41NHA-S3848 Technical Proposal Questions- Attachment A.docx

Attachment A – Technical Proposal Questions This Request for Proposal (RFP) attachment outlines the Technical Proposal Questions that Contractors must answer in their Technical Proposal responding to this Solicitation. Contractors will be evaluated on the quality and completeness of their responses to the questions, and responses should demonstrate the Contractor’s full understanding of all contractual requirements contained in Scope of Work.

The Contractor must provide a response to each question in this attachment. As prompted by the question, Contractors are expected to discuss their:

1. Approach to addressing the issue in the narrative question, highlighting how their approach will (a) allow the Contractor to fulfill the contractual requirements, (b) align with outlined program goals, and (c) represent innovation and/or best practices;

1. Capabilities to implement their proposed approach, which could include organizational structure, staffing resources, operational infrastructure, intended approach to engaging subcontractors, established operational protocols, and technology infrastructure and resources (e.g., IT systems and system capabilities); and

1. Experience related to the issue in the narrative question that illustrates how the Contractor has successfully addressed this issue in contexts comparable to those required of the Non-Emergency Transportation (NET) Contractor in Nevada.

Contractors should not assume that the individuals involved in the evaluation process are familiar with any current or past work activities with the State or in other states.

Responses to each question should be complete and may not reference responses provided to other questions in the Technical Proposal.

When citing relevant experience, the Contractor must clearly state what program(s), state(s), and year(s) the experience comes from and how it will translate to Non-Emergency Transportation program (e.g., total enrollees in program, covered populations, covered services) and to the issues discussed in the question. In responding to a question, if the Contractor will use a subcontractor to fulfill any part of the response, the Contractor must provide the name of the subcontractor and explain how the subcontractor’s performance will be no less effective than if done by the Contractor. Contractors with experience delivering Medicaid NET are strongly encouraged to use Medicaid examples whenever possible. Contractors without relevant Medicaid experience may provide examples from a comparable low-income insurance program.

When providing data in a response, Contractors must include a brief description of each data measure, why it is a relevant measure of impact for the example provided, and a brief explanation of the data methodology (including sample size, where appropriate).

Contractors must adhere to the formatting requirements outlined in Section 9.2 of the RFP. Each question has a maximum number of points available and are outlined in the table below.

Joe Lombardo Governor

NEVADA HEALTH AUTHORITY

NEVADA MEDICAID

4070 Silver Sage Drive Carson City, Nevada 89701

NVHA.NV.GOV

Stacie Weeks, Director

Ann Jensen, Administrator

Technical Proposal Question Scoring:

C. Provider Network

Technical Proposal Questions Overall Experience

Responses must include a summary table with the information listed below for each state where the Contractor served in a similar capacity:

· Name of state/state program;

· Start and end date of the contract;

· Delivery model of services by geography

· Services and population covered under the contract

· Provider network adequacy

· Instances of sanctions due to non-compliance including contract suspensions, termination, penalties, or corrective action plans (imposed by the State or other regulator

Operations and Collaboration

· The ways a recipient or other individuals can request services

· How medically appropriate and cost-effective modes will be determined for each request

· What technology will be used to facilitate the operations of the NET program for both Contractor staff, subcontracted providers, community partners, and members.

· Accommodation of last-minute requests for appointment changes, transportation provider no-shows and delayed vehicles.

· Successfully using the approach to achieve program improvements

· Offering translation services to recipients for transportation requests, grievances and notices of decisions.

The response should at minimum include:

· A detailed plan outlining outreach tasks and cadence for activities.

· Type of entities to which outreach will be conducted.

· Examples of Contractor’s experience working with Tribal entities and Child Welfare Agencies.

Provider Network

The response should include:

· The Contractor’s understanding of current network challenges in Nevada and strategies to address them.

· How the Contractor will ensure timely access to:

· Cost-effective transportation for medically necessary Medicaid-covered services statewide, taking into consideration geographic variations in where recipients reside across Nevada.

· A comprehensive range of transportation modalities, including public transportation (fixed-route and paratransit), taxicabs, transportation network companies (TNCs), wheelchair-accessible vans, community-based non-professional drivers, stretcher vehicles, gas mileage reimbursement (GMR), commercial airline services, and other travel-related expenses such as meals and lodging when appropriate.

· Specialized transportation services for recipients with specific medical conditions or treatment needs, including but not limited to dialysis, pregnancy-related care, and other health conditions, including coordination with Regional Transportation Commissions.

· Secure behavioral health transport designed and staffed to ensure safe transport of individuals experiencing a mental health crisis.

The response should also include detail on how the Contractor proposes to oversee subcontractor requirements and the process for implementing subcontractor corrective action plans for non-compliance.

Response should include two examples in which the Contractor implemented a successful program for provider recruitment and retention.

1. Complex Case Scenarios

Jane is a twenty-nine-year-old who lives in Las Vegas and travels with her 8-year-old daughter, Maggie, who has frequent dental appointments. They also travel monthly to Los Angeles for appointments with an endodontics specialist.

Policy states that one attendant is allowed to be authorized when medically necessary for the recipient to attend the medical appointment. As the parent, Jane is authorized as the attendant to accompany her daughter’s appointment; however, Jane repeatedly requests that her husband and other three-year-old son also be allowed to travel even though no medical necessity justification is provided for the additional attendants. Jane expresses frustration at not being approved for her entire family to travel with her and demands the Contractor accommodate her request.

Describe the Contractor’s approach to educating Jane on the transportation policy and addressing her complaints.

Sage Psychiatric Residential Treatment Center is a 20-bed facility which services youth under 21 years of age with complex mental health needs. Due to health and safety concerns, this facility is being shut down and all 20 kids need to be transported to a new location within a week.

The Contractor should provide a detailed response outlining how all transports will be accomplished within the tight timeframe while ensuring the safety of the minor recipients.

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