217904-event.pdf

The Montana Department of Public Health and Human Services (DPHHS) is releasing this RFP to procure a Systems Integration Services Contractor to support Montana’s Medicaid modernization effort, referred to as Montana’s Program for Automating and Transforming Healthcare (MPATH). The Systems Integration Services module is part of the overall MPATH program to replace aging legacy components of the Montana Healthcare Programs enterprise.

The intent for this RFP is for DPHHS to obtain a discrete module that aligns with the Final Rule for Mechanized Claims Processing and Information Retrieval Systems as described in 42 CFR

433.111. This module will support specific business objectives within the Montana Healthcare Programs enterprise that are detailed in this RFP, and will be required to have interoperability with other MPATH modules. Consistent with recent definitions in the Final Rule for Mechanized Claims Processing and Information Retrieval Systems, DPHHS defines a module as a group of business processes that can be implemented through software, data and interoperable interfaces that are enabled through design principles in which functions of a complex system are partitioned into discrete, scalable, reusable components.

Each procured module must meet all of the automation and interfacing requirements included in

Systems Integration Services for DPHHS MPATH

Open 5/12/2017 4:00 PM MST Type Request for Proposal Close 7/26/2017 2:00 PM MST Number DPHHS-RFP-2017-0112JT

Currency US Dollar

Sealed Until 7/26/2017 2:00 PM MST

Contacts

John Thomas jthomas@mt.gov

Phone +1 (406) 444-0110

Commodity Codes

Commodity Code Description

1002 Computing Services - Analysis, Design & Planning Services

1011 Computing Services - Mainframe Analysis & Programming

1012 Computing Services - Maintenance Services

1014 Computing Services - Mid-tier Analysis & Programming

1018 Computing Services - Project Management Services

Description mailto:jthomas@mt.gov this RFP. In addition, DPHHS expects Offerors to present solutions that can be easily configured to achieve the outcomes described in this RFP and that will be flexible and adaptable enough to support Montana Healthcare Programs well into the future.

Regulations at 42 CFR § 433.112(c)(2) provide that COTS-related development costs at the enhanced match rate may only include the initial licensing fee and the minimum necessary to install, configure, and customize the COTS software and ensure that other state systems coordinate with the COTS software solution. When responding to a request for the 90 percent FFP rate for a COTS product, CMS will consider whether the configuration and customization of the product would be kept to minimal levels to achieve full functionality in the most cost- effective manner.

A condition for enhanced funding of COTS software is that customization of the product is minimal. Examples of minimal customization include modification of database interactions to include additional required data elements, processing of state specific but necessary business rules, and modification of interfaces to allow interoperability with existing components or modules.

If a COTS product is heavily customized, then the solution may become so unique to that state that other states are unable to reuse it, or that newer releases of that software cannot be easily integrated into the state’s system, resulting in a solution that no longer meets the Standards and Conditions criteria outlined in the most current version of MECT.

Prerequisites Required to View Event Required to Enter Bid

1. Please review and accept the information regarding SECTION 1 - INTRODUCTIONS AND INSTRUCTIONS.

2. Please review and accept SECTION 2 - RFP STANDARD INFORMATION.

3. Please review and accept the Vendor Resources Handbook - Responding to Events in eMACS. Additional resources are available at: http://vendorresources.mt.gov/

4. Please review and accept the Single Point of Contact information.

5. Please review and accept the RFP Schedule of Events.

6. Please review and accept the pre-proposal conference information.

7. Please review and accept the Oral Presentation/ Demonstration/Interview requirements as described in Section 4.2.6 for this RFP.

8. Please review all question and answer entries for this solicitation by clicking on the Q&A Board and viewing each question and answer.

9. DRAFT CONTACT - The State will post a draft contract and related appendices no later than May 18, 2017. Offerors will then have an opportunity to review for requested additions or exceptions to the contract terms. All requests for additions or exceptions must be submitted to the procurement officer listed above by the Q&A deadline. The State reserves the right to address nonmaterial requests for exceptions to the standard terms and conditions and contract language with the lowest bidder/highest scoring offeror during contract negotiation. UPDATED VERSION added May 30, 2017.

