DeviationComments/Explanations
Identifies the RFP section where the requirement is located (e.g., C.4.2.1 or F.5.2)Identifies the requirement to which the proposal must comply. (Rn identifies a single requirement. Rn.1 identifies the first bullet item within a requirement)A "Unique Project Identifier," referencing a project that demonstrates prior experience with this requirementDefine section and/or page reference(s) in the proposal where the requirement is satisfiedYes or NoIdentify if the proposal identifies an exception or deviation to the requirementDiscuss relevant issues. (e.g., if the proposal does not address the requirements, describe why, the impact on system capabilities, and the advantage to the Government)
B.1PricesB1The contractor shall include all applicable Federal, state, and local taxes in all prices.
B.1PricesB2The contractor shall submit prices that comply with all definitions and instruction regarding price in this section.
B.2.2Other Direct Costs (ODC)B3The contractor shall maintain the ODC CLIN pricing group at or below the ceiling value, unless adjustments are negotiated with the Government.
B.2.2Other Direct Costs (ODC)B4The contractor shall charge no overhead, G&A, or fee associated with ODCs
B.2.2Other Direct Costs (ODC)B5The contractor shall ensure that all travel prices are in accordance with the Federal Travel Regulations.
B.2.2Other Direct Costs (ODC)B6The contractor shall obtain written authorization for specific instances of travel from the Contracting Officer or COTR prior to incurring any travel expenses.
B.2.2Other Direct Costs (ODC)B7When calculating the current per diem rates the contractor shall refer to the U.S. General Services Administration (GSA) website for Travel Management
B.2.7Service EnhancementsB13The vendor shall pro-rate the proposed number of hours for these two CLINs only (CLINs 0007 and 1007) based on the vendors proposed Go-Live date (1,000 hours for each month of operations).
B.3Pricing ElementsB8The contractor shall provide prices for all Contract Line Items (CLINs), including Award Term CLINs.
B.4.1Volume-Sensitive Operational DataB10The contractor shall use Attachment 18 as a basis of pricing.
B.4.2Projected Operational VolumesB11The contractor shall use Attachment 18.1 as a basis of pricing.
B.6Call Center Operational DataB12The contractor shall use Attachment 19 as a basis for pricing.
C.1.3Global RequirementsR1131The Government reserves the right to amend the scope and modify the contract throughout the entire contract period to include additional related tasks and deliverables should the need arise due to a change in business or technical requirements. *NOTE- Offerors must acknowledge acceptance of this term in their proposals.
C.1.3.1Federal Laws and RegulationsR0001The Contractor shall ensure that its WCMBP solution satisfies the requirements of the Federal Employees Compensation Act (FECA); the Black Lung Benefits Act (BLBA); and the Energy Employees Occupational Illness Compensation Program Act (EEOICPA), Parts B and E.
C.1.3.1Federal Laws and RegulationsR1090The Contractor shall ensure that its WCMBP solution satisfies the requirements of the Longshore and Harbor Workers' Compensation Act and its extensions (including the Defense Base Act).
C.1.3.1Federal Laws and RegulationsR0002.1The Contractor shall ensure that its WCMBP solution satisfies the requirements of the following Federal regulations: The Americans with Disabilities Act and Section 508 of the Rehabilitation Act
C.1.3.1Federal Laws and RegulationsR0002.2The Contractor shall ensure that its WCMBP solution satisfies the requirements of the following Federal regulations: The Clinger-Cohen Act of 1996
C.1.3.1Federal Laws and RegulationsR0002.3The Contractor shall ensure that its WCMBP solution satisfies the requirements of the following Federal regulations: The Paperwork Reduction Act of 1995
C.1.3.1Federal Laws and RegulationsR0002.4The Contractor shall ensure that its WCMBP solution satisfies the requirements of the following Federal regulations: Office of Management and Budget (OMB) Circular No. A-11, Part 7, Preparation, Submission and Execution of the Budget (Revised 08/03/2012)
C.1.3.1Federal Laws and RegulationsR0002.5The Contractor shall ensure that its WCMBP solution satisfies the requirements of the following Federal regulations: Federal Financial Management Improvement Act (FFMIA) Core Financial System Requirements: http://www.gao.gov/new.items/d05225g.pdf
C.1.3.1Federal Laws and RegulationsR0002.6The Contractor shall ensure that its WCMBP solution satisfies the requirements of the following Federal regulations: FFMIA Benefit System Requirements: http://www.gao.gov/new.items/d0422g.pdf
C.1.3.2Financial and Security Audit RequirementsR0003The Contractor shall participate in audits (including adhoc audits) performed by DOL and its independent auditors, which may include IT security, financial statements and FISCAM, among others.
C.1.3.2Financial and Security Audit RequirementsR0004The Contractor shall obtain the services of an independent auditor on an annual basis, effective at commencement of operations, to perform an audit for the time period specified by the U.S. Department of Labor (DOL) on the general controls and application controls surrounding the business process outsourcing of claims and bill processing performed under the Workers’ Compensation Medical Bill Process (WCMBP) contract.
