Addendum_3_RFP_3015_25.pdf

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Attached to
CONTRACT: ADMINISTRATION OF MEDICAL BENEFITS
Solicitation number
RFP 3015-25
Issued by
Merrimack County, New Hampshire

About this file

This document is Addendum #3 to Bid Invitation 3015-25 issued by the State of New Hampshire's Division of Procurement and Support Services, Bureau of Purchase and Property, concerning the administration of medical benefits. The addendum, dated April 4, 2025, modifies Section 7.5.1 of the original bid solicitation, specifically outlining the state's right to remove various medical administration services from the contract. Bidders are required to indicate whether their proposed fees would change if specific services like wellness program administration, flu vaccination, care management, disease management, health coaching, digital health applications, and other related services are removed. The bid closing date is set for April 17, 2025, at 2:00 PM EST.

The addendum introduces new requirements for bidders, including confirmation of support for the state's engagement with third-party Centers of Excellence (COE) and/or Advocacy Model vendors. Bidders must demonstrate their experience working with such vendors, describe any limitations in collaboration, and provide detailed responses about their capabilities in sharing eligibility and claims files, supporting plan design requirements, and making referrals. The document emphasizes the need for flexible and comprehensive medical benefits administration, with potential for removing or modifying various service components. Bidders are instructed to submit alternative Administrative Fee exhibits if their proposed fees would change with the removal of specific services, indicating a nuanced approach to pricing and service delivery.

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STATE OF NEW HAMPSHIRE

DIVISION OF PROCUREMENT AND SUPPORT SERVICES

BUREAU OF PURCHASE AND PROPERTY

STATE HOUSE ANNEX

25 CAPITOL STREET

CONCORD, NEW HAMPSHIRE 03301-6398

DATE OF CHANGE: April 4, 2025

ADDENDUM # 3 TO BID INVITATION 3015-25

DATE OF BID CLOSING: 4/17/2025 TIME OF BID CLOSING: 2:00 PM (EST)

FOR: ADMINISTRATION OF MEDICAL BENEFITS

SECTION 7.5.1 CURRENTLY READS:

7.5.1 Right to Remove or Add Services

7.5.1.1 IMPORTANT NOTE - The State reserves the right to remove services from the medical administration contract. If your proposed fees would be different if any of the following are removed from the contract, you must complete additional copies of the Administrative Fee exhibits reflecting the different fees.

Possible services removed from medical administration contract

Response

All Wellness program administration Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Flu Vaccination / Biometric screening Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Care Management Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Disease Management Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Health Coach Program Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Nurse Health Coach Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Digital Health Application Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included Medical Pharmacy Administration Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Incentive Reward Administration Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Health Assessment Tool (HAT) Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

CHERP (Community Health Education Reimbursement Program)

Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Program Integrity or Enhanced Fraud and Abuse Program

Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Incentive Shopping Program Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Non-Medicare Retiree Plan administration Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

SECTION 7.5.1 CHANGED TO READ: (NOTE: the addition of ‘’Member Services’ to the chart listing possible services removed from medical administration contract and items 7.5.1.2, 7.5.1.3, and 7.5.1.4.)

7.5.1 Right to Remove Services

7.5.1.1 IMPORTANT NOTE - The State reserves the right to remove services from the medical administration contract. If your proposed fees would be different if any of the following are removed from the contract, you must complete additional copies of the Administrative Fee exhibits reflecting the different fees.

Possible services removed from medical administration contract

Response

All Wellness program administration Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Flu Vaccination / Biometric screening Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Care Management Single, Pull-down list.

2: Proposed fees change and alternative Administrative Fee exhibits are included

Disease Management Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Health Coach Program Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Nurse Health Coach Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Digital Health Application Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Medical Pharmacy Administration Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Incentive Reward Administration Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Health Assessment Tool (HAT) Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

CHERP (Community Health Education Reimbursement Program)

Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Program Integrity or Enhanced Fraud and Abuse Program

Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Incentive Shopping Program Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Non-Medicare Retiree Plan administration Single, Pull-down list.

Centers of Excellence (COE) Single, Pull-down list.

1: Proposed fees unchanged, 2: Proposed fees change and alternative Administrative Fee exhibits are included

Member Services Single, Pull-down list.

1: Proposed fees unchanged,

7.5.1.2 Confirm you will support the State’s engagement with a third-party COE and/or Advocacy Model vendor(s), including, but not limited to, sharing eligibility and claims files, supporting the administration of plan design requirements, updating accumulators, making referrals to maximize utilization and a better patient experience.

Single, Radio group.

1: Confirmed, 2: Not confirmed, explain: [ 200 words ]

7.5.1.3 Please describe your experience working with third-party COE and/or Advocacy Model vendor(s) on behalf of your clients.

500 words.

7.5.1.4 What limitations if any, do you apply to working with a third-party COE and/or Advocacy Model vendor(s)?

500 words.

PURCHASING AGENT: Abbie Poole Email: NH.Purchasing@das.nh.gov

NOTE: ALL CHANGES TO BID SOLICITATION NOTED IN ADDENDUMS WILL SUPERSEDE

PREVIOUSLY SUBMITTED DOCUMENTS AND MUST BE SUBMITTED WITH THE BID. ALL OTHER

SPECIFICATIONS REMAIN UNCHANGED AND VALID.

BIDDER ____________________________ ADDRESS ____________________________

BY ________________________________ ____________________________

(this document must be signed)

________________________________ TEL. NO.____________________________

(please type or print name)

Please visit: https://das.nh.gov/purchasing/vendorresources.aspx (click on “Bid and Proposals”) for complete bid and addendums.

mailto:NH.Purchasing@das.nh.gov https://das.nh.gov/purchasing/vendorresources.aspx

7.5.1 Right to Remove or Add Services

File details come from the government source that posted it. Updated .