Addendum 2- Question and Answer.xlsx

RFP

Question: Please confirm that the sample marketing plan should be provided as attachments/exhibits separate from the narrative response to Question 19 and will not count towards the page limits for the response. The Offeror may choose to provide the sample marketing plan within the body of the technical response or as an attachment.

All documentation including attachments, plans, and exhibits will be counted toward the total page limit.

Question 19 has been revised to remove the supporting documentation request. See revised RFP Desirable Questions 19.

Request for Proposal Technical Solution - Desirable Elements Technical Question 13, 18, 19, 69 Technical response questions such as 13, 18, 19, 69 require supporting documentation. Please confirm that supporting documentation may be provided as attachments that will not count toward page limits. Question 13- The Offeror may choose to provide the sample marketing plan within the body of the technical response or as an attachment.

Question 18 and 19 have been revised to remove the supporting documentation request. See revised RFP Desirable Questions 18 and 19.

Please see revised RFP Question 69.

All documentation including attachments, plans, and exhibits will be counted toward the total page limit.

Please see section 1.2.27, P and Q in Appendix A- D-SNP Model Contract for committee information.The committees described in the these sections are all separate and distinct committees.

Request for Proposal Technical Solution Desirable Elements Question 43 RFP Technical Question 43 references "customers."

Question: Is HFS referencing the "healthcare transformation collaboratives" identified in the Model Contract (1.2.17.E.g) in Question 44? If not, should Offerors respond with flexibility to define this language in whatever way they feel allows for responses to include approaches that most effectively improve outcomes? Please see revised RFP Question 44.

Healthcare transformation in Question 44 does not reference the Illinois Healthcare Transformation Collaborative exclusively. The Offeror has flexibility in how they define healthcare transformation.

Request for Proposal Technical Solution Desirable Elements Question 62 RFP Technical Question 62 states "Describe the Offeror’s strategy to improve the quality of the Offeror’s network of long-term care providers and sustain high quality over time."

Question: HFS defines LTC and LTSS providers separately in the Model Contact. Please confirm if this question excludes LTSS Providers? No, Long Term Services and Supports (LTSS) includes Long Term Care (LTC) providers. Please see revised RFP Question 62.

All documentation including attachments, plans, and exhibits will be counted toward the total page limit.

- Please confirm that MLTSS members will be removed from the HealthChoice contract and transitioned to the FIDE-SNP contract in alignment with the current MCO.

- If an MCO has a HealthChoice contract but not the FIDE-SNP contract, will they lose all MLTSS members?

Per Section D.3.1.3.1.5 - If HFS does not receive 3 references, the Vendor will receive zero (0) for each missing reference

Each question is worth a set amount of points. If a question is not completed, that question will recieve 0 points.

Question: Will HFS accept a cover letter separate from the Technical Solution Desirable Elements? If so, please confirm it does not count against the 300 page limit for the technical solution desirable elements. And, please indicate if HFS would like to offer a page limit for the cover letter.

Question: We are seeking clarification on the exhibits and attachments that would not be applicable to the page limits - see also examples in questions 3, 4, 5, 6 and 7 below. All documentation including attachments, plans, and exhibits will be counted toward the total page limit.

Please see line 36,37, 45, 47, and 48 for responses to Vendor examples 3,4,5,6,7.

Question: Given the page limitations, the overlap across the Technical Solution Desirable Elements, and the detail asked for in each question, is HFS willing to offer flexibility with regard to this requirement:

1. Will HFS consider removing this requirement?

2. If not, can the Offeror assume evaluators are reviewing each of the technical solutions or questions for each desirable element? And if so, can the Offeror refence another technical solution or question within a desirable element? (Example: Offeror to assume the reviewer for Question 2 has also read Question 1. Is it permissable for the Offerror to include references to Question 2 in Question 1?)

If Offeror employed fifteen or more full-time employees at the time of submission of their response to this solicitation or any time during the previous 365-day period leading up to submission, it must have a current IDHR Public Contract Number or have proof of having submitted a completed application for one prior to contract award or prior to bid opening for construction or construction-related services. 775 ILCS 5/2-101. If the Agency cannot confirm compliance, it will not be able to consider a Vendor’s bid or offer. Please complete the appropriate sections below:

HFS can acknowledge receipt of the communication; however, the Vendor will need to verify with their reference to ensure the correct document was submitted.

Model Contract

The document, Appendix A - D-SNP model contract, states, "Contractor must use a comprehensive Health Risk Assessment (HRA) (including HRSN) designated by the Department for all D-SNP Enrollees..."

Question(s):

1. Please confirm HFS will be developing a Universal HRA to be used by all MCOs.

2. Please provide a copy of the tool that HFS anticipates the MCOs use. If a tool cannot be provided at the current time, please share details of the tool that HFS is adopting. And, please consider engaging MCOs in the development of the comprehensive HRA.

The document, Appendix A - D-SNP model contract, states, "a. Contractor shall develop a comprehensive, person-centered IPoC for all Enrollees within ninety (90) days after enrollment. Contractor shall engage Enrollees in the development of the IPoC as much as possible. An IPoC may not be finalized until signature from the Enrollee or authorized representative has been received either by hand, e-signature, or voice recording.”

Question: The purpose of the IPoC is to develop a person-centered care plan with the Enrollee's strengths and needs in mind. Does HFS expect MCOs to develop an IPoC for members who do not have a completed HRA? And, does HFS expect MCOs to develop an IPoC for members who have refused or have been unable to reach for the initial and annual assessment? All Enrollees are required to have an HRA and IPOC. Please see revised Section 1.2.14.E.a and 1.2.14.K.

