Presentation on theme: "INDIANA DEPARTMENT OF ADMINISTRATION RISK-BASED MANAGED CARE SERVICES FOR AGED, BLIND AND DISABLED MEDICAID BENEFICIARIES (HOOSIER CARE CONNECT) REQUEST."— Presentation transcript:
INDIANA DEPARTMENT OF ADMINISTRATION RISK-BASED MANAGED CARE SERVICES FOR AGED, BLIND AND DISABLED MEDICAID BENEFICIARIES (HOOSIER CARE CONNECT) REQUEST FOR PROPOSAL 15-001 on behalf of the Family and Social Services Administration
INDIANA DEPARTMENT OF ADMINISTRATION GENERAL INFORMATION Attendee Sign-In Sheet Sign-In Sheet and PowerPoint will be posted on State’s Solicitation Website
INDIANA DEPARTMENT OF ADMINISTRATION RFP QUESTIONS AND ANSWERS Questions answered verbally today are not official nor binding and should be submitted in writing if it will affect your proposal response (Q/A Template). General RFP questions must be submitted using the Question and Answer Template provided by 3:00 PM Eastern Time on August 6, 2014 Capitation Rate questions must be submitted using the Question and Answer Template provided by 3:00 PM Eastern Time on August 8, 2014 Email: MAROBINSON@idoa.in.gov MAROBINSON@idoa.in.gov Fax:317.232.7312
INDIANA DEPARTMENT OF ADMINISTRATION ACCESSING RFP DOCUMENTS www.in.gov/idoa/proc
INDIANA DEPARTMENT OF ADMINISTRATION ACCESSING RFP DOCUMENTS
INDIANA DEPARTMENT OF ADMINISTRATION PURPOSE AND SCOPE OF RFP 15-001 The purpose of this RFP is to select managed care entities (MCEs) to deliver risk-based managed care services to Medicaid beneficiaries enrolled in the State of Indiana’s Hoosier Care Connect program. The State intends to contract on a statewide basis with MCEs with a demonstrated capacity to actively manage and coordinate care for low income disabled populations. This includes specific experience and demonstrated success in operating care coordination programs for low income individuals with significant health needs. Scope of Work Table of Contents The following elements are included in the Scope of Work: 1.Background 2.Administrative Requirements 3.Covered Benefits 4.Member Services 5.Care Coordination 6.Provider Network Requirements 7.Quality Management and Utilization Management 8.Information Systems 9.Performance Reporting and Incentives 10.Failure to Perform/Non-compliance Remedies 11.Termination Provisions
INDIANA DEPARTMENT OF ADMINISTRATION RFP OUTLINE
INDIANA DEPARTMENT OF ADMINISTRATION RFP OUTLINE (Cont.)
INDIANA DEPARTMENT OF ADMINISTRATION BUSINESS PROPOSAL Company Financial Information (Section 2.3.3) Confidential information must be kept separate from the proposal in both hard and soft copy.
INDIANA DEPARTMENT OF ADMINISTRATION TECHNICAL PROPOSAL
INDIANA DEPARTMENT OF ADMINISTRATION MINORITY AND WOMEN’S BUSINESS ENTERPRISE Complete Attachment A, MWBE Form - Include sub-contractor letters of commitment Goals for this RFP: - 8% Minority Business Enterprise - 8% Women’s Business Enterprise
INDIANA DEPARTMENT OF ADMINISTRATION MINORITY AND WOMEN’S BUSINESS ENTERPRISE The 4-year administrative bid amount of $150,835,903 is calculated by the State and assumes the CY 2015 capitation rates, 1/3 of total enrollment per MCE, and an administrative expense and profit of 11.25%. These assumptions are strictly for the purposes of establishing a standard response basis.
INDIANA DEPARTMENT OF ADMINISTRATION INDIANA VETERANS’ BUSINESS ENTERPRISES SUBCONTRACTOR COMMITMENT (ATTACHMENT A1) Complete Attachment A1, IVBE Form - Include sub-contractor letters of commitment Goal for this RFP: 3%
INDIANA DEPARTMENT OF ADMINISTRATION INDIANA ECONOMIC IMPACT The State defines FTE as a measurement of an employee's productivity on a specific project or contract. A FTE of 1 would mean that there is one (1) worker fully engaged on a project; forty (40) hours a week, fifty- two (52) weeks a year. If there are two (2) employees each spending 1/2 of their working time, 20 hours per week, on a project that would also equal 1. NOTE, THESE COUNTS MUST NOT INCLUDE EMPLOYEES THAT PROVIDE HEALTH CARE SERVICES AS DEFINED IN IC 27-8-11-1(c).
INDIANA DEPARTMENT OF ADMINISTRATION RFP SCORING AND EVALUATION Notes: The State reserves the right to exclude proposals from the “short list” on the basis of financial stability. The financial stability of Respondents to this RFP will be evaluated based on Risk Based Capital Ratio (“RBC Ratio”). There is no Cost Proposal for this RFP. Actuarially sound capitation rates have been set by the State.
INDIANA DEPARTMENT OF ADMINISTRATION QUESTIONS AND ANSWERS
INDIANA DEPARTMENT OF ADMINISTRATION ADDITIONAL INFORMATION IDOA PROCUREMENT LINKS AND NUMBERS http://www.in.gov/idoa/2354.htm 1-877-77BUYIN (8946) For Vendor Registration Questions http://www.in.gov/idoa/2464.htm For Inquiries Regarding Substantial Indiana Economic Impact A.Link to the developing “one stop shop” for vendor registry with IDOA and Secretary of State. http://www.in.gov/idoa/2467.htm http://www.in.gov/idoa/2467.htm B.Secretary of State of Indiana: Can be reached at (317) 232-6576 for registration assistance. www.in.gov/soswww.in.gov/sos C.Vendor Handbook: Online version available at http://www.in.gov/idoa/files/vendor_handbook.doc http://www.in.gov/idoa/files/vendor_handbook.doc D.Minority and Women Owned Business Enterprises: http://www.in.gov/idoa/files/Certification_List(48).xls for table of IDOA certified MBEs and WBEs. For more WBE’s information http://www.in.gov/idoa/2352.htm http://www.in.gov/idoa/files/Certification_List(48).xls http://www.in.gov/idoa/2352.htm E.RFP posting and updates: Go to http://www.in.gov/idoa/2354.htm (select “State of Indiana Opportunities” link) Drag through table until you find desired RFP/RFI number on left-hand sidehttp://www.in.gov/idoa/2354.htm and click the link.