03. Exhibit A-1 - Questions Template.xlsx

The document is an Exhibit A-1 Questions Template associated with the Florida Agency for Health Care Administration's (AHCA) Invitation to Negotiate (ITN 002-24/25) for an Enhanced Provider Network Auditing Program. The solicitation seeks a vendor to develop a comprehensive web-based system for monitoring Medicaid Managed Care Plan provider network adequacy, with key deliverables including tracking systems, secret shopper validations (both telephonic and physical), network metric analysis, and remediation plan development. Critical procurement dates include written questions due January 20, 2025, proposal responses due March 11, 2025 at 2:00 PM ET, negotiations scheduled for March 31 - May 5, 2025, and an anticipated notice of intent to award on May 15, 2025. The initial contract term will run from April 1, 2025, through March 31, 2028, with potential renewal for up to three additional years.

The contract is valued between $5-10 million annually, totaling $15-30 million over the initial three-year term, with expenses reimbursed by managed care plans proportionate to their enrolled population. Vendors must maintain Florida office locations, provide bilingual staff, and ensure all services are performed within the United States. A performance bond of 10% of the annual contract amount and a proposal guarantee of $500,000 will be required. Respondents must demonstrate at least three years of experience in Medicaid or healthcare program quality assurance and will be evaluated across six key areas: Data and Systems, Network Analysis, Secret Shopper capabilities, Compliance/Remedies, Staffing, Respondent Qualifications, and Compliance History. Vendors must also provide comprehensive documentation of compliance history, including details about fines, penalties, sanctions, Corrective Action Plans, and any contract terminations in the past five years.