R010 Transition In Plan v1.pdf
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Defense Health Agency
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DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A. CONTRACT LINE ITEM NO.
DD FORM 1423‐1, FEB 2001 Page ___ of ___ Pages
16. REMARKS (Continued)
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
F. CONTRACTORE. CONTRACT/PR NO.
C. CATEGORY:
TDP _____ TM _____ OTHER ________________________________
D. SYSTEM/ITEM
B. EXHIBIT
| 1_DATA_ITEM_NO: R010 |
| 2_TITLE_OF_DATA_ITEM: Transition-In Plan |
| 3_SUBTITLE: Initial |
| 4_AUTHORITY_Data_Acquisit: |
| 5_CONTRACT_REFERENCE: Para 5.3 |
| 6_REQUIRING_OFFICE: CRM-IPEB |
| 7_DID_250_REQ: |
| 8_APP_CODE: |
| DIST_STATEMENT: B |
| 10_FREQUENCY: See Block 16 |
| 11_AS_OF_DATE: See Block 16 |
| 12_DATE_OF_FIRST_SUBMISSI: See Block 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: See Block 16 |
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| 16_REMARKS: FIRST SUBMISSION: |
Frequency: One Time Reporting Period Start Date: Contract Award Due Date: 7 calendar days after contract award
SUBSEQUENT SUBMISSION:
Frequency: As Required Reporting Period Start Date: Post Award Meeting Due Date: 21 calendar days after Post Award Meeting
PHI/PII: No FILE FORMAT: Microsoft Office
CONTENT DETAILS:
The Transition-In Plan shall consist of the contractor's control policies and procedures in accordance with standard industry practices for project administration, execution and tracking.
The Transition-In Plan shall address at a minimum:
* Transition or establishment of all Section C contract requirements to include timelines, milestones, and documentation development.
* A matrix of all key personnel assigned to the transition and total aggregated level of effort for all transition activities.
* Quality assurance processes and monitoring methods.
* The contractor's process for notification to the Government of any government personnel support, documentation, or any Government Furnished Equipment / information required for accomplishing this contract.
* Orientation phase and program to introduce Government personnel, programs, and users to the contractor's team, tools, methodologies, and business process.
* The contractor's process for tracking the status of the CDRLs related to Transition-In i.e., due dates just prior to OP1. (CDRLs are listed in Section F and are included as Exhibit to the contracts.)
* The contractor's plan to meet all DoD Information Assurance accreditation and certification, requirements pertaining to Data Use Agreements, and personnel
| 17_PRICE_GROUP: |
| ESTIMATED_TOTAL_PRICE: |
| G_PREPARED_BY: Megan Falzon |
| H_DATE: 10/10/2021 |
| 1_APPROVED_BY: Nick Ceciliani |
| J_DATE: 10/10/2021 |
| reg38t: 0 |
| A_CONTRACT_LINE_ITEM_NO: |
| B_EXHIBIT: |
| DSYSTEMITEM: |
| E_CONTRACTPR_NO: |
| FCONTRACTOR: |
| of_pages: 2 |
| Reset: |
| TDP: |
| OTHER: |
| Pages: 2 |
| A: |
| Contract Line: |
| B: |
| Exhibit: |
| D: |
| System: |
| E: |
| Contract/PR: |
| Contractor: |
| Other: |
| TM: |
| TD: |
| 16: |
| Remarks: clearances to access DoD data systems: |
* Processes to obtain Information Security certification (NIST)
* Processes to ensure Health Insurance Portability and Accountability Act (HIPAA) regulation compliance
* Personnel data system training, certifications, and security clearances, and Common Access Cards (CACs)
* Processes for training contractor personnel on Government provided applications (i.e., TED Audit (TA), PEPR Care Detailed Information System (PCDIS), GIQD DEERS).
* Contractor's Compliance Review training program and process.
* Contractor's process and timelines for obtaining Memorandums of Understanding (MOU) for electronic claim and patient claims history submission.
* Contractor's plans to prevent any gaps in data collection or submission during or immediately following the transition in period.
* Obtaining all necessary business and/or technical documentation and any needed software and/or hardware.
* Risk identification, tracking, and mitigation approach.
* Contractor's plan for preparing for contract readiness test.
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