5FEA932D-A443-F834-C369AEC7AD13A552.pdf

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Attached to
Mediation Services
Solicitation number
2026-46-06
Issued by
Franklin County, Ohio

About this file

This is Addendum 1 to an RFP issued by Franklin County, Ohio (specifically the Board of Commissioners) for Cancer Concierge/Navigation Services (RFP# 2026-06-04). The addendum, dated May 18, 2026, announces the closure of the question submittal period, which ended May 13, 2026 at 5:00 PM EST, and provides written responses to eighteen questions submitted by interested vendors. The RFP seeks a vendor to provide cancer navigation and concierge services to eligible members of the County's health plan, which includes 14,168 total lives with 71 members in active cancer treatment as of 2025. Key service requirements include providing confidential telephonic access to a call center during regular business hours, maintaining and providing aggregate de-identified usage data and ROI analysis, and offering preventive and educational programs both virtually and in-person. Vendors are not automatically excluded from submitting proposals if they cannot meet all aspects of the Scope of Work; however, any deviations must be clearly listed in the proposal questionnaire.

The County is open to alternative pricing models beyond the traditional per-member-per-month (PEPM) structure, including utilization-based pricing, provided vendors detail assumptions and calculations. Vendors should base utilization projections on their typical engagement rates for similar populations. The contract will include a maximum spend cap for fiscal and legal reasons, which may be adjusted through contract modification if utilization exceeds estimates. The County indicated it is open to discussing claims data sharing with the selected vendor during negotiations. Notable contract provisions include a 30-day termination-for-convenience clause (non-negotiable), a Business Associate Agreement for PHI handling, professional liability and cyber liability insurance requirements, and payment terms of up to 45 days from invoice. The County will not agree to mutual indemnification clauses, as Ohio law prohibits the County from indemnifying other entities.

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Text version

Commissioner John O’Grady Commissioner Kevin L. Boyce Commissioner Erica C. Crawley President

Purchasing Department Megan Perry-Balonier, Director

May 18, 2026

RFP# 2026-06-04 Cancer Concierge/Navigation Services

ADDENDUM 1

Please note the following changes to the RFP packet.

I. Section 4.8 RFP Question Submittal Form

The question submittal period is now over and no further questions regarding the RFP document will be accepted by the County. Eighteen questions were submitted by the deadline, and all are answered in writing.

Please review the attached form 4.8 RFP Question Submittal Form for written questions and answers.

Thank you for consideration of your response to this RFP. Proposers are asked to submit a signed copy of this document, this page (only), with their proposal response as confirmation of receipt of ADDENDUM 1 (including attachments):

By signing below, I hereby state I have received ADDENDUM 1:

Signature of Authorized Representative

Company Name

Date

4.8 RFP QUESTION SUBMITTAL FORM

RFP# 2026-06-04 Cancer Concierge/Navigation Services RFP Question Submittal Form

The deadline for submitting questions is May 13, 2026 by 5:00 P.M. Eastern Standard Time. Questions pertaining to this RFP should be submitted via Appendix 4.8 RFP Question Submittal Form and emailed to Timah.aboagye1@franklincountyohio.gov in Microsoft Word format by the Deadline to be considered for a response.

Questions and Answers:

Q# Appendix or RFP Document:

Section Number:

Question: Answer:

1. RFP 2026-06-04

Cancer

Concierge/Navigation Services

If we are only able to fulfill the following from the scope of work:

5. Vendor will maintain and provide to the County data including aggregate/de-identified usage of the service (i.e., number of calls, oncologist referrals, etc.), ROI, and any other data which would allow the county to enhance health benefits for Cooperative members.

6. Vendor will offer preventive and educational programs both virtually and in-person to engage the population in healthy choices Are we excluded from submitting a proposal?

Not meeting certain parts of the Scope of Work does not exclude a Vendor from submitting a proposal. However, any aspects of the Scope of Work that a Vendor cannot meet should be listed as a deviation in Q7 of the Questionnaire.

2. RFP 2026-06-04

Cancer

Concierge/Navigation Services

If we are only able to offer confidential telephonic access to a call center during the following times, Monday– Thursday: 9 am–7 pm ET, Friday: 9 am–6 pm ET, are we excluded from submitting a proposal? 1. Vendor will provide eligible members with confidential telephonic access to a call center during

Not meeting certain parts of the Scope of Work does not exclude a Vendor from submitting a proposal. However, any aspects of the Scope of Work that a Vendor cannot meet should be listed as a deviation in Q7 of the Questionnaire.

mailto:Timah.aboagye1@franklincountyohio.gov regular business hours (8AM- 5PM EST M-F), for information and support regarding cancer-related

Issues.

3. Section 4.3

Pricing Form Sec. 2.3, 4.3

Vendor proposes utilization-based pricing rather than a per-member-per-month (PEPM) model. Please confirm this is acceptable.

The County is open to pricing models other than PEPM. If providing utilization-based pricing, please include details on any assumptions and/or calculations used.

4. Section 4.3

Pricing Form Sec. 4.3 For purposes of modeling utilization-based pricing, what assumptions should vendors use regarding expected member engagement rates? Is historical utilization data from the current vendor available?

Base utilization-based pricing on your book of business in terms of what you typically see for engagement in a population like the County’s. The statistics below may be helpful.