10. Please review and accept the information in SECTION 6 - EVALUATION PROCESS

Buyer Attachments

1. SECTIONS 3.1 PURPOSE & 3.2 VISION & GUIDING PRINCIPLES/OBJECTIVES

2. Table 3.2.3 - MPATH Guiding Principles

3. SECTION 3.3 - MODULARITY

4. Figure 3.3.2.1 - MPATH Modularity Groups

5. Figure 3.3.2.2 - MPATH Modularity High Level Timeline

6. Figure 3.3.3 - MPATH Integration Layer Diagram

7. Table 3.3.4 - Contractor Procurement Exclusions

8. SECTIONS 3.4 - TECH STANDARDS, 3.5 - PROGRAMS OVERVIEW, & 3.6 - PROGRAMS ENTERPRISE https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504803213Scope%20of%20Services%20-%203.1%20%26%203.2%20docx.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=QCajonPhSaSBpC0f1Gk5NZfO9M4%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504779037Table%203.2.3%20MPATH%20Guiding%20Principles.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=b%2BS2QlCpDV01kqDo4o20GpeUXNk%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-516419168SECTION%203.3%20Modularity%20Scope%20of%20Services.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=KiAkqWa1ZhxYVQucO5ov4A0F%2Bfg%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504842688Figure%203.3.2.1%20MPATH%20Modularity%20Groups.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=NSoS75wrubT9R8dGgLVpR5IBMKk%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-516424125Figure%203.3.2.2%20-%20MPATH%20Modularity%20High%20Level%20Timeline%20Update.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=uqymlzKSuWbnSKyVjrNf%2FjnBj%2Fw%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504847706Figure%203.3.3%20MPATH%20Integration%20Layer%20DiagramV7_20170402.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=9Q%2FQJLUavt4%2Bup1w%2FgkLumvXQ1E%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504828275Table%203.3.4%20MPATH%20Contractor%20Procurement%20Exclusions.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=OyQsuSgWnivsgXj52MdQGZWizV4%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504825270Scope%20of%20Services%20-%203.4%2C%203.5%2C%20%26%203.6.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=kjims%2FsdzkMfITKaROHZ6KROC6k%3D

Buyer Attachments

9. Table 3.4 - High Level Requirements MPATH

10. Table 3.5 - MT Healthcare Programs Member Groups

11. Table 3.5.1 - Example of Standard Medicaid Covered Services

12. Figure 3.6.1 - MT Healthcare Programs Legacy Components and Services

13. Table 3.6.2 - Montana Healthcare Programs Legacy Systems Approximate Users Count by Component Group

14. SECTIONS 3.7 - FURURE ENVIRONMENT & 3.8 STAKEHOLDERS & GOVERNANCE

15. Figure 3.7 - Future MPATH Modularity Blueprint

16. Figure 3.8.1 - MPATH Program Structure

17. SECTION 3.9 - HIGH LEVEL SCOPE OF WORK

18. SECTION - 3.10 DETAILED SCOPE OF WORK

19. SECTION 4 - OFFEROR QUALIFICATIONS

20. SECTION 5 - COST PROPOSAL

21. ATTACHMENT A - RFP Standard Terms & Conditions

22. ATTACHMENT B - Draft Contract & Related Appendices

23. ATTACHMENT C - RFP INSTRUCTIONS

24. ATTACHMENT D - MECT Mapping

25. ATTACHMENT F - Requirements Response Matrix

26. ATTACHMENT G - Pricing Schedules

27. ATTACHMENT H - Resource Allocation Schedules

28. ATTACHMENT I - Evaluation and Scoring

29. ATTACHMENT J - Service Level Agreement Requirements

30. ATTACHMENT K - BUSINESS ASSOCIATES AGREEMENT

31. ATTACHMENT L - Technology Matrix

32. PROCUREMENT LIBRARY - REFERENCE DOCUMENTS

33. Equal Pay for MT Women Compliance Certificate

Questions Required Questions

1.1. Offerors must list the contact for their company during this RFP process. Include name, address, phone number, and email address.

1.2. Offerors must provide their response to Section 3 - Scope of Services documents found under Buyer Attachments.

1.3. Offerors must upload their response to Section 4 - Offeror Qualifications documents found under Buyer

Attachments.

1.4. Offerors must upload their response to Section 5 - Cost Proposal and the Pricing Schedules (Attachment G) found under Buyer Attachments.

1.5. Offerors must upload their responses (if such is required) to ATTACHMENTS A through L found under Buyer

Attachments.

