AHCA RFP 001-2627 - Addendum No. 1.pdf

RON DESANTIS

GOVERNOR

SHEVAUN L. HARRIS

SECRETARY

Facebook.com /AHCA Flor ida Youtube .com /AHCA Flor i da

X .com/AHCA_ FL

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

October 6, 2026

Prospective Vendor(s):

Subject: Solicitation Number: AHCA RFP 001-26/27, Addendum No. 1

Title: Preadmission Screening and Resident Review

This addendum to the subject solicitation provides answers to written questions that were received by the Agency and makes modifications to the RFP.

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

Section 120.57(3)(b), Florida Statutes, and section 28-110.003, Florida Administrative Code, require that a Notice of Protest of the solicitation documents shall be made within seventy-two hours after the posting of the solicitation. Failure to file a protest within the time prescribed in section 120.57(3), Florida Statutes, or failure to post the bond or other security required by law within the time allowed for filing a bond shall constitute a waiver of proceedings under chapter 120, Florida Statutes.

Sincerely, Weston McKain Procurement Officer Bureau of Purchasing and Contract Administration

Enclosures:

Addendum No. 1

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA RFP 001-26/27

ADDENDUM NO. 1

AHCA RFP 001-26/27, Addendum No. 1, Page 1 of 3

ITEM 1

AHCA RFP 001-26/27, Attachment A, Instructions and Special Conditions, Section 1., Instructions, Sub-Section 1.1, Overview, Item 1.1.6, Solicitation Timeline, is hereby deleted in its entirety and replaced with the following:

1.1.6 Solicitation Timeline

The projected solicitation timeline is shown in Table 1, Solicitation Timeline, below (all times are Eastern Time). The Agency for Health Care Administration (Agency) reserves the right to amend the timeline in the State’s best interest. If the Agency finds it necessary to change any of the activities/dates/times listed, all interested parties will be notified by addenda to the original solicitation document posted on the Vendor Information Portal (VIP) (https://vendor.myfloridamarketplace.com/)

TABLE 1

SOLICITATION TIMELINE

ACTIVITY DATE/TIME LOCATION

Solicitation Issued by Agency

September 3, 2026 Electronically Posted https://vendor.myfloridamarketplace.com/

Deadline for Receipt of Written Questions

September 17, 2026 2:00 p.m.

solicitation.questions@ahca.myflorida.com

Anticipated Date for Agency Responses to Written

Questions

October 1, 2026

Electronically Posted https://vendor.myfloridamarketplace.com/

Deadline for Receipt of Responses

October 26, 2026 2:00 p.m.

Attention: Weston McKain Agency for Health Care Administration

2729 Fort Knox Boulevard Mailroom, Building 2 Tallahassee, FL 32308-5403

Public Opening of Responses

October 26, 2026 2:30 p.m.

2727 Mahan Drive, Building 2 Operations Conference Room, 2nd Floor, Room 200

Tallahassee, FL 32308-5403

Anticipated Posting of Notice of Intent to Award

December 1, 2026 Electronically Posted

ITEM 2

AHCA RFP 001-26/27, Attachment A, Instructions and Special Conditions, Section 1., Instructions, Sub-Section 1.3, Response Submission Requirements, Item 1.3.1, Hard Copy and Electronic Submission Requirements, Sub-Item 3), Electronic Copy of the Response, Part c), has been deleted in its entirety and replaced with the following:

c) The electronic copy of the PDF documents shall be saved on the USB flash drive, with each component listed below saved separately in individual file folders:

i) Exhibit A-2, Transmittal Letter

ii) Exhibit A-3, Required Certifications and Statements;

iii) Exhibit A-3-a, Vendor Certification Form (PUR 7801);

https://vendor.myfloridamarketplace.com/ https://vendor.myfloridamarketplace.com/ mailto:solicitation.questions@ahca.myflorida.com

AHCA RFP 001-26/27, Addendum No. 1, Page 2 of 3

iv) Proposal Guarantee (electronic copy) Note: The Original Proposal Guarantee must be provided in the Original Response;

v) Exhibit A-4, Submission Requirements and Evaluation Criteria Components (Technical Response) and applicable attachments/exhibits;

vi) Exhibit A-5, Cost Proposal;

vii) Exhibit A-5-a, Detailed Budget & Rate Card;

viii) Exhibit A-6, Certification of Drug-Free Workplace Program (if applicable).

