435400-O20-0790ACTSRV-00.pdf
PDF 15 MB Posted
- Attached to
- Actuarial Services
- Contract number
- 435400-O20-0790ACTSRV-00
- Issued by
- Wisconsin
About this file
This is an Actuarial Services contract between the State of Wisconsin Department of Health Services and Milliman, Inc., executed on February 10, 2020. The contract is administered by the Division of Medicaid Services and includes a Business Associate Agreement for handling protected health information. The Wisconsin Department of Health Services previously contracted with Milliman through December 31, 2019, to develop actuarially sound capitation rates and provide data analysis for various Medicaid and Long Term Care programs.
The contract provides actuarial services for Medicaid managed care programs, including rate development, data analysis, financial reporting, and regulatory compliance support. The total contract amount is $11,382,800.00 over a three-year term from January 1, 2020, through December 31, 2022, with payment not to exceed $2,276,560.00 annually. The contract includes two optional one-year renewal terms and is partially funded by federal sources totaling $5,691,400. Services encompass comprehensive actuarial work including rate setting, data adjustment calculations, quality review processes, encounter data analysis, cost effectiveness studies, and regulatory reporting for programs such as Family Care, PACE, Family Care Partnership, and Birth to Three programs. The contract operates under a fixed-cost structure with additional work requiring resource estimates and department approval.
View the file
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DocuSign Envelope ID: 20D640CC-DE59-4A95-899E-2506FE8557AC
CONTRACT FOR SERVICES
between
State of Wisconsin Department of Health Services and
Milliman, Inc.
for
Actuarial Services
This Contract is between the State of Wisconsin Department of Health Services (DHS), at 1 West Wilson Street, Madison, Wisconsin 53703, and Milliman, Inc. at 15800 W. Bluemound Rd., Suite 100, Brookfield WI 53005- 6003.
Contract ID Number: 435400-O20-0790ACTSRV-00
Contract Amount: $11,382,800.00
Contract Term: 1/1/2020-12/31/2022
Optional Renewal Terms: Two (2) optional one year renewals
DHS Division: Division of Medicaid Services (DMS)
DHS Contract Administrator: Benjamin Nerad
DHS Contract Manager: Barbara De Young
Contractor Contract Administrator: Shelly Brandel
Contractor Telephone: 262-796-3482
Contractor Email: shelly.brandel@milliman.com
Contractor FEIN: 91-0675641
This Contract will become effective on the date of mutual execution by the parties' authorized representatives. By signing below, the parties acknowledge that this Contract is executed with full knowledge of and agreement with the terms and conditions of this Contract. This Contract becomes null and void if the time between the earlier dated signature and the later dated signature exceeds sixty (60) days, unless waived by DHS.
State of Wisconsin
Department of Health Services
Authorized Representative
Name:
Title:
Signature:
Date:
Contractor
Milliman, Inc.
Authorized Representative
Name:
Title:
Signature:
Date:
Revision: 1/24/2020 (previous versions obsolete)
DocuSign Envelope ID: 20D640CC-DE59-4A95-899E-2506FE8557AC
Shelly Brandel
2/10/2020
Principal and Consulting ActuaryDeputy Secretary
2/10/2020
Julie A. Willems Van Dijk
F-00759 Page 5
14. MISCELLANEOUS PROVISIONS
a. Indemnification for Breach. Business Associate shall, to the extent allowed by Wisconsin law, indemnify the Covered Entity for costs associated with any Incident arising from the acquisition, access, use, or disclosure of Protected Health Information by the Business Associate in a manner not permitted under HIPAA Rules.
b. Owner of PHI. Under no circumtances shall Business Associate be deemed in any respect to be owner of any PHI created or received by Business Associate on behalf of Covered Entity.
c. Third Party Rights. The terms of this Agreement do not grant any rights to any parties other than Business Associate and Covered Entity.
d. Independent Contractor Status. For the purposes of this Agreement, Business Associate is an independent contractor of Covered entity and shall not be considered an agent of Covered Entity.
e. Automatic Amendment. This Agreement shall automatically incorporate any change or modification of applicable state or federal law as of the effective date of the change or modification. The Business Associate agrees to maintain compliance with all changes or modifications to applicable state or federal law.
f. Interpretation of Terms or Conditions of Agreement. Any ambiguity in this Agreement shall be construed and resolved in favor of a meaning that permits the Covered Entity and Business Associate to comply with applicable state and federal law.
g. Survival. All terms of this Agreement that by their language or nature would survive the termination or other conclusion of this Agreement shall survive.
IN WITNESS WHEREOF, the undersigned have caused this Agreement to be duly executed by their respective representatives.
COVERED ENTITY BUSINESS ASSOCIATE
Print Name:
SIGNATURE:
Title:
Date:
Print Name:
SIGNATURE:
_________________ Title:
Date:
COVERED ENTITY
Print Name:
SIGNATURE:
Title:
Date:
DocuSign Envelope ID: 20D640CC-DE59-4A95-899E-2506FE8557AC
Principal and Consulting Actuary
2/10/2020
Shelly Brandel
Deputy Secretary
2/10/2020
Julie A. Willems Van Dijk
| 2020-02-11T05:43:36-0800 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .