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 |
07/08/22 | |
Memorandum to Bidders |
07/21/22 |
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Evaluation Criteria - CORRECTED |
07/21/22 |
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Addendum Four |
07/21/22 |
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Addendum Five - Revised Schedule of Events |
08/04/22 |
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Addendum Six - Revised Schedule of Events |
08/30/22 |
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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 |
09/23/22 |
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Final Evaluation Document |
09/23/22 |
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Vendor Responses: Healthy Blue Medica Molina Nebraska Total Care UnitedHealthcare of the Midlands |
09/23/22 |
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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 Posting Contract 102889 (O4) Effective JANUARY 01, 2024 through DECEMBER 31, 2029 Contract 102894 (O4) Effective JANUARY 01, 2024 through DECEMBER 31, 2029 Contract 102897 (O4) Effective JANUARY 01, 2024 through DECEMBER 31, 2029 |
02/17/23 |
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