J.3.F UPIC IT Systems Plan.docx

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Attached to
Unified Program Integrity Contract (UPIC) Federal contract opportunity
Solicitation number
HHSM-500-2015-RFP-0122
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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J.3.F UPIC IT Systems Plan

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Attachment J.3.F HHSM-500-2015-RFP-0122 UPIC

INFORMATION TECHNOLOGY SYSTEMS PLAN

Contractor:

Jurisdiction:

Date:

The IT SYSTEMS PLAN shall include at a minimum:

UPIC’s Data Access Plan, including:

1
Establishing Read-Only access to appropriate Medicare and Medicaid claims processing shared system(s); Configuring applicable data (Medicare-Parts A, B, C, D, DME, HH+H, and Medicaid); and obtaining denial data
2
Assumptions and Constraints under which each type of analysis is performed
3
List/description of data files necessary to conduct data analysis
4
List/description of data the UPIC would need to access from CMS or the MAC, or plan sponsors
5
Schedule of how often new or updated data would be needed
6
Description of software systems, products, and tools that are being proposed for use, including licensing restrictions
7
Certification that hardware and software being proposed have capacity to manipulate anticipated volume of data
8
Description of how the UPIC plans to use the hardware and software products
9
Description of how the UPIC will assure compliance with The Privacy Act of 1974 and any subsequent statutory revisions, such as HIPPA.
10
Other items, as identified by the UPIC

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