ITEM 3

AHCA RFP 001-26/27, Exhibit A-5-a, Detailed Budget & Rate Card, has been deleted in its entirety and replaced with Exhibit A-5-a (V2), Detailed Budget & Rate Card.

ITEM 4

AHCA RFP 001-26/27, Attachement A, Exhibit A-7, Standard Contract, Section III., The Vendor and Agency Hereby Mutually Agree, Sub-Section C., Renegotiation or Modification, Item 3., Preferred Pricing, is hereby deleted in its entirety.

ITEM 5

Attachment A, Exhibit A-8, Historic Volumes for the Florida PASRR Program, is hereby added as an exhibit to AHCA RFP 001-26/27 for informational purposes only.

ITEM 6

AHCA RFP 001-26/27, Attachment B, Scope of Services, Section E., Services Provided by the Vendor, Sub-Section 3., Level II Evaluations, Item j., is hereby deleted in its entirety.

ITEM 7

AHCA RFP 001-26/27, Attachment B, Scope of Services, Section E., Services Provided by the Vendor, Sub-Section 9., Implementation Plan, Item a., is hereby deleted in its entirety and replaced with the following:

a. The Vendor shall submit to the Agency a draft implementation plan outlining the steps and anticipated timeframes necessary for the Vendor to be fully operational within ninety

(90) days of Contract execution. The Agency shall meet with the Vendor within seven (7) calendar days of Contract execution to discuss the Vendor’s proposed implementation plan to determine information and other resources needed to complete the final implementation plan.

AHCA RFP 001-26/27, Addendum No. 1, Page 3 of 3

ITEM 8

AHCA RFP 001-26/27, Attachment B, Scope of Services, Exhibit B-1, Deliverables, Deliverable 6 and Deliverable 7, are hereby deleted in their entirety and replaced with the following:

DELIVERABLE

Education and Training Policies and Procedures

SUPPORTING DOCUMENTATION

The Vendor shall develop and submit training and education materials in accordance with Attachment B, Scope of Services, Section I., Service(s) to be Provided, Sub-Section E., Services Provided by the Vendor, Item 13., Education and Training.

DUE DATE(S)

No later than sixty (60) calendar days after Contract execution.

AMOUNT

No cost.

PERFORMANCE STANDARDS

The Vendor shall ensure one hundred percent (100%) of all contractual requirements are completed timely.

FINANCIAL CONSEQUENCES

$250.00 per calendar day beyond the due date unless the Vendor receives written approval from the Agency for an extension prior to the due date.

DELIVERABLE

Education and Training Materials

SUPPORTING DOCUMENTATION

The Vendor shall develop and submit training materials in accordance with Attachment B, Scope of Services, Section I., Service(s) to be Provided, Sub-section E., Services Provided by the Vendor, Item 13., Education and Training Materials.

DUE DATE(S)

No later than sixty (60) calendar days after Contract execution.

AMOUNT

No cost.

PERFORMANCE STANDARDS

The Vendor shall ensure one hundred percent (100%) of all contractual requirements are completed timely.

FINANCIAL CONSEQUENCES

$250.00 per calendar day beyond the due date unless the Vendor receives written approval from the Agency for an extension prior to the due date.

ITEM 9

Please see the attached below for answers to written questions received by the Agency.

EXHIBIT A-5-a (V2)

DETAILED BUDGET & RATE CARD

DESCRIPTION OF EXPENSES IMPLEMENTATION

PERIOD

YEAR ONE

OPERATIONS

YEAR TWO

OPERATIONS

YEAR THREE

OPERATIONS

YEAR FOUR

OPERATIONS

DIRECT PERSONNEL

Salaries: $0.00 $0.00 $0.00 $0.00 $0.00 Fringe Benefits: $0.00 $0.00 $0.00 $0.00 $0.00 Total Salaries Expense: $0.00 $0.00 $0.00 $0.00 $0.00 Temporary Personnel Services: $0.00 $0.00 $0.00 $0.00 $0.00 Contracted Personnel: $0.00 $0.00 $0.00 $0.00 $0.00 Other Personnel: $0.00 $0.00 $0.00 $0.00 $0.00 Other Personnel: $0.00 $0.00 $0.00 $0.00 $0.00 Other Personnel: $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL DIRECT PERSONNEL: $0.00 $0.00 $0.00 $0.00 $0.00