C.1.3.2Financial and Security Audit RequirementsR0005The Contractor shall ensure the audit is performed according to DOL's current fiscal-year requirements, standards established by the American Institute of Certified Public Accountants, and guidelines of the General Accounting Office's Federal Information System Controls Audit Manual (FISCAM) or other audit standards specified by the DOL.
C.1.3.2Financial and Security Audit RequirementsR0006The Contractor shall ensure the audit provides a means for reasonable assessment that stated control objectives fairly represent the WCMBP Contractor's controls, policies and procedures relevant to OWCP internal control structure; and that control structure policies and procedures are suitably designed to achieve the specified objective.
C.1.3.2Financial and Security Audit RequirementsR0007.1The Contractor shall provide the following deliverables to the WCMBP Program Manager (PM) and Contracting Officer's Representative (COR) by the dates specified in DOL's current fiscal-year requirements: Letter of Representation addressing WCMBP Contractor responsibility to identify control objectives and related policies and procedures
C.1.3.2Financial and Security Audit RequirementsR0007.2The Contractor shall provide the following deliverables to the WCMBP Program Manager (PM) and Contracting Officer's Representative (COR) by the dates specified in DOL's current fiscal-year requirements: Auditor’s Letter of Representation as to independence and objectivity from the WCMBP Contractor and DOL
C.1.3.2Financial and Security Audit RequirementsR0007.3The Contractor shall provide the following deliverables to the WCMBP Program Manager (PM) and Contracting Officer's Representative (COR) by the dates specified in DOL's current fiscal-year requirements: Auditor’s current resumes
C.1.3.2Financial and Security Audit RequirementsR0007.4The Contractor shall provide the following deliverables to the WCMBP Program Manager (PM) and Contracting Officer's Representative (COR) by the dates specified in DOL's current fiscal-year requirements: Auditor’s most recent Peer Review
C.1.3.2Financial and Security Audit RequirementsR0007.5The Contractor shall provide the following deliverables to the WCMBP Program Manager (PM) and Contracting Officer's Representative (COR) by the dates specified in DOL's current fiscal-year requirements: Auditor’s detailed scope document
C.1.3.2Financial and Security Audit RequirementsR0007.6The Contractor shall provide the following deliverables to the WCMBP Program Manager (PM) and Contracting Officer's Representative (COR) by the dates specified in DOL's current fiscal-year requirements: Auditor’s letter documenting representations made by the WCMBP Contractor management during the audit
C.1.3.2Financial and Security Audit RequirementsR0007.7The Contractor shall provide the following deliverables to the WCMBP Program Manager (PM) and Contracting Officer's Representative (COR) by the dates specified in DOL's current fiscal-year requirements: Electronic version and 5 hardcopies of the complete audit report
C.1.3.2Financial and Security Audit RequirementsR0007.8The Contractor shall provide the following deliverables to the WCMBP Program Manager (PM) and Contracting Officer's Representative (COR) by the dates specified in DOL's current fiscal-year requirements: Plan of action and milestones (POA&M), according to OWCP specifications, for weaknesses identified in audits
C.1.3.2Financial and Security Audit RequirementsR0008The Contractor shall participate in audit planning, performance and follow-up activities, including but not limited to conference calls and clarifying questions with the Government and Government-contracted auditors
C.1.3.2Financial and Security Audit RequirementsR0009The Contractor shall implement corrective actions to resolve identified weaknesses identified during audits.
C.1.3.3Implementation: Contractor ResponsibilitiesR0010The Contractor shall establish and maintain production facilities, located in the continental U.S. and no more than 180 minutes travel time from the destination airport that would be used when flying from/to Washington, DC
C.1.3.3Implementation: Contractor ResponsibilitiesR0011The Contractor shall establish and maintain backup facilities, sufficiently distant from the primary facility that they would be available to assume operations in the event of a regional disaster.
C.1.3.3Implementation: Contractor ResponsibilitiesR0012The Contractor shall provide and maintain all infrastructures (facilities, hardware, software) necessary to meet the Government’s business, volume, and timeliness requirements.
C.1.3.3Implementation: Contractor ResponsibilitiesR0013The Contractor shall notify the Government of all facilities used to support the WCMBP.
C.1.3.3Implementation: Contractor ResponsibilitiesR0014The Contractor shall develop, implement, and document all Government-approved processes required for each functional area.
C.1.3.3Implementation: Contractor ResponsibilitiesR0015The Contractor shall develop and implement the workflows, approved by the Government, for governing the rules and processing for each functional area process.
C.1.3.3Implementation: Contractor ResponsibilitiesR0016The Contractor shall implement project management controls to measure, report and control performance against Other Direct (ODC) costs and schedule. These project management controls shall apply to both implementation and operational phases of this contract.
C.1.3.3Implementation: Contractor ResponsibilitiesR0017The Contractor shall provide and use separate development and testing environments that replicate the production processing capabilities. The test environment(s) used for System Integration Test, Performance and Volume Test and Parallel Test shall exactly replicate the production environment.