-71 members in active cancer treatment in 2025; 68 in 2024

-14,168 total lives on the health plan

-6,579 benefits-eligible employees with 6,084 enrolled in the health plan

-2,540 spouses enrolled in the health plan

5. Scope of Work Sec. 3.0 Will the County make claims data available to the selected vendor to support baseline establishment and ongoing

ROI analysis? If so, through what mechanism (direct data share, TPA authorization, etc.)?

The County is open to discussing the sharing of claims data with the selected vendor during the negotiation process.

6. Appendix

4.1.2 SEBE

App. 4.1.2 Is Appendix 4.1.2 (Small and Emerging Business Enterprise Information Form) required for vendors who do not qualify as a Small or Emerging Business Enterprise? If so, how should non-qualifying vendors complete the form?

Vendors who do not qualify as a SEBE should check the “NONE

OF THE ABOVE” box at the bottom of page 3. Vendors who do not qualify as an SEBE are not required to fill out the notarized document on page 4.

7. Draft Contract Sec. 4.08

Sec. 4.08 Section 4.08 outlines insurance requirements. Can the County confirm the minimum required coverage limits for Professional Liability (E&O) and Cyber Liability, and whether vendors must name the Franklin County Board of

See Sec. 4.0 for minimum required coverage limits.

Commissioners as additional insured on all listed policies?

8. Draft Contract

Sec. 2 Section 2 appears to include a maximum spend amount. Can the County confirm whether this represents a hard cap on total contract value, and whether there is any flexibility to negotiate this limit given that utilization-based services may be difficult to cap without restricting participant access to care?

The contract must state a total contract maximum for fiscal and legal reasons. For utilization-based services, this cap will be estimated and will only be adjusted with the approval of a contract modification, if necessary. Any modification would be based on a volume higher than the estimate, not on a change in the underlying rate, which the County expects to remain fixed for the term of the contract.

9. Draft

Contract Sec. 4.03 Section 4.03 currently provides for one-way indemnification in favor of the County. Would the

County consider mutual indemnification provisions that protect both parties from claims arising out of the other party’s own negligence or misconduct?

The County cannot legally indemnify another entity.

10. Draft Contract

Sec. 6.02 If the contract involves direct invoicing rather than claims-based billing, would the County agree to net 30 payment terms from the date of invoice?

The County generally needs to reserve up to 45 days to make a payment due to administrative and fiscal processes. Payments are often made more quickly, but the County cannot guarantee that they will be.

11. Draft Contract

Sec. 8.01 Section 8.01 grants the County the right to terminate for convenience with 30 days’ notice. Would the County consider modifying this provision so that termination for convenience is permitted only after the first contract year, and requires at least 90 days’ prior written notice?

Section 8.01 is the preference of the County for the right to terminate. No, it is not negotiable.

12. Draft Contract

Sec. 8.01(2) Section 8.01(2) permits the County to terminate the contract if funds are not appropriated for the services. Is this provision required under Ohio law and therefore non-negotiable?

Yes, it is required. No, it is not negotiable.

13. Draft Contract

(BAA)

BAA Can the County confirm that the Business Associate

Agreement (BAA) is intended

The BAA would apply to any PHI created, transmitted, received or stored on behalf of to apply only to Protected Health Information (PHI) that the County provides to vendor, or that is provided on the County’s behalf, and that it does not extend to PHI that vendor collects directly from patients in the course of providing healthcare services?

the County when serving its plan members.

14. Draft Contract

(BAA)

BAA

Sec. VI.i

BAA Section VI.i addresses data ownership. Would the

County agree that de-identified data is not subject to County ownership provisions? Once data has been de-identified in accordance with HIPAA standards, Color, vendor would have no means of associating it with the County.

Provided the data is de-identified in accordance with

HIPAA standards, that is correct.

15. Draft Contract

(BAA)

BAA

Sec. II.i

BAA Section II.i requires vendor to provide books and records to the Covered Entity.

HIPAA requires a Business

Associate to make such records available to the Secretary of

HHS, not to the Covered Entity. Would the County agree to limit this provision to what is required under applicable law?

We will agree to require only what pertains to your business with the County.

16. Draft Contract

General If a vendor wishes to propose modifications to the draft contract or Business Associate Agreement, does the County have a preferred process for submitting proposed language changes as part of the RFP response (e.g., a redlined contract attachment or a separate contract exceptions exhibit)?

The County’s draft contract and Business Associate Agreement are included for information purposes only. Vendors should not submit redlined versions of either document. However, any aspects of the draft contract and Business Associate Agreement that a Vendor cannot meet should be listed as a deviation in Q7 of the Questionnaire.

17. In question #5, how are you defining an officer of the company?

All c-suite personnel, anyone who reports directly to the board, or anyone with fiduciary responsibility in the company.

18. In the RFP, Section 3.0 Scope of Work point #3: How are Eligible members defined in this RFP?

The current program defines eligible members as one of the following:

-benefits eligible employee, regardless of enrollment in the health plan

-an eligible dependent of the employee

-an immediate family member of the employee (parent, sibling, child, grandparent, in-law, aunt/uncle, niece/nephew)

Not being able to meet parts of the Scope of Work (i.e., not being able to provide your services to the same populations as the current program) does not exclude a Vendor from submitting a proposal. However, any aspects of the Scope of Work that a Vendor cannot meet should be listed as a deviation in

Q7 of the Questionnaire.

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