OTHER DIRECT

Office Supplies: $0.00 $0.00 $0.00 $0.00 $0.00 Postage, Shipping, Fulfillment: $0.00 $0.00 $0.00 $0.00 $0.00 Software, Hardware: $0.00 $0.00 $0.00 $0.00 $0.00 Equipment Rental/Purchase: $0.00 $0.00 $0.00 $0.00 $0.00 Office Rent (Occupancy): $0.00 $0.00 $0.00 $0.00 $0.00 Printing/Graphics (Materials): $0.00 $0.00 $0.00 $0.00 $0.00 Travel – Training: $0.00 $0.00 $0.00 $0.00 $0.00 Travel – Other: $0.00 $0.00 $0.00 $0.00 $0.00 Telephone Charges: $0.00 $0.00 $0.00 $0.00 $0.00 Professional Services: $0.00 $0.00 $0.00 $0.00 $0.00 Advertising: $0.00 $0.00 $0.00 $0.00 $0.00 Training, Licensing, Recruiting: $0.00 $0.00 $0.00 $0.00 $0.00 Legal, Taxes, Miscellaneous: $0.00 $0.00 $0.00 $0.00 $0.00 Other Direct: $0.00 $0.00 $0.00 $0.00 $0.00 Other Direct: $0.00 $0.00 $0.00 $0.00 $0.00 Other Direct: $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL OTHER DIRECT*: $0.00 $0.00 $0.00 $0.00 $0.00

The following proposed detailed budget shall include costs required for providing the services specified in this solicitation, and shall support and justify the costs as provided in Exhibit A-5, Cost Proposal.

AHCA RFP 001-26/27, Attachment A, Exhibit A-5-a (V2), Page 1 of 7

DESCRIPTION OF EXPENSES IMPLEMENTATION

PERIOD

YEAR ONE

OPERATIONS

YEAR TWO

OPERATIONS

YEAR THREE

OPERATIONS

YEAR FOUR

OPERATIONS

CAPITAL

Telecommunications Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Computer Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Furniture: $0.00 $0.00 $0.00 $0.00 $0.00 Installation/Construction: $0.00 $0.00 $0.00 $0.00 $0.00 Other Capital: $0.00 $0.00 $0.00 $0.00 $0.00 Other Capital: $0.00 $0.00 $0.00 $0.00 $0.00 Other Capital: $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL CAPITAL*: $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL DIRECT PERSONNEL: $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL OTHER DIRECT: $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL CAPITAL: $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL CONTRACT EXPENSES*: $0.00 $0.00 $0.00 $0.00 $0.00

AHCA RFP 001-26/27, Attachment A, Exhibit A-5-a (V2), Page 2 of 7

DESCRIPTION OF EXPENSES

RENEWAL

YEAR ONE

OPERATIONS

RENEWAL

YEAR TWO

OPERATIONS

RENEWAL

YEAR THREE

OPERATIONS

RENEWAL

YEAR FOUR

OPERATIONS

DIRECT PERSONNEL

Salaries: $0.00 $0.00 $0.00 $0.00 Fringe Benefits: $0.00 $0.00 $0.00 $0.00 Total Salaries Expense: $0.00 $0.00 $0.00 $0.00 Temporary Personnel Services: $0.00 $0.00 $0.00 $0.00 Contracted Personnel: $0.00 $0.00 $0.00 $0.00 Other Personnel: $0.00 $0.00 $0.00 $0.00 Other Personnel: $0.00 $0.00 $0.00 $0.00 Other Personnel: $0.00 $0.00 $0.00 $0.00