C.1.3.3Implementation: Contractor ResponsibilitiesR0018The Contractor's Government Acceptance Test Environment shall exactly replicate the production processing capabilities and allow Government users to perform comprehensive functional area process testing, system function testing, and user interface testing and validation. The Contractor will provide all Government-identified support during the Government Acceptance Test.
C.1.3.3Implementation: Contractor ResponsibilitiesR0019The Contractor’s Training Environment shall replicate the production processing capabilities and allow the Contractor and the Government to provide hands-on training to users.
C.1.3.3Implementation: Contractor ResponsibilitiesR0020The Contractor shall demonstrate the accuracy and performance of its processes by processing data in the new operational environment, comparing the results with the results from processing the same data in the current production operations, documenting these results, and resolving any inconsistencies to the satisfaction of the Government. (Parallel Test and Performance and Volume Test)
C.1.3.3Implementation: Contractor ResponsibilitiesR0021The Contractor shall develop and maintain all documentation for each functional and operational area, and provide the most current versions of that documentation to the Government.
C.1.3.3Implementation: Contractor ResponsibilitiesR0022The Contractor shall develop and maintain electronic versions of all CBP documents, (e.g., plans, training materials, and other publications) in a format that provides all authorized Government personnel with electronic access, on a 24/7 basis, to all electronic copies.
C.1.3.3Implementation: Contractor ResponsibilitiesR0023The Contractor shall develop, submit to the Government for review and approval, and maintain the approved WCMBP Medical Bill Operations Manual (MBOM) for each OWCP program (each OWCP Program will have a separate MBOM) that details and includes by section all of the Contractor's standard operating procedures (SOPs) for each aspect of OWCP's medical bill processing operations (including, but not limited to scanning, data entry, authorizations, bill resolution, call center, triage nurse, etc
C.1.3.3Implementation: Contractor ResponsibilitiesR0024The Contractor shall deliver WCMBP deliverables/documentation in the formats required and approved by the Government. All deliverables submitted to the Government for initial review shall be in final form and complete, as far as the Contractor can determine.
C.1.3.3Implementation: Contractor ResponsibilitiesR0025The Contractor shall provide the capability for information to be transmitted to claimants and providers electronically and/or via U.S. Postal Service (USPS) letter (in that order of preference).
C.1.3.3Implementation: Contractor ResponsibilitiesR0026The Contractor shall be responsible for the accuracy of its products and deliverables, and implementation of technologies that are effective, and professional in presentation.
C.1.3.3Implementation: Contractor ResponsibilitiesR0027The Contractor shall provide all deliverables in a Government acceptable format (To include any requests for program specific deliverables applicable for each OWCP program). All deliverables must be approved by the Government.
C.1.3.3Implementation: Contractor ResponsibilitiesR0028The Contractor shall be responsible for all deliverables and for ensuring that they address 100 percent of the functionality and content specified in the WCMBP requirements.
C.1.3.3Implementation: Contractor ResponsibilitiesR0029The Contractor shall schedule deliverables to provide time to accommodate Government review, test and approval/rejection (if appropriate) and Contractor revision and resubmittal of any deliverable that is not accepted by the Government.
C.1.3.3Implementation: Contractor ResponsibilitiesR0030The Contractor shall provide all deliverables to the Government as scheduled so that the Government has adequate time to perform its review, make any comments, and/or perform any testing to the deliverable as applicable. This will allow time for the Contractor to perform any required updates and resubmit the deliverables for Government review and/or testing where applicable.
C.1.3.3Implementation: Contractor ResponsibilitiesR1005The Contractor shall maintain 7 years of bill history (to include complete history of paid, denied, adjustments, reports and reversal of bills and all bill-related document images) in a form that can be immediately accessed by users at any time (this does not apply to documents addressed in PWS Section 6 DFEC Document Imaging).
C.1.3.3Implementation: Contractor ResponsibilitiesR1006For data older than 7 years, the Contractor shall maintain such data in a medium that provides access to the data within 2 days of a users request, to include but not limited to: the complete history of paid, denied, adjustments, reports, and reversal of bills, and all bill related document images in a form that can be immediately accessed by the user. (This does not apply to documents addressed in PWS Section 6 Document Imaging).
C.1.3.3Implementation: Contractor ResponsibilitiesR1013The Contractor shall maintain call center phone call conversation recordings for the lifecycle of the call center operations for all OWCP programs. These recordings shall be cross-referenced to the case/claimant numbers and daily call logs (e.g. with a date time stamp) and must be reviewable in a nonproprietary audio format.
C.1.3.4Operations: Contractor ResponsibilitiesR0031The Contractor shall staff and operate, on a schedule specified by the Government, the Call Center and Interactive Voice Response (IVR) functions to satisfy provider and claimant inquiries based upon core and unique requirements for all OWCP programs.
C.1.3.4Operations: Contractor ResponsibilitiesR1009The Contractor shall generate all external correspondence based on the Government-approved templates for all OWCP programs.
