W. Va. Code R. § 64-89B-3

Current through Register Vol. XLI, No. 36, September 6, 2024

Section 64-89B-3 - Selection of the Credentialing Verification Organization

3.1. On or before July 1, 2012, the Secretary and Commissioner shall form a three-person evaluation committee to take the necessary actions for the selection of a statewide CVO. The Secretary and Commissioner shall each select one member of the committee, and these two members shall select the third member; this committee will act on behalf of the two agencies during the purchasing process through the award of the contract. The Uniform Credentialing Committee will serve as an advisor to such evaluation committee.

3.2. The evaluation committee will seek approval to select a statewide CVO through the RFP process and, if approved, may use the RFP process for the planning phase prior to writing the contract specifications, including use of a Request for Information (RFI) to conduct market research to obtain additional information from other agencies, vendors and public and private entities.

3.3. On or before January 1, 2013, the evaluation committee will submit an RFP to the Purchasing Division for release pursuant to Purchasing Division procedures. This RFP shall include a preference for in-state vendors and may permit the opportunity for a Pre-bid Conference.

3.4. In its response to the RFP, an applicant must, at a minimum, demonstrate that it:

3.4.a. Meets NCQA's Core Requirements in the Standards & Guidelines for Certification of Credential Verification Organizations for all standards related to "Written Policies and Procedures" and "Protecting Credentialing Information";

3.4.b. Is currently accredited by NCQA as meeting the following certification options: License to Practice; DEA Certification; Education and Training; Malpractice Claims History; CVO Application and Attestation Content; Application Processing; Medicare/Medicaid Sanctions; Medical Board Sanctions; Ongoing Monitoring of Sanctions; and Work History;

3.4.c. Is able to demonstrate compliance with the Joint Commission's standards for credentialing and with all federal and state credentialing regulations; and

3.4.d. Maintains an errors and omissions insurance policy in amounts deemed to be adequate by the Secretary and Insurance Commissioner in the RFP.

3.5. The evaluation committee will use its best efforts to select a vendor and award a contract on or before April 1, 2013.

W. Va. Code R. § 64-89B-3