Appendix A - D-SNP model contract 1.2.14 Care Coordination, 1.2.14.S.e The Medicare-Medicaid Alignment Initative contract states, "2.5.4.6: Contractor shall assume the lead role in supporting individuals transitioning from institutional settings to the Community. Contractor will work in collaboration with the existing community agencies that provide transition coordination services."

The document, Appendix A - D-SNP model contract, states, "e. Money follows the Person (MFP). Contractor shall assume the lead role in supporting individuals transitioning from institutional settings to the community. Contractor will work in collaboration with the existing community agencies that provide MFP transition coordination services.”

and "c. Medicaid Uniform Provider Credentialing and Re-credentialing. In accordance with 42 C.F.R. § 438.214, enrollment in the Illinois Medicaid Program Advanced Cloud Technology (IMPACT) system constitutes Illinois’ Medicaid managed care uniform credentialing and re-credentialing process. To participate in Contractor’s Provider network, Contractor must verify that all Providers, Medicare and Medicaid are enrolled in IMPACT."

Question: Can HFS confirm if providers who are delivering Medicare covered services such as PCP and specialist services are required to be enrolled in IMPACT?

The document, Appendix A - D-SNP model contract, states, "a. Unless an Enrollee requests an expedited Appeal, for Level One Appeals other than for Part B drugs, Contractor shall render its decision on the Appeal within fourteen (14) Days from the date of receipt of the request of the Appeal and shall provide the Enrollee with written notice of the resolution pursuant to 42 C.F.R. § 422.633(f). Standard Appeals regarding Medicare Part B drugs will be resolved according to timeframes in 42 C.F.R. §§ 422.590(c) and (e)(2))."

Question(s):

1. Please confirm that the turnaround time for non-Part B standard appeal is 14 days; and the timeframe to submit an upheld or partially upheld decision is 30 days. (Vendor name included by Offeror was deleted)

2. Please also confirm that MCOs now have an additional 16 days to submit an upheld or partially upheld decision. (Vendor name included by Offeror was deleted) The non-part B standard appeal is fourteen (14) days. The remaining questions on submission timeframes are not applicable to the resulting contract. This section 1.2.24.D.a relates to Enrollee grivances and appeals.

Appendix A - D-SNP model contract 1.2.27 Quality Assurance Program, 1.2.27.F.b.i AND 1.2.27.HH.b. The Medicare-Medicaid Alignment Initative contract states, "2.13.17.2: Conduct, as directed by the Department, the POSM survey for Enrollees in the Elderly Waiver (Community Care Program (CCP)) HCBS Waiver. This shall require that individuals conducting such survey are appropriately and comprehensively trained, culturally competent, and knowledgeable of the population being surveyed. Beginning May 1, 2022, Contractor shall administer questions at each annual reassessment to determine the Enrollee’s perception of their quality of life using a questionnaire format of Contractor’s choice."

The document, Appendix A - D-SNP model contract, states, "1.2.27.F.b.i. Model contract states “A process to utilize HEDIS®, Consumer Assessment of Healthcare Providers and Services (CAHPS), Participant Outcomes and Status Measures (POSM), and Illinois specific measures as applicable, the Health Outcomes Survey (HOS) and other measurement results in designing QI activities” And “1.2.27.HH.b. Conduct, as directed by the Department, the POSM survey for Enrollees in the Elderly Waiver (Community Care Program (CCP)) HCBS Waiver....."

HFS will provide a copy of the Health Risk Assessment tool to the awarded MCOs. Please also see section 1.2.14.D.

BEP

-If they are a current vendor, should I be putting their original contract date with us? Such as 7/1/2023 -Or, are we required to put the future DSNP contract start date of 7/1/2025 At the bottom of page 5 number (b) when it states anticipated start date of the Certified BEP vendor

-If they are a current vendor, should I be putting their original contract date with us? Such as 7/1/2023 No

-Or, are we required to put the future DSNP contract start date of 7/1/2025 Yes, please enter estimated start date pertaining to D-SNP B-44525 UPLAN On the top of page 6 part (c) when it states the participation agreement shall have a term date from _____ to _____

-If they are a current vendor should we put a start date such as 10/1/2024 since new agreements are being signed?

-Or back to their original start date in the previous section (b)

-Or start of the new contract like 7/1/2025 since it is tied to this new contract/bid number start date? If they are a current vendor should we put a start date such as 10/1/2024 since new agreements are being signed? No

-Or back to their original start date in the previous section (b) No

- Or start of the new contract like 7/1/2025 since it is tied to this new contract/bid number start date? Yes, please enter estimated start date pertaining to D-SNP B-44525 UPLAN Also in part (c) for the term date, there is an initial term commencing for this bud number starting on 7/1/2025 period associated with this bid number and then the optional extension period

-Should we put in the term date as 12/31/2029, or

-Should we put the potential renewal term date which is 5 ½ years later which would be 7/1/2035 Should we put in the term date as 12/31/2029, or Please enter the estimated state date and estimated end date for section c pertaining to D-SNP B-44525

Should we put the potential renewal term date which is 5 ½ years later which would be 7/1/2035 Yes, please enter the estimated renewal date & years pertaining to D-SNP B-44525 UPLAN Page 7, Para 3, Sent 1: Note: The new URL links in the new document are still tied to the old URL.

Page 9, Para 1, Line 11: Note: The new URL links in the new document are still tied to the old URL.

Page 19, Para 2, Line 4: Note: The new URL links in the new document are still tied to the old URL.

Page 20, Para 5, Line 6: Note: The new URL links in the…