C.1.3.4Operations: Contractor ResponsibilitiesR1010The Contractor shall scan all documents (including all external correspondence) and create image files using standard Tagged Image File Format (TIFF) Group IV format at 200 x 200 pixels per inch (PPI) and implement Forms Overlay to capture the images appropriately for red dropout documents (HCFA 1500, UB04, and NCPDP) and any other forms submitted in red dropout. The result of this will be an imaged forms display equivalent in format to the hardcopy form. The Contractor shall provide ability to extract document images in .pdf format with Bates numbering assigned by the courts upon DOL request.
C.1.3.4Operations: Contractor ResponsibilitiesR0032The Contractor shall maintain images of all correspondence in the Contractor's image repository for immediate, secure access by Contractor and Government staff.
C.1.3.4Operations: Contractor ResponsibilitiesR0033The Contractor shall perform QA and QC assessments of all functional area processes by reviewers independent of the staff performing the function.
C.1.3.4Operations: Contractor ResponsibilitiesR0034The Contractor shall monitor performance and work quality, using standards established by the Government, and provide periodic reports to the Government based on those monitoring activities. Periodic reports should include, but are not limited to, monthly performance assessment data and trend analysis, projected outlook for upcoming months and progress against expected trends, including a corrective action plan analysis (when appropriate), recommendations for improved efficiency and/or effectiveness, and issues and concerns for contractor side and government side.
C.1.3.4Operations: Contractor ResponsibilitiesR0035The Contractor shall initiate and maintain continuous improvement processes to improve functional area and system performance and quality and provide reports each quarter to the Government documenting the results of those processes.
C.1.3.4Operations: Contractor ResponsibilitiesR0036.1The Contractor shall immediately notify the Government of any functional area or processing failure after identifying the failure.
C.1.3.4Operations: Contractor ResponsibilitiesR0036.2Notification timelines are as follows: Severity Level 1 System-wide failure or a module/product crashes, or the defect causes non-recoverable conditions (e.g., system-wide data loss). It applies to the system as a whole or involves multiple components. The defect prevents critical system-wide functionality or a loss of critical data. It does not have a workaround. Test execution cannot proceed for any functional component. The entire application will not work. Examples include: The system crashes, General Protection Faults, Database or file corruption, System-wide data loss, Program hangs requiring reboot, It prevents any further testing or results in severely corrupting the test environment. Contractor shall notify the government immediately 100% of the time. Frequency – Hourly.
C.1.3.4Operations: Contractor ResponsibilitiesR0036.3Severity Level 2 Major component is unusable due to failure or incorrect functionality. The defect prevents major subsystem functionality or creates a loss of major subsystem specific data. There is no acceptable workaround. Test execution cannot proceed for a functional area. An area of the application or primary path (Portal, Workflow) will not work or a subsystem specific data table is corrupt (e.g., Bill Edit table is corrupt). Contractor shall notify the government immediately 100% of the time. Frequency – Hourly.
C.1.3.4Operations: Contractor ResponsibilitiesR0036.4Severity Level 3 Functionality within a component fails or there is incorrect functionality of component or process. The defect affects all functionality or data not covered by Severity 1 or 2. Can have a Level 3 with or without a workaround. Provider enrollment function within the portal fails. Contract shall notify the government within 1 working day 100% of the time. Frequency – Weekly.
C.1.3.4Operations: Contractor ResponsibilitiesR0036.5Severity Level 4 Minor issue or cosmetic issue. Workaround not needed. Usability errors; screen or report errors that do not materially affect quality and correctness of function, intended use or results. A common one is spelling errors. Contractor shall respond to the government within 3 working days of notification 100 % of the time. Frequency – Monthly.
C.1.3.4Operations: Contractor ResponsibilitiesR0038The Contractor shall develop and submit a corrective action plan to the Government for approval, within three workdays of identifying processing deficiencies that adversely impact the efficiency or accuracy of processing or , for any item(s) that fail, during that reporting period, to meet (by four (4) or more percentage points) their performance standards with the monthly Performance Reports,. The Contractor shall make any required modifications to the plan within one workday of receiving feedback from the Government. Any assessment of liquidated damages is dependent on the severity of the deficiencies.
C.1.3.4Operations: Contractor ResponsibilitiesR0040The Contractor shall provide reference books (e.g., ICD-9/10CM, Health Care Common Procedural Coding System [HCSPCS], CPT, American Dental Association Current Dental Terminology (ADA CDT), Surgical Cross Coder, Physician's Desk Reference [PDR], Merck Manuals, Diagnostic Relational Grouping Expert (DRG Expert, etc.), and web-based references ICD-9/10 Expert and Encoder Pro; for Contractor staff and for Government staff as requested in Section J.
C.1.3.4Operations: Contractor ResponsibilitiesR0041The Contractor shall provide authorized users with electronic query capabilities (both canned and ad hoc) against all records and transactions, valid from the time a transaction is electronically stored in the WCMBP database until the Government authorizes deleting those records/transactions from the WCMBP database.
