762028-event.pdf

Utilization Review The Department of Public Health and Human Services is seeking a contractor to provide utilization management and review (UR) services.

Open 6/28/2019 5:00 PM MDT Type Request for Proposal

Close 8/30/2019 2:00 PM MDT Number DPHHS-RFP-2020-0238R Currency US Dollar

Payment Terms 0% 0, Net 30

Contacts

Rhonda Grandy rhgrandy@mt.gov

Phone +1 406-444-3320

Commodity Codes

Commodity Code Description

1001 Computing Services - Advisory & Research Services

1002 Computing Services - Analysis, Design & Planning Services

1004 Computing Services - Data Center Services

1011 Computing Services - Mainframe Analysis & Programming

1014 Computing Services - Mid-tier Analysis & Programming

1015 Computing Services - Network Services

1019 Computing Services - Quality Assurance Service

1806 Financial Services - Claims Adjuster Services

1808 Financial Services - Economic Assessment Services

1815 Financial Services - Statistical

2611 Health Related - Medicaid Analysis & Audit

2613 Health Related - Medical Services

2614 Health Related - Medical Research

3913 Professional Services - Facilitator Services

19 December 201919 December 2019 mailto:rhgrandy@mt.gov mailto:rhgrandy@mt.gov mailto:rhgrandy@mt.gov

Description

The STATE OF MONTANA, Department of Public Health and Human Services, (hereinafter referred to as “the State”) is seeking a Contractor who is a Quality Improvement Organization (QIO) or QIO-like organization to provide utilization management and review (UR) services which includes level of care determination, PASRR activities, functional assessments, prior authorizations, continued stay reviews and special case reviews for Montana Healthcare Programs in accordance with federal and state rules/regulations and related state policies and procedures.

19 December 201919 December 2019

Required to View Event

Prerequisites Required to Enter Bid

1. Please review and accept the Single Point of Contact information.

2. Offerors must agree and comply with the Attestations as required in this RFP.

3. Offerors must read, understand, and comply with the Scope of Services for this RFP.

4. Offerors must read and comply with the Cost Proposal as described in this document. Offerors must complete the Cost Proposal Template in the questions section.

5. Please review and accept the information regarding submitting an RFP proposal.

6. Please review and accept our RFP general information.

7.

Please review and accept the contract as provided. Bidders/Offerors requesting additions or exceptions to the contract terms must submit them to the procurement officer listed above by the Q&A deadline. The State reserves the right to address nonmaterial requests for exceptions to the standard terms and conditions and contract language with the lowest bidder/highest scoring offeror during contract negotiation.

8. Please review all question and answer entries for this solicitation by clicking on the Q&A Board and viewing each question and answer.

9. Offerors must read and agree to the Evaluation Matrix associated with this RFP. This document explains how proposals will be scored.

Buyer Attachments

There are no Buyer Attachments added to this event.

Questions Required Questions

Group 1: RFP Requirements

1.1 Offerors must upload their QIO or QIO-Like Certification. Offerors who fail this requirement will be eliminated from further consideration.

1.2

Please acknowledge that offeror understands the Equal Pay for Women attachment.

Offerors who agree and certify, by signing and attaching the Certificate, will receive the points assigned to this item. Offerors must sign and upload the certificate to this question in order to receive the points.

1.3 Offerors must state their company name, address, phone number, contact person, email, and Federal ID number.

1.4 Offerors must address all components of the Offeror Qualifications document and upload their answers to this question.

1.5 Offerors must complete the cost proposal template and upload their document to this question.

Group 2: Dark Money

2.1 Download, complete, and upload the attached Dark Money Declaration form in response to this question. If the "No" option is selected on this form, select "No" on the next question. If the "Yes" option is selected on this form, select "Yes" on the next question.

2.2

By answering "No" to this question, the Bidder/Offeror certifies it does not meet the disclosure requirements. By answering "Yes" to this question, the Bidder/Offeror certifies it does meet the disclosure requirements and must download, complete and upload the Dark Money Disclosure Template in the next question.

2.3

The Bidder/Offeror has indicated it meets the disclosure requirements of the State of Montana Executive Order No. 15-2018-Disclosure of Dark Money Spending. Download, complete, and upload the attached Disclosure template in response to this question. Failure to upload a fully completed Disclosure template may result in disqualification of Bidder/Offeror's response. Do not modify the Disclosure template in any way.

Product Line Items Product Line Items

There are no Items added to this event.

Service Line Items Service Line Items

1.

# Item Name, Commodity Code, Description Allow Alternates Qty. UOM Requested Service Delivery

S1 Average Cost for Cost Evaluation 1 EA - Each

Offerors must enter their Average Cost for Cost Evaluation. This number shall be the basis of award for the points associated with cost.

The example formula will be used to evaluate cost:

Example: Total possible points for cost are 250. Offeror A's cost is $20,000. Offeror B's cost is $30,000. Offeror A would receive 250 points. Offeror B would receive 167.5 points ($20,000/$30,000) = 67% x 250 points = 167.5).

Lowest Responsive Offer Total Cost�x�Number of available points = Award Points �This Offeror's Total Cost.

The number is located on cell 64-F on the Cost Proposal Template.