Exhibit_E_-_Definitions.docx

DOCX document 32 KB Posted

Attached to
Temporary Healthcare Staffing Services RFP 5249923
Solicitation number
5249923
Issued by
California

About this file

This document is an Exhibit defining key terms and definitions related to a Master Service Agreement (MSA) between the State of California's Department of General Services and contracted vendors or "Contractors" to provide healthcare services to various State and local government agencies, referred to as "User Agencies." The MSA outlines the scope of healthcare services that may be provided, including medical, mental health, dental, pharmaceutical, diagnostic, and ancillary services. The MSA establishes the roles and responsibilities of the Contract Administrator, Contract Manager, Temporary Healthcare Provider Personnel, and User Agency Designee in managing the contractual services. The MSA has provisions for Small Business and Disabled Veteran Business Enterprise certification, as well as requirements around Protected Health Information, Telehealth, and Standard of Care. The term of the MSA is not explicitly stated.

Pricing and billing for services provided under the MSA will be managed through User Agreements between the Contractor and specific User Agencies. The MSA does not specify any incumbent vendors or funding sources, but references the need for Contractors to comply with various healthcare regulations, including HIPAA and the HITECH Act.

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State of CaliforniaRFP (Event ID: 5249923)
Department of General ServicesEXHIBIT E

EXHIBIT E – DEFINITIONS

Term ID
Term
Definition
1
Agreement
“Agreement” is used synonymously with Master Service Agreement or “MSA.” A mutual understanding between the State and another entity, public or private, about their rights and duties regarding the provision of goods and/or services.
2
California Confidentiality of Medical Information Act (CMIA)
The act that requires authorization from a patient to disclose medical information and defines terms in reference to the release of medical information. The CMIA is fully defined in California Civil Code Sections 56-56.37.
3
Community
A group or groups of people collectively united spatially or socially that frequently interact with an individual receiving healthcare services.
4
Contract Administrator (State)
State’s single point of contract for all MSA inquiries and issues.
5
Contract Manager (Contractor)
Contractor’s single point of contract for all MSA inquiries and issues.
6
Contractor
“Contractor” is used synonymously with “vendor.” A party/network/registry contracting with the awarding User Agency; the person or company providing services via a contractual arrangement.
7
Day

Unless otherwise indicated, a “day” or “days” refers to a calendar day(s).

8
Designee
A person who has been appointed to perform a duty or carry out a specific role.
9
Disabled Veteran Business Enterprise (Certified)
A business that has been certified by DGS-PD, Office of Small Business and DVBE Services (OSDS), as a Disabled Veteran Business Enterprise (DVBE) as defined in Military and Veterans Code 999 et. seq. and 2 California Code of Regulation (CCR) 1896.60 et seq.
10
Emergency
The immediate care or treatment necessary to prevent death, severe or permanent disability, or to alleviate severe pain, including medically necessary crisis intervention for patients suffering from situational crisis or acute episodes of mental illness.
11
Fiscal Year
The 12-month accounting period from July 1 through June 30.
12
Foreign Degree
A foreign degree is any degree earned internationally outside of a US educational program. When a foreign degree is provided, an equivalency determination is necessary and may be obtained through the National Association of Credential Evaluation Services (NACES).
13
Healthcare Services
The medical, mental health, dental, pharmaceutical, diagnostic, and ancillary services to identify, diagnose, evaluate, and treat a medical, mental health, or dental condition.
14
HIPAA
Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191); a United States Federal law and standards that address the use and disclosure of individuals’ protected health information and other health information provided to health plans, doctors, hospitals, and other health care organizations covered by the Privacy Rule.
15
HITECH ACT
The Health Information Technology for Economic and Clinical Health Act (HITECH Act) was enacted as part of the American Recovery and Reinvestment Act of 2009 to promote the adoption and meaningful use of health information technology and addresses the privacy and security concerns associated with the electronic transmission of health information.
16
Holidays
Those days designated as State holidays in the Government Code.
17
Hospital
An institution which is licensed under all applicable State and local laws and regulations to provide diagnostic and therapeutic services for the medical diagnosis, treatment, and care of injured, disabled, or sick persons in need of acute inpatient medical and psychiatric or psychological care.
18
Institution
A public or private facility.
19
Patient
An individual receiving and/or registered to receive healthcare services; an individual assigned to a care team.
20
Prescription
A written direction for a therapeutic or corrective agent or medication intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease which must, under State law and the Federal Food, Drug and Cosmetic Act, be dispensed only pursuant to a written prescription of a doctor, dentist, podiatrist, osteopath, or another practitioner licensed to do so.
21
Protected Health Information
Any piece of information, administrative and/or medical, specific to a patient/individual receiving medical or surgical treatment in a hospital, office, clinic, hospital outpatient surgery center, or other designated healthcare facility.
22
Scope of Work (SOW)
The description of services required of a Contractor by the awarding User Agency.
23
Small Business (Certified)
A business that has been certified by DGS-PD, Office of Small Business and DVBE Services (OSDS), as a small business as defined in Government Code 14837 and 2 CCR 1896 et seq.
24
Standard of Care
A diagnostic and treatment process that a healthcare professional should follow, for a certain type of patient, illness, or clinical circumstance, to provide the best treatment possible.
25
State
Under the Master Service Agreement (MSA), the term “State” refers to all State of California Agencies specified on the California State Portal, State Agency Listing (https://www.ca.gov/agenciesall/).
26
Subcontractor
Any person or entity that has entered into a contract, either expressed or implied, with a contractor for the purpose of performing any service under the contractor’s agreement with the User Agency.
27
Telehealth
The distribution of healthcare services and information via telecommunication technologies to provide remote/long-distance patient care. Telehealth includes consultative, diagnostic, and treatment services.
28
Temporary Healthcare Provider Personnel
A contracted temporary healthcare individual that will be providing healthcare services to the User Agency as outlined in the Scope of Work. The term “THPP” or “Provider” may include, but is not limited to, a subcontractor, consultant, and/or employee of the respective contractor.
29
User Agency
A local or State entity that has been given full authority to grant prior authorization for healthcare services rendered.
30
User Agency Designee
User Agency point of contact responsible for the User Agreement, pre-arranging healthcare contracting services with the Contractor(s), managing the contractual scope of services, and overseeing performance issues to assure continuity of care. User Agency Designee will approve Contractor reimbursement for completed and approved work documented.
31
User Agency Population
Patients, residents, clients, and/or inmates.
32
User Agreement
An Agreement between a User Agency and Contractor(s) to provide services under the MSA.

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