C.1.3.4Operations: Contractor ResponsibilitiesR1100At the direction of the government, the Contractor shall implement a CSR, upon request of OWCP, to support the Division of Longshore and Harbor Workers’ Compensation (DLHWC) through the WCMBP solution. (Requirement Deleted)
C.1.3.5Maintenance: Contractor ResponsibilitiesR0042The Contractor shall notify the Government of any failure that affects any functional area or processing operations.
C.1.3.5Maintenance: Contractor ResponsibilitiesR1025The Contractor shall follow Government established schedules for updating data, reference files and other supporting data for each WCMBP functional area.
C.1.3.5Maintenance: Contractor ResponsibilitiesR1026The Contractor shall retain ICD-9 code processing capability (to include the treatment suite tools) for medical bills submitted on or after 10/1/2015 as directed by the Government and required for all functional areas of the OWCP WCMBP.
C.2Project Planning and ControlR1124To mitigate risk, all plans and schedules shall include adequate time for development and comprehensive testing (e.g., system integration, acceptance, regression testing, etc.) and time for the Government to review and accept/reject the deliverables.
C.2Project Planning and ControlR1125The Contractor shall successfully test all requirements and the WCMBP system from end-to-end, in a System Integration Test, as well as complete volume and performance testing and parallel testing prior to releasing the system to the Government for Acceptance Testing.
C.2Project Planning and ControlR1126The WCMBP system shall successfully pass all Government Acceptance Tests prior to receiving Government certification for Operational readiness.
C.2Project Planning and ControlR1130Existing data, provided by the incumbent (with Government oversight), shall be converted by the Contractor and migrated to the test environment before this end-to-end test period begins.
C.2.1.1Transition-In: Contractor ResponsibilitiesR1027The Contractor shall submit for Government review and approval templates for all contractual deliverables for which the Government has not furnished a template for the Contractor to use. (See Section F for list of contractual deliverables and Section J for list of templates that the Government will furnish)
C.2.1.1Transition-In: Contractor ResponsibilitiesR1028The Contractor shall ensure that all data, deliverables, and reports generated under the terms of this contract are, and shall always remain, the property of the Government.
C.2.1.1Transition-In: Contractor ResponsibilitiesR0044The Contractor shall cooperate and work in good faith with the incumbent Central Bill Process (CBP) contractor and the incumbent Central Mailroom contractor and shall coordinate and negotiate with the Government differences between the incumbent’s Transition-Out Plan and the Contractor’s plans and preparation for assuming operations.
C.2.1.1Transition-In: Contractor ResponsibilitiesR0045The Contractor shall develop, submit for Government review and approval, and maintain and utilize a Project Management Plan (PMP) that addresses project planning and control activities including but not limited to communications planning, change management, transition-in planning, and risk management planning.
C.2.1.1Transition-In: Contractor ResponsibilitiesR0046In order to implement all WCMBP requirements by the Go-Live date, the The Contractor shall prepare a detailed work breakdown structure and a fully resource-loaded and baselined project schedule, for Government review and approval within 60 days after contract award. The Contractor shall develop, distribute, and maintain this project schedule in the government required version of Microsoft Office Project (currently version 2007). To provide sufficient detail, each work breakdown structure task should equal no more than 40 person-hours of effort for each resource assigned to the task.
C.2.1.1Transition-In: Contractor ResponsibilitiesR0047The Contractor shall develop and submit for Government approval, a Technical Implementation Plan which contains a description of the major technical tasks involved in the implementation, and the overall resources needed to support the implementation effort (e.g., hardware, software, facilities, materials, and personnel).
C.2.1.1Transition-In: Contractor ResponsibilitiesR0048The Contractor shall develop, utilize, and maintain a risk management program during transition-in that, subject to Government approval, identifies risks and prioritizes these risks according to impact and probability. The risk management program shall be described in the Project Management Plan that is submitted for government review / approval.
C.2.1.1Transition-In: Contractor ResponsibilitiesR0050The Contractor shall finalize the draft Transition-In Plan, submitted with the proposal, for Government review and approval. The Transition-In Plan will organize the Contractor tasks during the transition-in phase, a risk mitigation strategy for risks identified as having a significant impact on implementation and processing capabilities.
C.2.1.1Transition-In: Contractor ResponsibilitiesR0051The Contractor shall have a Contingency Plan(s) in place, subject to Government approval, to cover implementation problems during the transition from the existing WCMBP vendor to the new WCMBP vendor. The Contractor shall evaluate and identify all contingency plans necessary to accomplish this implementation by the go-live date.
C.2.1.2Requirements AnalysisR0052The Contractor shall support requirements capture by meeting with Government subject matter experts (SMEs) and using the requirements in the RFP and government-furnished Requirements Specification Documents (RSDs) as a baseline for developing detailed WCMBP requirements, and shall update all RSDs for government review and approval. The meeting site shall be in the Government’s Washington, DC Frances Perkins Building facility.
C.2.1.2Requirements AnalysisR0053The Contractor shall propose “user friendly” features and characteristics as part of the requirements capture process.
