AHCA RFI 014-2425 Addendum No. 1.pdf

RON DESANTIS

GOVERNOR

SHEVAUN HARRIS

SECRETARY

Facebook.com /AHCA Flor ida Twit ter .com/AHCA_FL

2727 Mahan Dr ive • Mai l Stop #15 Ta l lahassee , FL 32308 AHCA.MyFlor i da .com

April 17, 2025

Prospective Vendor(s):

Subject: Solicitation Number: AHCA RFI 014-24/25, Addendum No. 1

Title: Florida Medicaid Management Information System Takeover and Modernization

This addendum to the subject solicitation provides the Agency’s responses to written questions.

All other terms and conditions of the solicitation remain in effect.

Sincerely, Brooke Coulliette Procurement Officer Bureau of Purchasing and Contract Administration

Enclosures:

Addendum No. 1 - Questions and Answers

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

ADDENDUM NO. 1

QUESTIONS AND ANSWERS

NO. VENDOR NAME QUESTION ANSWER

1 Tetrus Corp Can we repond to parts of the rfi, or do we have to respond in entirety? (We have experience in Attachment A, items 1-4)

The Agency prefers a complete response but welcomes all responses.

2 Tetrus Corp

When does the state expect to issue the RFP for the Modernization?

pieces of functionality?

The Agency is seeking guidance from the vendor community to determine the best approach to modernize the current FMMIS.

The issuance of an RFI does not guarantee a future procurement will be issued.

3 Cloud Navigator

Is it certain that Gainwell Technologies will not continue operating FMMIS? Stated another way, Is AHCA prohibiting Gainwell from continuing to operate FMMIS, or is Gainwell intending to discontinue providing these services? May I assume that Gainwell will continue to be the agency's Fiscal Agent regardless of whether or not they continue operating FMMIS?

I ask because I would like to contact someone at Gainwell. Can you provide a contact at Gainwell that I may contact?

The current Fiscal Agent contract expires on December 31, 2027.

Gainwell would not be prohibited from bidding on any future procurements issued.

4 SI Delivery Consulting

What level of pressure is Agency leadership experiencing in Florida, given the current political climate, the significant federal investment in modernization to date, and the limited realization of outcomes that benefit members, providers, and taxpayers?

The Agency issued the RFI to obtain feedback and recommendations from the vendor community on a modernization approach.

5 SI Delivery Consulting To what extent is Agency leadership open to exploring alternative strategies that deviate from traditional modernization approaches?

The Agency issued the RFI to obtain feedback and recommendations from the vendor community on a modernization approach.

6 SI Delivery Consulting

How receptive is the Agency to RFI responses that emphasize outcome-driven strategies? Is there a willingness to pivot from the current approach if a more effective path is identified?

The Agency issued the RFI to obtain feedback and recommendations from the vendor community on a modernization approach. No approach has been finalized at this time.

7 Conduent Is a PDF electronic file submission permitted? Yes.

8 Conduent Are there any remaining non-Linux, non-Windows operating systems in use in the FMMIS?

No.

9 Conduent

Are there proprietary components that must be replaced during a takeover? For example, will a successor vendor be replacing Gainwell Connect Lite or taking it over?

The Agency issued the RFI to obtain feedback and recommendations from the vendor community on a modernization approach.

10 Edifecs As you make the decision to resume or re-procure what are the biggest risks you would like to mitigate?

Interruption of core business functions that support the recipient and provider communities.

11 Edifecs

States have taken a varied approach to modularity, which states is Florida looking to as lessons learned?

The Agency, each year, conducts a market scan of other state's approach to modularity and maintains contact with those states and federal partners to identify new strategies, lessons learned, and approaches to modularity.

12 Boston Consulting Group

Can the Agency provide additional technical and operational details regarding the current state of GainwellConnect Lite and its expected capabilities at the point of vendor transition by EoY 2027?

Gainwell ConnectLite is anticipated to go-live in January 2026.

13 Boston Consulting Group

Does the current FMMIS infrastructure or adjacent systems include mainframes or other legacy technology not mentioned in the RFI (e.g., COBOL-based systems, legacy batch processing environments)?

FMMIS does bring in files generated by COBOL based systems.

14 Boston Consulting Group

Can the Agency clarify if the standalone module will fully replace all claims processing logic and business rules currently residing in the legacy FMMIS, or will some of the current logic remain active within legacy systems?

The Agency is seeking vendor input for the best approach for the delivery of a standalone module or modules. Input from this RFI may inform any future decision.

15 Boston Consulting Group

Are there additional, specific technical standards, compliance requirements, or preferred software frameworks vendors should adhere to when modernizing the FMMIS, including security or compliance standards (beyond HIPAA and MITA)?

All module vendors are required to follow all FX Standards. If this RFI leads to a future procurement, these standards will be provided with the procurement.

AHCA RFI 014-24/25, Addendum No. 1, Page 1 of 2

ADDENDUM NO. 1

QUESTIONS AND ANSWERS

NO. VENDOR NAME QUESTION ANSWER

16 Boston Consulting Group

What is the current number of staff, their skill profiles, and ways of working (e.g., development approach) of the existing Fiscal Agent team that the vendor might be expected to retain or replace during the transition?

Respondents can review the current Fiscal Agent contract with pricing schedules that include staffing on the Florida Accountability Contract Tracking System and search for MED037.

17 Infocrossing, LLC

Is the AHCA open to SaaS platforms which are hosted outside of Florida's cloud platform?

The Agency issued the RFI to obtain feedback and recommendations from the vendor community on a modernization approach.

18 Infocrossing, LLC What is current cloud architecture? The FMMIS is an on-premises solution.

19 Infocrossing, LLC

We understand the larger vision is to reduce cost, improve availability, and increase data accessibility however can AHCA expand on the business problems they are trying to solve and are there any shortcomings in the current solution(s) that provide claims/encounter processing, financial management, or recipient data management?

The age of the legacy system requires modernization.

20 Infocrossing, LLC Is AHCA leveraging a commercially available rules engine today? If so, which one?

No.

21 Infocrossing, LLC

How many rules are configured and active today? The current management and application of rules does not happen in a single component, but through multiple components which work together to comprise the business process workflow.

AHCA RFI 014-24/25, Addendum No. 1, Page 2 of 2