TOTAL DIRECT PERSONNEL: $0.00 $0.00 $0.00 $0.00

OTHER DIRECT

Office Supplies: $0.00 $0.00 $0.00 $0.00 Postage, Shipping, Fulfillment: $0.00 $0.00 $0.00 $0.00 Software, Hardware: $0.00 $0.00 $0.00 $0.00 Equipment Rental/Purchase: $0.00 $0.00 $0.00 $0.00 Office Rent (Occupancy): $0.00 $0.00 $0.00 $0.00 Printing/Graphics (Materials): $0.00 $0.00 $0.00 $0.00 Travel – Training: $0.00 $0.00 $0.00 $0.00 Travel – Other: $0.00 $0.00 $0.00 $0.00 Telephone Charges: $0.00 $0.00 $0.00 $0.00 Professional Services: $0.00 $0.00 $0.00 $0.00 Advertising: $0.00 $0.00 $0.00 $0.00 Training, Licensing, Recruiting: $0.00 $0.00 $0.00 $0.00 Legal, Taxes, Miscellaneous: $0.00 $0.00 $0.00 $0.00 Other Direct: $0.00 $0.00 $0.00 $0.00 Other Direct: $0.00 $0.00 $0.00 $0.00 Other Direct: $0.00 $0.00 $0.00 $0.00

TOTAL OTHER DIRECT*: $0.00 $0.00 $0.00 $0.00

AHCA RFP 001-26/27, Attachment A, Exhibit A-5-a (V2), Page 3 of 7

DESCRIPTION OF EXPENSES

RENEWAL

YEAR ONE

OPERATIONS

RENEWAL

YEAR TWO

OPERATIONS

RENEWAL

YEAR THREE

OPERATIONS

RENEWAL

YEAR FOUR

OPERATIONS

CAPITAL

Telecommunications Equipment: $0.00 $0.00 $0.00 $0.00 Computer Equipment: $0.00 $0.00 $0.00 $0.00 Furniture: $0.00 $0.00 $0.00 $0.00 Installation/Construction: $0.00 $0.00 $0.00 $0.00 Other Capital: $0.00 $0.00 $0.00 $0.00 Other Capital: $0.00 $0.00 $0.00 $0.00 Other Capital: $0.00 $0.00 $0.00 $0.00

TOTAL CAPITAL*: $0.00 $0.00 $0.00 $0.00

TOTAL DIRECT PERSONNEL: $0.00 $0.00 $0.00 $0.00

TOTAL OTHER DIRECT: $0.00 $0.00 $0.00 $0.00

TOTAL CAPITAL: $0.00 $0.00 $0.00 $0.00

TOTAL CONTRACT EXPENSES*: $0.00 $0.00 $0.00 $0.00

*The Agency reserves the right to request the return of any hardware, software, equipment and furniture purchased by the successful Vendor using funds from the resulting Contract. In the event the Agency does not desire to have the hardware, software, equipment and furniture returned, the successful Vendor may retain said ownership.

AHCA RFP 001-26/27, Attachment A, Exhibit A-5-a (V2), Page 4 of 7

Authorized Official Signature Date

Authorized Official Printed Name

Authorized Official Title

Failure to submit, Exhibit A-5-a (V2), Detailed Budget, signed by an authorized official may result in the rejection of response.

Exhibit A-5-a (V2), Detailed Budget, shall not include a cost that exceeds the maximum contract amount listed in Attachment A, Instructions and Special Conditions, Section 1., Instructions, Sub-Section1.1, Overview, Item 13., Type and Amount of Contract Contemplated. A response which contains a cost proposal that exceeds the Agency’s maximum contract amount will be rejected.

Respondent Name

The Agency will evaluate renewal year proposals as part of the evaluation and scoring process. Proposed cost will be applied in the event the resulting contract is renewed.

AHCA RFP 001-26/27, Attachment A, Exhibit A-5-a (V2), Page 5 of 7

No. Position Title Position Description Minimum Certifications & Qualifications Hourly Rate

1 $0.00 2 $0.00 3 $0.00 4 $0.00 5 $0.00 6 $0.00 7 $0.00 8 $0.00 9 $0.00 10 $0.00 11 $0.00 12 $0.00 13 $0.00 14 $0.00 15 $0.00 16 $0.00 17 $0.00 18 $0.00 19 $0.00 20 $0.00 21 $0.00 22 $0.00 23 $0.00 24 $0.00 25 $0.00

The following Rate Card shall be used to propose costs for any changes or modifications requested by the Agency that require additional staff commitments beyond what is required by the Contract.