C.2.1.2Requirements AnalysisR0054The Contractor shall provide an interface that uses understandable terminology that the Contractor shall develop with input from DOL/OWCP PMO and SMEs
C.2.1.2Requirements AnalysisR0055The Contractor shall provide an interface to user accessible components of the WCMBP service that maximizes ease of learning, ease of use, and available user assistance tools (“user friendly”), while minimizing keystrokes. The Contractor shall propose performance requirements for keystrokes and mouse-clicks required to accomplish tasks and minimizing response time to user input. This interface will be submitted to the Government for review and approval.
C.2.1.2Requirements AnalysisR0056.1The Contractor shall meet with Government SMEs, PMO staff and OWCP managers (at the Government's site in Washington, DC) to validate that functional area requirements have been captured completely and accurately, and to demonstrate that the Contractor understands the objectives and scope, prior to implementing the Contractor's solution for the functional area including but not limited to: Workflows, report templates, and screens,
C.2.1.2Requirements AnalysisR0056.2The Contractor shall meet with Government SMEs, PMO staff and OWCP managers (at the Government's site in Washington, DC) to validate that functional area requirements have been captured completely and accurately, and to demonstrate that the Contractor understands the objectives and scope, prior to implementing the Contractor's solution for the functional area including but not limited to: Functional prototypes
C.2.1.2Requirements AnalysisR0056.3The Contractor shall meet with Government SMEs, PMO staff and OWCP managers (at the Government's site in Washington, DC) to validate that functional area requirements have been captured completely and accurately, and to demonstrate that the Contractor understands the objectives and scope, prior to implementing the Contractor's solution for the functional area including but not limited to: Flow charts, processing diagrams, and data requirements
C.2.1.2Requirements AnalysisR0056.4The Contractor shall meet with Government SMEs, PMO staff and OWCP managers (at the Government's site in Washington, DC) to validate that functional area requirements have been captured completely and accurately, and to demonstrate that the Contractor understands the objectives and scope, prior to implementing the Contractor's solution for the functional area including but not limited to: Processing walk-throughs
C.2.1.2Requirements AnalysisR0057The Contractor shall include all Government-approved functional requirements in Specification Document(s) for Government review and approval.
C.2.1.2Requirements AnalysisR0058.1The Contractor shall develop and submit a requirements traceability matrix (RTM), as part of its requirements specification that includes all Government-validated requirements. The RTM format satisfies the following criteria: Reviewed and Approved by the Government.
C.2.1.2Requirements AnalysisR0058.2The Contractor shall develop and submit a requirements traceability matrix (RTM), as part of its requirements specification that includes all Government-validated requirements. The RTM format satisfies the following criteria: Tracked and cross-referenced against WCMBP functional and non-functional requirements and traces the requirements to test scenarios and test cases.
C.2.1.2Requirements AnalysisR0058.3The Contractor shall develop and submit a requirements traceability matrix (RTM), as part of its requirements specification that includes all Government-validated requirements. The RTM format satisfies the following criteria: Available for reference by the Contractor’s implementation teams.
C.2.1.2Requirements AnalysisR0058.4The Contractor shall develop and submit a requirements traceability matrix (RTM), as part of its requirements specification that includes all Government-validated requirements. The RTM format satisfies the following criteria: Used to develop test scenarios, test cases, test scripts and user documentation.
C.2.1.2Requirements AnalysisR0058.5The Contractor shall develop and submit a requirements traceability matrix (RTM), as part of its requirements specification that includes all Government-validated requirements. The RTM format satisfies the following criteria: Support traceability as part of the testing processes (including integration testing by the Contractor and acceptance testing by the Government).
C.2.1.2Requirements AnalysisR0058.6The Contractor shall develop and submit a requirements traceability matrix (RTM), as part of its requirements specification that includes all Government-validated requirements. The RTM format satisfies the following criteria: Established and maintainable via a dedicated application
C.2.1.3Customization: Contractor ResponsibilitiesR0059The Contractor shall develop and implement a fully operational and comprehensive WCMBP capability no later than the Go-Live event.
C.2.1.3Customization: Contractor ResponsibilitiesR0060The Contractor shall provide a solution that accepts existing WCMBP data via existing interfaces, and that maximizes ease of transition for the Government’s WCMBP staff members (e.g. to the extent possible, retain naming conventions, not disrupt Government case management systems, etc.)
C.2.1.3Customization: Contractor ResponsibilitiesR0061The Contractor shall, as part of its effort to support the successful implementation and operation of the Government’s WCMBP processes, finalize development of all deliverable documentation in accordance with the most current DOL approved Implementation Schedule.
C.2.1.3Customization: Contractor ResponsibilitiesR0062The Contractor shall develop, submit for Government approval and maintain and utilize a WCMBP Test Plan (including test schedules, test scenarios, test cases, and test scripts) that addresses all aspects of the Contractor’s testing program.
