The following sections provide guidelines for States wishing to contract with medical
providers to perform CEs. This section includes:
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the requirements for contracting out this function.
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the elements of medical provider contracts and,
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a model statement of work and contract language.
DDS must not treat the CE contractors as employees and consider certain factors.
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1.
Initial proposal provides for:
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a.
Management Summary including general background and organization of the firm, and services to be provided.
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b.
Staffing Types and Qualifications of the physician(s) and other health care practitioners, who:
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Must meet the licensing or certification requirements of the State (DI 22510.010); and
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Are not currently excluded, suspended, or otherwise barred from participation in Medicare
or Medicaid programs or any other Federal or federally assisted programs.
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c.
Work plans for conducting training in performing CEs and preparing CE reports.
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d.
Experience including a description of any similar contracts or work being performed for other
organizations, affiliations and endorsements concerning work in the medical field.