122125 O3 Attachment 3 - Technical Specifications.docx.docx

Technical Specifications

RFP#: 122125 O3

Program Integrity Case Management (PICM) and Fraud Abuse Detection System (FADS) Analytics solution State of Nebraska, Department of Health and Human Services

IMPORTANT:

Please note that any additional cost must be captured in the Cost Proposal and NOT within the response of the specification.

Failure to adhere to these instructions shall result in the bidder being deemed as "Non-Responsive".

General Guidelines for Vendors

1. Thoroughly Review Requirements: Carefully read each requirement, including subpoints and links provided. Ensure responses clearly address each aspect of the requirement.

2. Provide Supporting Details: Each response should include clear descriptions, processes, tools, or diagrams demonstrating how the solution meets the requirement.

3. Organize Responses:

· Use headings and subheadings to structure responses.

· Include bullet points for clarity.

4. Use Standards and Best Practices:

· Refer to relevant standards (e.g., Section 508, NIST, FIPS, HIPAA).

· Provide details of certifications, tools, and industry-compliant processes.

5. Clarity and Precision:

· Avoid vague language or ambiguous claims.

· Use concise, professional terminology.

· Ensure responses are tailored to DHHS requirements and align with federal and state guidelines.

6. Supporting Artifacts:

· Include visuals such as diagrams, charts, and flowcharts where applicable.

· Reference external documents or standards as appropriate.

7. Testing and Validation: Detail testing approaches, validation processes, and evidence that the solution meets outlined expectations.

Specific instructions to complete Technical Requirements

Bidders are to refrain from providing a solution where that would result in additional fees and/or expressing that a feature or functionality is available at an additional cost. Any deviations to the requirements for the system must be noted in Attachment 6 - Deviations to Section VI and attached as a separate document. Bidders shall use the “Part III - Deviations to Section (VI)(A)(4)(b)” of the Attachment 6 – Deviations to Section VI, to record deviations taken to any requirement within this document (Attachment 3 – Technical Specifications).

This document contains four tables for each Technical Requirement type. The requirement types are as follows:

Architecture

ARCH-01 - ARCH-06

Data Management

DM-01 – DM – 05

Security and Compliance

SPC-01 – SPC-09

Operations

OM-01 – OM-09

For each requirement listed under the tables in this document, the bidder shall choose whether their solution “Met The Requirement” then choose the “Implementation Approach” and the “Bidder’s Response” by following the instructions provided for each requested information directly below.

Met The Requirements Within each requirement there is a dropdown option to select three option to answer whether the bidder will meet the requirement or not. The available options to choose and their descriptions are as follows.

YES

The Bidder confirms that their solution meets the specified requirement

(If this option is selected, then the bidder shall utilize the Deviation form [Attachment 6 – Deviations to Section VI] to describe the deviation taken)

Implementation Approach:

The Implementation Approach requested in this document can be described as the methodology that will be utilized by the bidder to meet the specific requirement. Within each requirement there is a dropdown option provided to select your Implementation Approach from which an option must be selected. The available options to choose and their descriptions are as follows:

Out of Box (OOB)

Indicates that the functionality is available in the solution without any modifications.

TPS

Met with third party software

NA

Not Available

Bidder’s Response As bidders prepare responses to each individual requirement, the responses are expected to address the individual requirement in a manner that demonstrates to the State that the bidder understands the requirement and how the bidder will meet the specific requirement. If the bidder’s response simply repeats the requirement, acknowledges, or adds sales materials in the Bidder’s response, the State will reserve the right to deem the response as a “Non-Responsive Solicitation Response”. However, if needed to appropriately explain bidder’s response, a mix of tables, graphical details, and written narrative is acceptable.

The bidder’s response to each requirement must include confirmation and a detailed explanation for the Implementation Approach taken. Bidders shall capture any assumptions, risks, or dependencies related to fulfilling each individual requirement.

Provide specifics, such as:

· Tools or methods used.

· Estimated effort for customizations/configurations.

ARCHITECTURE

*Technology Architecture*: Describe the software components, including third-party software products, open-source libraries, and utilities that complete the platform for running a service or supporting an application. This section should document any technical requirements for accessing the software, including but not limited to client desktop installs, etc. Further, the section should clearly outline any State required infrastructure, such as setting up VPN, SFTP, etc., to implement or operate the system.

*Network Architecture*: Describe the means of communication, the method of sending and receiving information, between the assets in the Technology Architecture.

*Application Architecture*: Describe how the solution components are assembled and interact to meet the business needs. Describe the solution’s ability to manage and store documents and attachments.