Note: Hourly rates shall remain fixed for the first two (2) years of the Contract. For the remaining Contract term, including renewal years, the Vendor's hourly rate pricing shall not increase by more than five percent (5%) per Contract year, beginning in Contract Year 3.

AHCA RFP 001-26/27, Attachment A, Exhibit A-5-a (V2), Page 6 of 7

26 $0.00 27 $0.00 28 $0.00 29 $0.00 30 $0.00

AHCA RFP 001-26/27, Attachment A, Exhibit A-5-a (V2), Page 7 of 7

ATTACHMENT A

EXHIBIT A-8

CY 2023 CY 2024 CY 2025 CY 2026 Q1 and Q2

Volume of Level I referrals 331,235 362,043 383,638 203,490

Volume of Level I screens completed 331,235 362,043 383,638 203,490

Volume of Level I screens completed in the community through a face-to-face interview with a licensed clinician

568 536 510 253

Volume of completed Level I screens with a negative result, or where it was determined that the individual "may be admitted" due to "no diagnosis or suspicion of SMI or ID indicated" and Level II not required

354,326 354,326 374,111 198,375

Volume of completed Level I screens where the outcome determined that the individual "may not be admitted" and a Level II required

6,070 7,717 9,527 5,371

Volume of completed Level I screens where it was determined that the individual "may be admitted" due to "hospital discharge exemption"

587 654 721 393

Volume of completed Level I screens where it was determined that the individual "may be admitted" due to a "provisional admission"

(such as respite, delirium, or emergency)

40 69 36 21

Volume of Level I screens administratively closed 0 0 0 0

Volume of Level II and Resident Review cases in which a Level II face-to-face evaluation was completed

372 765 380 185

Volume of Level II and Resident Review cases in which only a desk-review was completed

(face-to-face not needed)

7,368 6,720 8,874 4,448

Level II Evaluations and Resident Review

Level I Screenings

Historic Volumes for the Florida PASRR Program

Total number of Level II and Resident Review cases completed for individuals with Intellectual

Disability and/or Related Condition (ID/RC) that included recommendations for Specialized

Services

66 57 55 10

Total number of Level II and Resident Review cases completed for individuals with possible

Serious Mental Illness (SMI) that included recommendations for Specialized Services

20 6 35 1

Total number of Level II and Resident Review cases completed for individuals with possible

Serious Mental Illness and/or Intellectual

Disability and/or Related Condition, or "Duals", that were recommended for Specialized

Services

17 29 24 16

Volume of Level II provisional admissions of all types

• 627 provisional admissions:

o 6 delirium cases o 9 emergency admissions requiring protective services o 25 in-home caregiver respite admissions o 587 hospital discharge exemptions

• 723 provisional admissions:

o 8 delirium cases o 20 emergency admissions requiring protective services o 41 in-home caregiver respite admissions o 654 hospital discharge exemptions

• 757 provisional admissions:

o 11 delirium cases o 3 emergency admissions requiring protective services o 22 in-home caregiver respite admissions o 721 hospital discharge exemptions

• 413 provisional admissions:

o 2 delirium cases o 3 emergency admissions requiring protective services o 16 in-home caregiver respite admissions o 392 hospital discharge exemptions

Volume of Level II desk reviews 7,368 6,720 8,874 4,448

The number of Level II evaluations that required an MD review 4 7 20 8

Total number of Level II and Resident Review cases submitted for evaluation that were administratively closed

1,800 1,575 1,955 518

Total number of Level II and Resident Review evaluation cases that were administratively closed specifically due to missing information, requiring the Acentra to adhere to appeals and hearing rights

1,800 1,575 1,955 518

Total number of completed Level II cases that included a determination confirming SMI and/or

ID/RC

SMI- 1,517

ID/RC- 363

SMI- 1,623

ID/RC- 378

SMI- 1,583

ID/RC- 354

SMI- 844

ID/RC- 112

Total number of completed Level II cases where it was determined that there was no indication of a PASRR condition, or SMI and/or ID/RC were ruled out

