J-11_Attachment_E-2_Onboarding_Worksheet.xlsx

XLSX spreadsheet 17 KB Posted Oct 1, 2014

Attached to: CHRONIC CONDITION WAREHOUSE Federal contract opportunity
Solicitation number: RFP-CMS-2014-8A-00092
Issued by: Department of Health and Human Services Centers for Medicare and Medicaid Services

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ATTACHMENT E-2 ONBOARDING WORKSHEET

Other files attached to CHRONIC CONDITION WAREHOUSE, newest first.
File	Type	Posted
RFP-CMS-2014-8A-0092_Support_Pages_FINAL_amendment_3.pdf	PDF	Oct 29, 2014
Final_Copy_of_J-5_Question_and_Answer__Consolidated_Round_3_10292014.xlsx	XLSX spreadsheet	Oct 29, 2014
J-3_Consent_to_Subcontract.pdf	PDF	Oct 28, 2014
RFP-CMS-2014-8A-00092___J-5_Question_and_Answer__Consolidated_Round_2_updated_10-28-14.xlsx	XLSX spreadsheet	Oct 28, 2014
J-8_Attachment_C-CCW_Data_Files_Availability.pdf	PDF	Oct 22, 2014
Final_Copy_of_J-5_Question_and_Answer__Consolidated_Round_1_10222014_(2).xlsx	XLSX spreadsheet	Oct 22, 2014
Updated_J-7_CCW_Equipment_Inventory.xlsx	XLSX spreadsheet	Oct 22, 2014
RFP-CMS-2014-8A-0092_Support_Pages__revised_FINAL_10222014.pdf	PDF	Oct 22, 2014
J-4_Non_Disclosure_Statement.pdf	PDF	Oct 1, 2014
J-6_CMS_Guide_Incident_Reporting.pdf	PDF	Oct 1, 2014
J-9_Attachment_D_-_MMLEADS_Documentation.pdf	PDF	Oct 1, 2014
J-7_Attachment_B_CCW_Equipment_Inventory.pdf	PDF	Oct 1, 2014
J-9_Attachment_D_-_MMLEADS_Documentation.pdf	PDF	Oct 1, 2014
J-2_Attachment_A_Schedule_of_Deliverables.pdf	PDF	Oct 1, 2014
J-1_CCW_Re-Compete_2014_STATEMENT_OF_WORK_7-7-14.pdf	PDF	Oct 1, 2014
RFP-CMS-2014-8A-0092_Support_Pages_FINAL.pdf	PDF	Oct 1, 2014
J-5_Question_and_Answer_Template.xlsx	XLSX spreadsheet	Oct 1, 2014

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CCW VRDC ACCESSWKSHT_COR_021414

CCW VRDC ACCESS REQUEST WORKSHEET for CMS COR

CMS COR / Project Officer Name

CMS COR / Project Officer Email

CMS Department

CMS Project Name (as listed on DUA)

DUA Number

Approved DUA Provided to OIPDA?

DUA Addendum Provided to OIPDA

if applicable?

Other DUA Information/Status Updates

PRIME and Subcontractor (If applicable)	Organization	Organization Street Address	Organization City	State	ZIP Code
Prime Contractor Organization
Subcontractor(s) Organization
Subcontractor(s) Organization
Subcontractor(s) Organization

IT Contact Information for PRIME and Subcontractor (If applicable)	Organization	IT Contact First Name	IT Contact Last Name	IT Email Address	Telephone	Ext	Mobile Phone
Prime Contractor Organization
Subcontractor(s) Organization
Subcontractor(s) Organization
Subcontractor(s) Organization

Attachment E-2 (Onboarding Worksheet)

SAMPLE_Worksheet

	CCW VRDC ACCESS REQUEST WORKSHEET for CMS COR
		SAMPLE	SAMPLE	SAMPLE	SAMPLE	SAMPLE	SAMPLE	SAMPLE
		CMS COR / Project Officer Name		John Doe
		CMS COR / Project Officer Email		JohnDoeJohnDoe@cms.hhs.gov
		CMS Department		CMMI
		CMS Project Name (as listed on DUA)		CMMI Project Listed on DUA
		DUA Number		12345
		Approved DUA Provided to OIPDA?		Yes
		DUA Addendum Provided to OIPDA
if applicable?		Yes
		Other DUA Information/Status Updates		e.g., Updated addendum to include John Doe from xxxxx Company

PRIME and Subcontractor (If applicable)	Organization	Organization Street Address	Organization City	State	ZIP Code
Prime Contractor Organization	Enter Prime Company Name	1234 Main St.	Baltimore	MD	xxxxx
Subcontractor(s) Organization	Enter Sub 1 Company Name	xxxxx	xxxxx	xxxxx	xxxxx
Subcontractor(s) Organization	Enter Sub 2 Company Name	xxxxx	xxxxx	xxxxx	xxxxx
Subcontractor(s) Organization	Enter Sub 3 Company Name	xxxxx	xxxxx	xxxxx	xxxxx

IT Contact Information for PRIME and Subcontractor (If applicable)	Organization	IT Contact First Name	IT Contact Last Name	IT Email Address	Telephone	Ext	Mobile Phone
Prime Contractor Organization	Enter Prime Company Name	JohnJane	Doe	xxxxx	xxxxx	xxxxx	xxxxx
Subcontractor(s) Organization	Enter Sub 1 Company Name	xxxxx	xxxxx	xxxxx	xxxxx	xxxxx	xxxxx
Subcontractor(s) Organization	Enter Sub 2 Company Name	xxxxx	xxxxx	xxxxx	xxxxx	xxxxx	xxxxx
Subcontractor(s) Organization	Enter Sub 3 Company Name	xxxxx	xxxxx	xxxxx	xxxxx	xxxxx	xxxxx

mailto:CMMIjdoe1@org.commailto:CMMIjdoe2@org.com

File details come from the government source that posted it. Updated Nov 14, 2017.