*Data Flow Architecture*: Describe the data flows into and out of the system boundary, include transmission and storage, along with ports, protocols, and services of all inbound and outbound traffic.

Met the requirement: Choose an item.

Implementation Approach: Choose an item.

[Bidder’s Response]

* Type of Software – SaaS, PaaS or, IaaS

* Licensing Model- Perpetual or Subscription based licenses

* Single or Multi-Tenant architecture

Met the requirement: Choose an item.

[Bidder’s Response]

Met the requirement: Choose an item.

[Bidder’s Response]

Met the requirement: Choose an item.

[Bidder’s Response]

· Section 508 compliance standards https://www.section508.gov/manage/laws-and-policies/)

· 45 CFR Part 85 (https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-85)

· State of Nebraska Accessibility requirements (https://nitc.nebraska.gov/standards/index.html#2).

Bidder must indicate how your solution will meet such requirements as they relate to the accessibility requirements for each of the items listed above.

Met the requirement: Choose an item.

[Bidder’s Response]

ARCH-06

The bidder’s solution must provide Scalability and High Availability Architecture. The bidder must describe how their solution will meet this requirement. The response must include, at a minimum the following details:

* The system architecture must support scaling with increased load.

* The system must provide high availability to support minimum disruptions to the business operations.

* The system must handle notifications when a component or interface endpoint is unavailable.

* The system must handle performance functionality and monitoring tools.

* The system must handle recovery of failed transactions because of a component failure.

* The system must be available online Monday to Friday 7AM to 6PM Central Time during State working days.

Met the requirement: Choose an item.

[Bidder’s Response]

DATA MANAGEMENT

Met the requirement: Choose an item.

[Bidder’s Response]

DM-02

Describe the bidder’s technical approach for supporting data conversion and data migration.

Met the requirement: Choose an item.

[Bidder’s Response]

DM-03

The bidder’s solution must support data integration. The bidder must describe how their solution will meet this requirement. The response must include, at a minimum, the following details:

* Ability to import and export data using these file types (XML, JSON, CSV).

* Support for integration using industry standards approaches and principles for REST APIs and Webservices.

* Support for industry integration data standards for HealthLevel 7 (HL7), Fast Healthcare Interoperability Resources (FHIR), X-12, HIPAA.

Met the requirement: Choose an item.

[Bidder’s Response]

Met the requirement: Choose an item.

[Bidder’s Response]

DM-05

Bidder shall review the data retention requirements described in the following:

· 45 CFR Part 164.316 (https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-C/section-164.316)

Bidder must meet all the capabilities and/or requirements as outlined for each of the items and indicate how your solution will meet such requirements as they relate to the data retention requirements.

Met the requirement: Choose an item.

[Bidder’s Response]

SECURITY AND COMPLIANCE

SPC-01

Bidder shall review the standards and policies described in the following:

* DHHS Information Technology (IT) Security Policies and Standards (http://dhhs.ne.gov/ITSecurity).

* Nebraska Information Technology Commission (NITC) Standards and Guidelines (https://nitc.nebraska.gov/standards/index.html).

* Health Insurance Portability and Accountability Act (HIPAA) of 1996.

*Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009 *Nebraska Electronic Signature Statute (http://www.nebraskalegislature.gov/laws/statutes.php?statute=86-611) *Privacy Act of 1974

Bidder must meet all the capabilities and/or requirements as outlined for each of the items and indicate how your solution will meet such requirements as they relate to the standards and policies described above.

Met the requirement: Choose an item.

[Bidder’s Response]

Met the requirement: Choose an item.

[Bidder’s Response]

SPC-03

The bidder must agree to conduct an annual independent third-party penetration test of the solution that includes the Open Web Application Security Project (OWASP) Top 10. The report must provide details of the critical, high, and medium findings and associated risks. This must be conducted at no additional charge to the State. Bidder must conduct this test at the appropriate time and describe how their approach will meet these requirements.

Met the requirement: Choose an item.

[Bidder’s Response]

SPC-04

The bidder must agree to conduct an independent, third-party security and privacy controls assessment that aligns with the National Institute for Standards and Technology (NIST) SP 800-53 moderate standard, within one year prior to the go-live date. Identified security gaps must be classified by severity and additional information must be provided for any gap identified as medium and above. This must be conducted at no additional charge to the State. Bidder must conduct this assessment at the appropriate time and describe how their approach will meet these requirements

Met the requirement: Choose an item.

[Bidder’s Response]

SPC-05

The bidder must agree to conduct an annual independent third-party security controls assessment that meets the National Institute for Standards and Technology (NIST) SP 800-53 moderate standard. The report must provide details of the critical, high, and medium findings and associated risks. This must be conducted at no additional charge to the State. Bidder must conduct this assessment at the appropriate time and describe how their approach will meet these requirements.