C.2.1.3Customization: Contractor ResponsibilitiesR0063The Contractor shall develop and submit for Government approval, a Data Management Plan to address in detail the migration of data from the current vendor and the management and maintenance of data by the Contractor.
C.2.1.3Customization: Contractor ResponsibilitiesR0064The Contractor shall develop and submit, for Government approval, an Assumption of Operations Plan to address the logistical details of assuming operations from the current vendor and communications to affected stakeholders.
C.2.1.3Customization: Contractor ResponsibilitiesR0066The Contractor shall develop, submit for Government approval and maintain and utilize Contingency Plan(s) to address (1) Disaster Recovery of all IT systems employed by the Contractor to support its WCMBP processes and (2) Business Continuity Plan to address continuity of automated and manual operations after a disaster.
C.2.1.3Customization: Contractor ResponsibilitiesR0068The Contractor shall develop, submit, for Government approval and maintain comprehensive Provider and Claimant Outreach Plans that detail plans to educate providers and claimants about the transition to new WCMBP services, re-enrollment processes, and ongoing WCMBP operations.
C.2.1.3Customization: Contractor ResponsibilitiesR0069The Contractor shall develop, submit for Government approval and maintain a Quality Management Plan for ensuring that operations meet or exceed the performance standards set forth in the contract.
C.2.1.4Comprehensive Testing ProgramR0070The Contractor shall document, and submit for Government review and approval, its testing program in a WCMBP Test Plan that addresses unit, integration, retest, regression, volume, and performance, and parallel testing methodologies.
C.2.1.4Comprehensive Testing ProgramR0071The Contractor shall use the RTM to track requirements from requirements specification through the completion of all development, integration, and acceptance testing for each OWCP program.
C.2.1.4Comprehensive Testing ProgramR0072The Contractor shall use the RTM as a basis to document the creation, modification, and tracking of test scenarios, test cases and test scripts for each requirement associated with each OWCP program.
C.2.1.4Comprehensive Testing ProgramR0073The Contractor shall, as specified in this document, provide isolated environments that exactly replicate the WCMBP production processing capabilities for Contractor and Government staff to conduct System Integration Tests and Government Acceptance tests and train on the WCMBP functional processes.
C.2.1.4Comprehensive Testing ProgramR0074The Contractor shall document and resolve inconsistencies, resulting from running test data in parallel environments, to the satisfaction of the Government.
C.2.1.4Comprehensive Testing ProgramR0075The Contractor shall successfully test (all test scripts receive a “Pass”) all electronic and manual processes within the WCMBP including all Government-approved requirements.
C.2.1.4Comprehensive Testing ProgramR0076.1The Contractor shall be responsible for ensuring that when a change is made to the WCMBP system, the change does not have adverse impacts. To accomplish this, the Contractor shall: Evaluate all proposed changes to the Government-accepted WCMBP system/components to establish and quantify the impact and location of these changes.
C.2.1.4Comprehensive Testing ProgramR0076.2The Contractor shall be responsible for ensuring that when a change is made to the WCMBP system, the change does not have adverse impacts. To accomplish this, the Contractor shall: Include mandatory regression testing whenever changes are made and document the results of all regression tests.
C.2.1.4Comprehensive Testing ProgramR0076.3The Contractor shall be responsible for ensuring that when a change is made to the WCMBP system, the change does not have adverse impacts. To accomplish this, the Contractor shall: Document, explain, resolve, and retest any adverse effects/failed test steps identified during regression testing.
C.2.1.4Comprehensive Testing ProgramR0076.4The Contractor shall be responsible for ensuring that when a change is made to the WCMBP system, the change does not have adverse impacts. To accomplish this, the Contractor shall: Resolve/repair/retest any WCMBP system/component anomalies identified in the course of regression testing.
C.2.1.4Comprehensive Testing ProgramR0076.5The Contractor shall be responsible for ensuring that when a change is made to the WCMBP system, the change does not have adverse impacts. To accomplish this, the Contractor shall: Provide reports on the status of the regression tests conducted, and of the test results, to the Government.
C.2.1.4Comprehensive Testing ProgramR0078.1The Contractor shall submit for Government review and approval, in its WCMBP Test Plan, plans for retesting after test failures. Specifically, the Contractor shall: Develop and follow a strategy and methodology for dealing with test failures.
C.2.1.4Comprehensive Testing ProgramR0078.2The Contractor shall submit for Government review and approval, in its WCMBP Test Plan, plans for retesting after test failures. Specifically, the Contractor shall: Allocate time and resources to accommodate comprehensive retesting of functional components.
C.2.1.4Comprehensive Testing ProgramR0078.3The Contractor shall submit for Government review and approval, in its WCMBP Test Plan, plans for retesting after test failures. Specifically, the Contractor shall: Develop and follow a strategy for regression testing following changes to the system after correction of test anomalies.
C.2.1.4Comprehensive Testing ProgramR0079The Contractor shall, after each test, provide the Government with detailed documentation of the results from all tests that were completed.
C.2.1.4Comprehensive Testing Program
Integration TestingR0080The Contractor shall develop and deliver for government approval test artifacts which include test/use cases, test scripts, and test scenarios prior to starting the System Integration Test phase.
