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 | |
Attachment 1 - Member Counts by County |
04/18/22 |
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Attachment 2 - Nebraska Counties Classified by Urban, Rural, & Frontier Status |
04/18/22 |
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Attachment 3 - Policies, Procedures, and Plans |
04/18/22 |
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Attachment 4 - Rating Regions |
04/18/22 |
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Attachment 5 - Insure Kids Now |
04/18/22 |
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Attachment 6 - Quality Performance Program Measures |
04/18/22 |
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Attachment 7 - Medical Loss Ratio Requirements |
04/18/22 |
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Attachment 8 - Critical Access Hospitals |
04/18/22 |
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Attachment 9 - 2022 Health Care Acquired Conditions |
04/18/22 |
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Attachment 10 - Liquidated Damages |
04/18/22 |
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Attachment 11 - Data Exhibits Dental |
04/18/22 |
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Attachment 12 - Example Capitation Rates |
04/18/22 |
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Attachment 13 - Reporting Requirements |
04/18/22 |
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Attachment 14 - Access Standards |
04/18/22 |
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Attachment 15 - High Cost Drug Pool Risk Corridor |
04/18/22 |
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Attachment 16 - Example Base Data Model - Physical and Behavioral |
04/18/22 |
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Attachment 17 - Dental Rates SFY22 |
05/16/22 |
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Attachment 18 - NE Dental SFY22 Certification 03-31-2021 |
05/16/22 |
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Attachment 19 - Nebraska Heritage Health CY22 Certification 11-04-2021 |
05/16/22 |
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Attachment 20 - Heritage Health CY22 Capitation Rate Certfication Exhibits |
05/16/22 |
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Attachment 21 - Risk Corridor |
05/16/22 |
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Attachment 22 - FY22 NE Dental Rate Development Summary |
05/16/22 |
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Proposal Response Instructions |
04/18/22 |
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Optional Services Proposal Response Instructions |
04/18/22 |
Word |
Optional Services Proposal Response Instructions - REVISED |
05/16/22 |
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Optional FFS Cost Proposal |
04/18/22 |
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Evaluation Criteria |
04/18/22 |
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List of Pre Proposal Conference Attendees |
05/05/22 |
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| Addendum One - Questions and Answers - Round 1 | 05/16/22 | |
Addendum Two |
05/16/22 |
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Addendum Three - Questions and Answers - Round 2 |
06/06/22 |
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Attachment 23 - Expansion RC and Non-Exp HIPP RC Calculation Examples |
06/06/22 |
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List of Respondents Released |
XX/XX/XX | |
Intent to Award Recommendation Received from Agency |
XX/XX/XX |
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Evaluation Scoring Verification |
XX/XX/XX |
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Intent to Award Posted |
XX/XX/XX |
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Final Evaluation Document |
XX/XX/XX |
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Submission of Secretary of State Registration/Letter of Good Standing |
XX/XX/XX |
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Subission of Certificate of Insurance Received from Intended Contractor |
XX/XX/XX |
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Submission of Performance Bond (if applicable) |
XX/XX/XX |
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Finalization of Terms and Conditions |
XX/XX/XX |
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Paperwork Processed for Contract Generation |
XX/XX/XX |
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Contract Award Issuance |
XX/XX/XX |
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Contract Signing and Distribution |
XX/XX/XX |
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Contract XXXX (O4) Effective XXXX through XXXX |
XX/XX/XX |
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