Met the requirement: Choose an item.

[Bidder’s Response]

SPC-06

Describe the bidder solution for the following:

* Support for self-service password activities.

* Automatic log-off procedures after determined time of session inactivity.

* Automatic account disablement after 120 days of inactivity.

* Administrators’ ability to lockout user(s).

* Support and approach for single sign-on with State Active Directory

* Support and approach for Multi-Factor Authentication

* Automatic locking of account after determined number of failed logon attempts.

Met the requirement: Choose an item.

[Bidder’s Response]

Met the requirement: Choose an item.

[Bidder’s Response]

* How user accounts are assigned and managed.

* How the system provides usage reports, such as a listing of all users and their last usage date.

* How the system supports authorization at an attribute/field level (e.g., edit, view).

Met the requirement: Choose an item.

[Bidder’s Response]

SPC-09

Bidder shall review the State DHHS Information Technology (IT) Audit Standards located at: (https://www.dhhs.ne.gov/ITSecurity).

Bidder must meet all the capabilities and/or requirements as outlined and indicate how your solution will meet such requirements. As a part of the bidder’s response, at minimum, the State desires specific information regarding the following elements:

· Detail the data elements that are audited.

· Outline the level of audit tracking being maintained.

· Provide a sample of their audit reports.

· Capabilities for automated audit log evaluation to identify security issues.

. How the bidder monitors, identifies, and reports on events impacting the system, such as attacks and other unauthorized use of the system.

Met the requirement: Choose an item.

[Bidder’s Response]

OPERATIONS

* Procedures for data backup, restoration, communication to the State of Nebraska, and emergency mode operations in the event of:

a. Hardware or Software Failures.

b. Human Error.

c. Natural Disaster; and/or

d. Other unforeseeable emergencies.

Met the requirement: Choose an item.

[Bidder’s Response]

OM-02

The bidder must agree to conduct a full disaster recovery test for the solution in which they are offering prior to the anticipated go-live date. The most recent test must be within one year prior to the go-live date*.

* This must be conducted at no additional charge to the State. Bidder must conduct this test at the appropriate time and describe how their approach will meet these requirements.

Met the requirement: Choose an item.

[Bidder’s Response]

OM-03

The bidder must agree to conduct an annual disaster recovery test for the solution and submit the annual results to the designated individual for the State of Nebraska. This must be conducted at no additional charge to the State. Bidder must conduct this test at the appropriate time and describe how their approach will meet these requirements.

Met the requirement: Choose an item.

[Bidder’s Response]

OM-04

The bidder solution shall meet the following:

* Compliance with the Recovery Time Objective (RTO) of within twelve (12) hours when the system outage is declared as a disaster.

* Compliance with the Recovery Point Objective (RPO) of fifteen (15) minutes of data lost before the disaster event

Met the requirement: Choose an item.

[Bidder’s Response]

OM-05

Describe the bidder solution for the following:

* Overall testing strategy and support for the following testing types: unit testing, system testing, integration testing, regression testing, user acceptance testing (UAT), parallel testing, performance and load testing, manual and automated and/or scripted testing, and end-to-end integration testing.

* Approach to planning and preparing the test/staging environment.

* Approach to conducting each test level.

* Approach for testing nonfunctional requirements (security, performance, etc.)

* Approach to test documentation (e.g., test cases, test scripts, test case matrices added as the design configuration progresses).

* Approach to quality control/quality assurance.

* Approach to test results reporting, traceability, and metrics

Met the requirement: Choose an item.

[Bidder’s Response]

OM-06

Describe the bidder solution for software maintenance processes that address the following:

* Approach to managing software versions to ensure bidder support.

* Approach to Change Management, including defects and enhancements.

* Approach to testing and release management.

* Approach to maintaining integrations with external and internal trading partners.

Met the requirement: Choose an item.

[Bidder’s Response]

OM-07

Describe the incident management process that will be used to report business and security incidents (such as any unauthorized access to, or incidents where, data may have been compromised

Met the requirement: Choose an item.

[Bidder’s Response]

OM-08

The bidder shall describe its approach on providing technical documentation that addresses the following.

• System Operation Manual

• Administrative Operations

• Documentation to support testing and collaboration with integrating systems.

• Documentation of the system's data dictionary which includes user-defined fields and tables.

Met the requirement: Choose an item.

[Bidder’s Response]

OM-09

The bidder must describe its approach to use and integrate with the state JIRA infrastructure for the entire software development lifecycle.

Met the requirement: Choose an item.

[Bidder’s Response]