41NHA-S3922 - RFP Technical Proposal Questions.docx

41NHA-S3922 - 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 per Senate Bill (SB) 389, the Department is mandated to develop and implement a new drug pricing benchmark known as the Nevada Average Acquisition Cost (NVAAC) 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 develop and implement a new drug pricing benchmark known as the Nevada Average Acquisition Cost (NVAAC). This benchmark will be used to measure the price of prescription drugs purchased within the state directly from manufacturers and wholesalers. 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 the Nevada Average Acquisition Cost Project.

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

RFP CRITERIA

Experience Vendor’s demonstrated experience, qualifications, and past performance in pharmacy reimbursement and AAC-based program design and operations.

Survey Vendor’s demonstrated expertise in administering a survey and accompanying data analysis necessary to implement and operate the NVAAC Program.

Approach and Methodology Vendor’s demonstrated expertise in approach and methodology for statistical processes aligned to the goals of the NVAAC.

Reporting Vendor’s demonstrated approach and expertise with required reporting.

Dissemination/Communications Strategy Vendor’s demonstrated expertise with clearly and timely communications of cost data.

Provider Appeals Vendor’s demonstrated expertise and proposed approach to allowing and facilitating provider appeals.

Cost Vendor’s proposed cost to deliver the full Scope of Work, evaluated for reasonableness, completeness, and alignment with the technical approach.

Technical Proposal Questions Experience

· Comparable Projects developed and implemented

· Services performed in comparable projects

· Outcomes Achieved in comparable projects

· Specific roles and responsibilities

Survey

· Survey scheduling and selection of pharmacies for the survey,

· Survey instrument collection from pharmacies and wholesalers

· Security measures used to protect confidential, proprietary, or sensitive information collected from pharmacies, wholesalers, and other sources, including methods for secure transmission, storage, access control, and subcontractor oversight, if applicable.

· Solutions to address special process.

Approach and Methodology

· The statistical and averaging process to be used

· The statistical validity if a subset of pharmacies is used for NVAAC determination

· The different levels (e.g. NDC, HCPCS) of drug identification or grouping for which NVAAC will be calculated

Reporting

· The reports identified in the Scope of Work

· The timing (e.g., weekly, monthly)

· The format (e.g., Excel, PDF) for each report

· How reports will be delivered to NVHA

· Ad Hoc reporting capabilities and processes

Dissemination/Communications Strategy

· The dissemination strategy and steps to ensure timely, accurate, and secure transfer of NVAAC data to NVHA, fiscal agent(s), PBMs, and other authorized recipients, including processes for identifying and resolving data transmission issues.

· The development and maintenance of Contractor-developed webpage content and supporting services for the NVAAC webpage hosted by NVHA, including the content required by the Scope of Work and processes used to maintain the integrity and availability of published information.

Provider Appeals

· Description of an online appeal form process

· Toll Free Helpline – including hours of service, location of call center, and anticipated staffing levels

· Description of how inquiries will be prioritized, timing of responses to issues, and a tracking system to log all calls, including call resolution information, while protecting confidential, proprietary, or sensitive information and limiting access to authorized personnel.

· Call Center reports, including a daily Unresolved Inquiries report.

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