1.6. Offerors must upload their response to the Equal Pay for MT Women Certification (found under Buyer Attachments) here.

https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504831655Table%203.4%20High%20Level%20Requirements%20for%20the%20MPATH%20Program.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=pgaN9ipwjdHJAERbEu17tVDqBCc%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504832880Table%203.5%20Montana%20Healthcare%20Programs%20Member%20Groups.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=x39EiwiTmJY7bnprXK2krKhwLxE%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504836606Table%203.5.1%20Example%20of%20Standard%20Medicaid%20Covered%20Services%20docx.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=FZBuE0ZdZ8%2B9n3MGW%2FNYWctPgPk%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504860506Figure%203.6.1%20Montana%20Healthcare%20Programs%20Legacy%20Components%20and%20Services.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=AB6Us%2F8FdZUEpZwVPYYno8%2BViUM%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504856557Table%203.6.2%20Montana%20Healthcare%20Programs%20Legacy%20Systems%20Approximate%20Users%20Count%20by%20Component%20Group.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=BOmzxqXAWHHVOgglCyPM721%2FaSE%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504826134Scope%20of%20Services%20-%203.7%20%26%203.8.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=qa224CKfptH5Mz4sAFizC768oZ8%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504852500Figure%203.7%20Future%20MPATH%20Modularity%20Blueprint%2020170402.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=8EsTkt%2BNDRgi%2F%2FgygCjWheF2H%2Fg%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504862429Figure%203.8.1%20MPATH%20Program%20Structure.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=7QkEOSbX8iIzi5%2B3GzOSzjg7qEY%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-507127374SECTION%203.9%20HIGH%20LEVEL%20SCOPE%20OF%20WORK.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=dlEgadQ6tcXLVQIz90ZKmTgxtCg%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-521181561SECTION%203.10%20Detailed%20Scope%20of%20Work.zip?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=pFrqbun%2FfN59%2BpwH7ByQu9Dxdnw%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-521176500SECTION%204%20OFFEROR%20QUALIFICATIONS%20-%20UPDATE.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=vP%2Bx%2FnaWLt%2B8EQtfKxTaXdsZBRA%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-507110365SECTION%205%20COST%20PROPOSAL.DOCX?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=FslOmp8zupwzb3FPXfJqyZefRpU%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-507465370ATTACHMENT%20A%20RFP%20Standard%20Terms%20%26%20Conditions.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=5Cjfht24EkMiJ5IFEn3UMbCnpQo%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-510453118Attachment%20B%20-%20Contract.zip?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=49XcLcAmvH5Xb67eaBLKqrsUIfw%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-521173128ATTACHMENT%20C%20RFP%20INSTRUCTIONS.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=vHXYzhkoSk1RBYtSXTgakhWzRlo%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-516424977Attachment%20D%20-%20MECT%20Mapping_UPDATED20170524.xls?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=8yxo9E%2FMiIxT6s4DOB0ateRwJ1Y%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-533095474Attachment%20F%20-Requirements%20Response%20Matrix_AMD5.xlsx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=%2BHdi0cH0IwBb2VqUss%2FDznF3X6c%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-521174727Attachment%20G%20-%20Pricing%20Schedules.xlsx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=oS8GWxFX%2FO2SfzXWMovyFIY%2FVq4%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-507412619Attachment%20H%20-%20Resource%20Allocation%20Schedules.xlsx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=zKhpaD3iD9AoP74tNXcPhJ%2F5A8Q%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-533095173Attachment%20I%20-%20SI%20Evaluation%20and%20Scoring_UPDATED%20AMD5.xls?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=tf1QwVfbs0acDCBzD8pZDdSSOms%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-516426059Attachment%20J%20-%20Service%20Level%20Agreement%2020170526.xlsx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=9GYM0s3iVgR%2BCv5ZUcmqReGw7i8%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-507486157Attachment%20K%20-%20Business%20Associates%20Agreement.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=ukaNCpz6pCrF2OMnMJ%2BaRSR41r8%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-521175750Attachment%20L%20-%20Technology%20Matrix.xlsx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=V7pizicKVk8B7B94N5kcb2e9jPw%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-521208774PROCUREMENT%20LIBRARY%20-%20REFERENCE%20DOCUMENTS_Amd4.zip?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=5WRrdI0tzIbWrF7SXezGdhBIm0w%3D https://solutions-selectsite-documents.s3.amazonaws.com/Sourcingevent/217904-504006023Equal%20Pay%20for%20MT%20Women%20Compliance%20Certificate.doc?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1564171297&Signature=RgPSmAHNtc65ChdZSPyU49To6ho%3D

26 July 2017