SOW_Verification_Form_7-31-26.pdf

This is a Scope of Work Verification Form dated July 31, 2026, prepared by Risk Management for the Orange County Transportation Authority (OCTA) in California. The document pertains to the procurement of Centers for Medicare & Medicaid Services (CMS) Medicare Section 111 reporting services. The contract opportunity carries an initial budget of $36,000 and is structured for a three-year term. The form serves as verification documentation for the scope of work associated with this reporting services engagement.

The verification form establishes the risk management framework and contractual parameters for CMS Medicare Section 111 compliance reporting. This procurement supports the Authority's obligations to report Medicare-related data and information to the Centers for Medicare & Medicaid Services in accordance with Section 111 requirements. The document functions as official verification that the scope of work has been reviewed and approved by the risk management division, ensuring that all contractual terms, liability considerations, and regulatory compliance measures are properly documented prior to contract execution.