40DHHS-S3392 - Questions with Answers.xlsx

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Attached to
Victims of Crime - Medical Billing and Claims Management
Solicitation number
40DHHS-S3392
Issued by
Nevada

About this file

This document is a Bid Q&A file for the Nevada Department of Health and Human Services (DHHS), specifically the Division of Child and Family Services (DCFS), solicitation Reference Number 40DHHS-S3392 for Victims of Crime Medical Billing and Claims Management. The procurement seeks a vendor to modernize the claims processing system for victims of violent crimes, replacing paper-based processes with an electronic, paperless platform. The solicitation was released on August 14, 2025, with proposals due by September 11, 2025, at 2:00 pm Pacific Time. The anticipated contract term is four years, with potential start dates of October 14, 2025, May 1, 2026, or July 1, 2026, subject to Board of Examiners approval.

The project is estimated at $1,048,604 for fiscal year 26 and $1.4 million for subsequent years, with funding sources including 62% General Fund, 23% Other, 10% Federal Fees, and 5% State Fees. The technology investment aims to create a scalable, secure software platform supporting case management, document imaging, audit trails, and comprehensive reporting. Vendors must have a Nevada business license and active SAM.gov registration. The evaluation process will weight technical factors at 30 points each and cost at 10 points, focusing on the vendor's ability to maximize funding, provide a high-user experience, support efficient workflows, and demonstrate claims management expertise. Optional services may include mobile apps, a managed care provider panel, and tax document management.

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Bid Q&A for Export Report

40DHHS-S3392 Questions and Answers
QUESTION_NBRCREATED_BYQUESTION_SUBJECTQUESTION_TEXTANSWER_TEXT
1BPATHVendor Start Date ClarificationIn Scope of Work, under A.2, it has work beginning October 14, 2025. However, the BOE approval is not until December, 2025. Please clarify.Work will begin upon BOE approval, which is now anticipated to be December 9, 2025.
2BPATHEOB ExampleIn Scope of Work, under B.3.C, can you provide samples(s) of Explanation of Benefits statements?Attached.
3BPATHBusiness RulesIn Scope of work, under section B.3.B, can you provide the algorithm/business rules on how the individual checks are conducted:
Allowable costs, Adherence to fee schedule, Miscoding, Unnecessary treatment , Excessive treatment, Bundling/unbundling/re-bundling, Allowable treatment, Duplicate payments,Drugs/supplies allowances (based on National Drug Code fee schedule)There is no alorithm for how the indivdual checks are conducted, current process includes contacting providers to request additional documentation as needed. Answer provider questions. Negotiate with insurance companies and providers.
4BPATHSample ReportsIn Scope of work, section B.6, can you provide examples of the reports required?Examples of the federal required reports are attached, these are due quarterly and annually. There is also a need to run reports from the system that includes, applications by crime type, approvals by crime type, payments by funding, claim payments by county, county and crime breakdown, Quarterly Paydown estimator, payment reports.
5BPATHSmart Phone Use CaseIn Scope of work, section D.2, can you provide the use case for the DCFS for using the smart phone?An example from a victim's point of view may include the victim logging on with the app to submit their application, view the status of their claim, upload documents, and submit a response. An example from a DCFS staff point of view would include the information submiteed by the victim integrating into their record in the platform that can then be viewed by staff and processed.
6BPATHMonthly ReportIn Scope of work, section D.3.b, can you provide a sample of the report monthly report?This is a requested report that does not currently exist.

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