122125 O3 PICM RFP Solicitation Evaluation Criteria.docx.pdf

PDF 20 KB Posted

Attached to
Program Integrity Case Management (PICM) and Fraud Abuse Detection (FAD) Analytics Solution
Solicitation number
122125 O3
Issued by
Blaine County, Nebraska

About this file

This document is a solicitation evaluation criteria form for the State of Nebraska's Department of Health and Human Services (DHHS) seeking a Program Integrity Case Management (PICM) and Fraud Abuse Detection System (FADS) Analytics Solution. The solicitation (Number 122125 O3) is scheduled to open on July 10, 2025, at 2:00 pm CST, with mandatory response requirements including a Contractual Agreement Form, Corporate Overview, Technical Response, and Cost Sheet. The evaluation process will assess vendor responses across three primary categories: Corporate Overview (25 points), Technical Response (60 points), and Cost Sheet (15 points), with a potential total of 100 points, and an additional 20 points possible through oral interviews.

The cost evaluation will use a comparative scoring method where the lowest cost submission receives maximum points, with other submissions scored proportionally using a specific formula. Vendors will be ranked based on their total points, with the Cost Sheet points calculated by dividing the lowest cost submitted by the individual cost submitted and multiplying by the maximum possible cost points. The solicitation indicates potential for a comprehensive cloud-based solution supporting fraud detection, case management, and advanced analytics for approximately 340,000 Medicaid recipients, with an anticipated implementation date no later than October 31, 2026. The contract is expected to have an initial five-year term with options for two additional two-year renewal periods.

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Text version

SPB Form 31 Effective 7-19-2024

SOLICITATION NUMBER: 122125 O3,

Program Integrity Case Management (PICM) and Fraud Abuse Detection System (FADS) Analytics Solution

Opening Date: July 10, 2025 - 2:00 pm CST

Mandatory Requirements The solicitation responses will first be examined to determine if all mandatory requirements listed below have been addressed to warrant further evaluation. Responses not meeting mandatory requirements will be excluded from further evaluation. The mandatory requirement items are as follows:

1. Contractual Agreement Form, must be signed manually in ink or by DocuSign;

2. Corporate Overview;

3. Technical Response; and

4. Cost Sheet.

Evaluation Criteria All responses to this solicitation, which fulfill all mandatory requirements, will be evaluated. Each category will have a maximum possible point potential. Areas that will be addressed and scored during the evaluation include:

Evaluation Criteria Possible Points

Part 1 Corporate Overview 25

Part 2 Technical Response 60

Part 3 Cost Sheet 15

Total Points without Oral Interviews 100

Oral Interviews, (if required) 20

Total Points with Oral Interviews 120

SOLICITATION EVALUATION CRITERIA

SPB Form 31 Effective 7-19-2024

Part 4 – Cost Sheet Points Cost Sheet points should be calculated as follows:

1. Establish lowest cost submitted – lowest cost submitted receives the maximum points.

2. To assign points to all others, the following formula should be followed:

Lowest Cost Submitted Cost Submitted x Maximum Possible Cost Points = Cost Points to Award (see samples below)

Formula Sample Sample Sample

Lowest Cost Submitted $100,000 $100,000 $100,000

Cost Submitted $100,000 $200,000 $150,000 x Maximum Possible Cost Points 20 20 20

= Points To Award 20.00 10.00 13.33

File details come from the government source that posted it. Updated .