C.2.1.4Comprehensive Testing Program
Integration TestingR0081The Contractor shall document the expected outcomes for each test step included in test scripts.
C.2.1.4Comprehensive Testing Program
Integration TestingR0082The Contractor shall successfully test all Government-required WCMBP functions and processes using data from existing operations and compare with results from existing operations using the same data.
C.2.1.4Comprehensive Testing Program
Integration TestingR0083The Contractor shall document the results of testing all Government-required WCMBP functions and processes using data from existing operations and compare with results from existing operations using the same data.
C.2.1.4Comprehensive Testing Program
Integration TestingR1030The Contractor shall successfully test (all test steps are rated as “Pass”) all Government-approved WCMBP requirements, and all defects are corrected and retested successfully as required by the Government.
C.2.1.4Comprehensive Testing Program
Integration TestingR0084The Contractor shall use valid test data when each test is conducted.
C.2.1.4Comprehensive Testing Program
Integration TestingR0085The Contractor shall perform both volume and performance modeling/testing to determine if its processes adequately handle the WCMBP’s expected volumes.
C.2.1.4Comprehensive Testing Program
Integration TestingR0086The Contractor shall perform volume and performance testing of the WCMBP system based on Government-required transaction volumes.
C.2.1.4Comprehensive Testing Program
Integration TestingR0087The Contractor shall use simulation tools and methods, if appropriate, and shall include a description of its volume testing approach and schedule in its WCMBP Test Plan.
C.2.1.4Comprehensive Testing Program
Integration TestingR0089The Contractor shall submit reports to the Government for review and approval on the results of all WCMBP system integration testing, including expected and actual results.
C.2.1.4Comprehensive Testing Program
Integration TestingR0090The Contractor shall document all test results and document, explain, and resolve all discrepancies for Government review.
C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR0091The Contractor shall provide a separate testing environment that exactly replicates the WCMBP production processing capabilities for the Government to perform Government Acceptance Testing.
C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR0092The Contractor shall support the Government in performance of Government Acceptance Testing of all Government-required WCMBP functions as they are developed (and before Operations Certification Testing). The Contractor shall provide functional components and interfaces to external users to support Government Acceptance Testing and system administration, configuration management, system developers, data administration, mailroom administration, network administration, and pharmacy administration resources as requested by the Government. The Contractor personnel shall perform their assigned operational tasks as directed by the Government during Government Acceptance Testing.
C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR0093The Contractor shall provide valid data for Government Acceptance Testing in all test environments.
C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR0094The Contractor shall provide the Government with the tools required to perform Government Acceptance Testing including, but not limited to, user documentation and test accounts/passwords, defect reporting system clients, etc.
C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR0095The Contractor shall be responsible for correcting problems discovered during Government Acceptance Testing and notify the Government when the WCMBP GAT system is available for retesting.
C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR1127Prior to starting production operations, the Contractor shall perform end-to-end Operations Certification Testing and ensure all operations documentation and procedures are complete.
C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR1128The Contractor shall execute the events listed below in the following order, unless otherwise directed by the government:

1. Government Acceptance Testing (GAT)

2. Operations Certification Testing (in the production environment)

3. Operations Readiness Review (key milestone)

4. Begin Assumption of Operations Phase (begins on bill hold date)

5. Go-Live

C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR1096The Contractor shall conduct Government Acceptance Testing (GAT) successfully prior to conducting Operations Certification Testing.
C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR1097The Contractor shall conduct Operations Certification Testing successfully in the production environment after GAT and prior to Operations Readiness Review. Operations Certification Testing shall include manual and automated tests and final checks to ensure, after the WCMBP system components are migrated from the test environment to the production environment, that the entire system is fully operational and that all Contractor staff, facilities/infrastructure, and support services are ready to begin operations. The Contractor shall submit for government approval / concurrence what tests and/or final checks will be conducted for Operations Certification Testing.
C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR1098The Contractor shall conduct an Operations Readiness Review after Operations Certification Testing and prior to the bill hold date.
C.2.1.4Comprehensive Testing Program
Government Acceptance TestingR1099The Contractor shall ensure they receive government approval/concurrence that the Operations Certification Testing and Operations Readiness Review were successful prior to the bill hold date. For planning purposes, the government anticipates that the bill hold date will be two weeks prior to the go-live date.
C.2.1.4Comprehensive Testing Program
Operations Readiness TestingR0096The Contractor shall obtain Government certification of its WCMBP solution following successful Operations Certification Testing and the migration of all existing data.
C.2.1.4Comprehensive Testing Program
Operations Readiness TestingR0097The Contractor shall perform all automated and manual tests the Government requires to prove that the new WCMBP service is ready to assume operations.
C.2.1.4Comprehensive Testing Program
Operations Readiness TestingR0099The Contractor shall provide the Government with documented validation that its Assumptions of Operations Plan has been successfully executed.
C.2.1.4Comprehensive Testing Program

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