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RFP 112209 O3

AGENCY:

Department of Health and Human Services

CONTACT:

Greg Walklin

OPENING DATE:

July 1, 2022, 2:00 PM Central Time

PROJECT DESCRIPTION:

The State of Nebraska, Department of Health and Human Services (DHHS), is issuing this Request for Proposal (RFP) Number 112209 O3 for the purpose of selecting a qualified bidder to provide a full-risk, capitated Medicaid Managed Care program for physical health, behavioral health, pharmacy, and dental services.

Written Questions regarding the project for Round 1 are due no later than May 2, 2022.

Written Questions regarding the project for Round 2 are due no later than May 23, 2022.

Project Documents Date Posted Document Format(s)

Request for Proposal

04/18/22

PDF

Word

Attachment 1 - Member Counts by County

04/18/22

PDF

Excel

Attachment 2 - Nebraska Counties Classified by Urban, Rural, & Frontier Status

04/18/22

PDF

Word

Attachment 3 - Policies, Procedures, and Plans

04/18/22

PDF

Word

Attachment 4 - Rating Regions

04/18/22

PDF

Word

Attachment 5 - Insure Kids Now

04/18/22

PDF

Attachment 6 - Quality Performance Program Measures

04/18/22

PDF

Word

Attachment 7 - Medical Loss Ratio Requirements

04/18/22

PDF

Word

Attachment 8 - Critical Access Hospitals

04/18/22

PDF

Word

Attachment 9 - 2022 Health Care Acquired Conditions

04/18/22

PDF

Word

Attachment 10 - Liquidated Damages

04/18/22

PDF

Word

Attachment 11 - Data Exhibits Dental

04/18/22

PDF

Excel

Attachment 12 - Example Capitation Rates

04/18/22

PDF

Excel

Attachment 13 - Reporting Requirements

04/18/22

PDF

Word

Attachment 14 - Access Standards

04/18/22

PDF

Word

Attachment 15 - High Cost Drug Pool Risk Corridor

04/18/22

PDF

Word

Attachment 16 - Example Base Data Model - Physical and Behavioral

04/18/22

PDF

Excel

Attachment 17 - Dental Rates SFY22

05/16/22

PDF

Attachment 18 - NE Dental SFY22 Certification 03-31-2021

05/16/22

PDF

Attachment 19 - Nebraska Heritage Health CY22 Certification 11-04-2021

05/16/22

PDF

Attachment 20 - Heritage Health CY22 Capitation Rate Certfication Exhibits

05/16/22

Excel

Attachment 21 - Risk Corridor

05/16/22

Excel

Attachment 22 - FY22 NE Dental Rate Development Summary

05/16/22

Excel

Proposal Response Instructions

04/18/22

PDF

Word

Optional Services Proposal Response Instructions

04/18/22

PDF

Word

Optional Services Proposal Response Instructions - REVISED

05/16/22

PDF

Word

Optional FFS Cost Proposal

04/18/22

PDF

Word

Evaluation Criteria

04/18/22

PDF

Word

List of Pre Proposal Conference Attendees

05/05/22

PDF

Addendum One - Questions and Answers - Round 1 05/16/22 PDF

Addendum Two

05/16/22

PDF

Word

Addendum Three - Questions and Answers - Round 2

06/06/22

PDF

Attachment 23 - Expansion RC and Non-Exp HIPP RC Calculation Examples

06/06/22

Excel

List of Respondents Released

XX/XX/XX  

Intent to Award Recommendation Received from Agency

XX/XX/XX

 

Evaluation Scoring Verification

XX/XX/XX

 

Intent to Award Posted

XX/XX/XX

 

Final Evaluation Document

XX/XX/XX

 

Submission of Secretary of State Registration/Letter of Good Standing

XX/XX/XX

 

Subission of Certificate of Insurance Received from Intended Contractor

XX/XX/XX

 

Submission of Performance Bond (if applicable)

XX/XX/XX

 

Finalization of Terms and Conditions

XX/XX/XX

 

Paperwork Processed for Contract Generation

XX/XX/XX

 

Contract Award Issuance

XX/XX/XX

 

Contract Signing and Distribution

XX/XX/XX

 

Contract XXXX (O4) Effective XXXX through XXXX

XX/XX/XX

 


 

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