10_Section_J_List_of_Attachments_05-19-15.docx

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TRICARE Quality Monitoring Contract (TQMC)
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HT9402-15-R-0005
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Section J

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SECTION J, LIST OF ATTACHMENTS

A. LIST OF ATTACHMENTS

Attachment J-1TRICARE Regional Map
Attachment J-2Designated Provider (DP) Map
Attachment J-3MDR Data Dictionary
Attachment J-4M2 Data Dictionary
Attachment J-5Clinical Quality Improvement Study Examples
Attachment J-6Appeals & Hearings Internal and External Reviews and Hearing Support
Attachment J-7Behavioral Health Facility Certification
Attachment J-8Behavioral Health Facility Application
Attachment J-9Behavior Health Facility Owner Change
Attachment J-10TRICARE Operations Manual (TOM) Chapter 7, Section 4
Attachment J-11Behavioral Health Facility List
Attachment J-12TRICARE Policy Manual (TPM) Chapter 11, Addendum I
Attachment J-13MHS Population
Attachment J-14MTF Clinic Listing
Attachment J-15DP Codes
Attachment J-16Small Business Subcontracting Plan Template

(Incorporated at Award)

Attachment J-17Inpatient MTF Listing
Attachment J-18TQMC Specialty Reviewer Type
Attachment J-19IHI Global Trigger Tool White Paper 2009
Attachment J-20Contractor Non-Disclosure Agreement, DHA Form 49
Attachment J-21Draft Quality Assurance Surveillance Plan (QASP)
Attachment J-22ADP/IT Requirements and CAC Instructions
Attachment J-23Presidential Executive Order 13410, August 22, 2006
Attachment J-24Health Affairs Policy Memorandum for MHS Care Quality Assurance Data Transparency

B. LIST OF EXHIBITS

Exhibit A.Contract Data Requirements List (CDRL) (DD Forms 1423-1)
(See Section F, paragraph 6.0, REPORTS AND PLANS for listing

by frequency) TQMC HT9402-R-0005, Section J Page 1 of 1

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