Attachment J-24 CDRL to CLIN Crosswalk v1.pdf

Attachment J-24 – CDRL to CLIN Crosswalk

A mapping of each CDRL to each CLIN is provided below, and is for informational purposes only. This attachment does not relieve the offeror from performing all requirements under this contract.

Deliverable CLIN

CDRL A010 – Quality Control Plan No specific CLIN

CDRL A020 – HEDIS® Compliance Audit X001AA

CDRL A030 – ORYX® Measure Selection X003AA

CDRL A040 – Leapfrog Value-Based Purchasing Program Data &

Reports package for Health Plans

X004AA

CDRL A050 – Leapfrog Group Data Analysis and Report X004AE

CDRL A060 – Leapfrog Training Material Update X004AF

CDRL A070 – Leapfrog Communication Materials X004AB

CDRL A080 – Autism Care Demonstration Quality Management

Report X014

CDRL A090 – System Security Plan and Associated Plans of Action for a Contractor’s Internal Unclassified Information System No specific CLIN

CDRL A100 – Freedom of Information Act (FOIA) Releasable

Contract No specific CLIN

CDRL A110 – Risk Assessment Letter of Assurance No specific CLIN

CDRL AP010 – Program Management Plan (PMP) No specific CLIN

CDRL AP020 – Internal Quality Management Program (IQMP)

Plan No specific CLIN

CDRL AP030 – Continuity of Operations Plan (COOP) No specific CLIN

CDRL M010 - Monthly Progress Report No specific CLIN

CDRL M020 – Global Trigger Tool-MTF Report X005

CDRL M030 – Global Trigger Tool DHA/Market/Service Level

Reporting X005

CDRL M040 – Global Trigger Tool - FAQ Report X005

CDRL M050 – Quality and Safety Reporting System MTF Reports X006

CDRL M060 -Quality and Safety Reporting System DHA Reports X006

CDRL M070 – Private Sector Care Contractor Quality and

Utilization Reviews Performance Report X008

CDRL M080 – DHA Private Sector Care Quality and Utilization

Reviews Performance Report X008

CDRL M090 – Knowledge Development X017

CDRL Q010 – Internal Quality Management Report No specific CLIN

CDRL Q020 – HEDIS® Consultation and Education X001AB

CDRL Q030 – CMS Timely and Effective Care Measures MTF

Data File

X002AA

CDRL Q040 – CMS Hospital/Care Compare Measures Report X002AB

CDRL Q050 – CMS Hospital/Care Compare Measures Raw Data

File

X002AB

CDRL Q060 – ORYX® Data Submission X003AA

CDRL Q070 – ORYX® Data Reporting X003AA

CDRL Q080 – Administrative Measure Validation Report X003AC

CDRL S010 – Semi-annual Government Furnished Property (GFP). No specific CLIN

CDRL R020 – Residential Treatment Center (RTC) Reimbursement

Rate X007

CDRL R030 – Medical Necessity Reconsideration Reviews X009

CDRL R040 – Internal Reviews X010AA

CDRL R050 – External Reviews X010AB

CDRL R060 – Standard of Care (SOC) Review X011

CDRL R070 – Ad HOC Medical Record Reviews Report

CLIN for this CDRL will be added & priced as needed.

CDRL R080 – Quality Improvement Studies X013

CDRL R090 – Assessments of Evolving Practices, Devices, Medicines, Treatments and Procedures X015 and X016

CDRL R100 – Meeting Support X018

CDRL R110 -- DHA Contractor Non-Disclosure Agreement (DHA

Form 49) No specific CLIN

CDRL R120 -- Breach Report No specific CLIN

CDRL R130 -- Declaration of Transfer and Destruction of Records No specific CLIN

CDRL 0T010 -- Transition-In Plan 0001

CDRL 0T020 -- Transition-Out Plan X022

CDRL W010 -- Transition-In Status Report 0001

CDRL W020 -- Transition-Out Status Report X022