SMI- 590

ID/RC- 229

SMI- 758

ID/RC- 220

SMI- 727

ID/RC- 218

SMI- 368

ID/RC- 154

Total number of completed Level II cases where it was determined that an individual was not appropriate for a nursing facility admission, or may not be admitted

4 7 20 8

Volume of emergency admissions 9 20 3 3

Total number of Resident Review (RR)

Evaluation Requests submitted by nursing facilities using AHCA MedServ Form 004 Part

A1 (or system version of this form), due to a significant change in condition

4,889 4,093 6,526 2,500

Volume of appeal summaries requested 0 0 0 0

Volume of appeal testimonies required 0 0 0 0

Total number of reconsideration requests received for adverse determinations 2 3 4 1

Average annual volume of incoming calls received and handled

Average annual volume of outgoing calls completed

Total volume of incoming and outgoing calls Inbound: 12,150

Outbound: 15,250

Inbound: 11,802

Outbound: 14,819

Inbound: 17,505

Outbound: 21,002

Inbound: 6,500

Outbound: 8,498

Total volume of customer service inquiries received after normal business hours related to emergency admissions that required a return call or email within 4 hours

0 0 0 0

2023-2026 Q2: 18,788

Calls

2023-2026 Q2: 15,663

Reconsiderations

Fair Hearings

ADDENDUM NO. 1, ITEM NO. 9

QUESTIONS AND ANSWERS

REF # VENDOR NAME

ATTACHMENT

IDENTIFIER

SECTION

IDENTIFIER

SUB-SECTION

REFERENCE ITEM REFERENCE

ATTACHMENT

EXHIBIT

PAGE

NUMBER QUESTION ANSWER

Acentra Health A SRC-9 N/A RiskRecon A-4 12 In place of the RiskRecon scores, will the State accept proof that a bidder has successfully completed a current SOC2 audits?

No.

Alliant Health Solutions Attachment A N/A N/A Cost Proposal (Fixed Monthly O&M)

Exhibit A-5 56 What are the last three (3) fiscal years of monthly volumes for: (1) Level I screening submissions, (2) Level I determinations completed by the Vendor, (3) Level II evaluations, (4) Resident Reviews, and

(5) Reconsideration requests received? What percentage of each type require in-person (face-to-face) activity? What percentage involve provisional admissions/hospital discharge exemptions?

See Addendum No. 1, Item 5.

Alliant Health Solutions Attachment B I E 3.e (Face-to-face triggers)

N/A 110 To support timely evaluations in geographically remote areas, please confirm whether Level II assessments designated as "face-to-face" require the evaluator's physical presence or whether secure telehealth/video technology is permissible under Rule 59G-1.040 and other applicable requirements.

Physical presence is required for face-to-face assessments.

AreXi LLC B I E 16.c.iv-v 20 of 43 Please confirm whether a Florida-licensed Advanced Practice Registered Nurse (APRN) who also maintains an active Florida Registered Nurse (RN) license satisfies the Registered Nurse licensure requirement for Level I Screeners under Item 16.c.iv and for staff conducting PASRR Level II evaluations and Resident Reviews under Item 16.c.v, provided the individual also meets all applicable experience requirements, including the requirement in Item 16.c.v.1 to have at least one (1) year of experience with individuals with mental illness and/or intellectual disabilities or related conditions.

Yes, this meets the requirement.

Maximus US Services, Inc. RFP Attachment A 1.3 Response Submission Requirements

1.3.1 Hardcopy and

Electronic Submission Requirements

2.a 8-9 of 20 (RFP PDF pg 10-11)

May secure digital signatures (e.g., Adobe eSign) be accepted in lieu of ink signatures?

Yes.

Maximus US Services, Inc. RFP Attachment A 1.3 Response Submission Requirements

1.3.1 Hardcopy and

Electronic Submission Requirements

3.b 10 of 20 (RFP PDF pg 12)

The instructions on Exhibit A-4, page 3 of 12, state that the SRCs in Exhibit A-4 may not be retyped and/or modified and must be submitted in the original format. Please confirm that "original format" does not apply to the file type (e.g., Microsoft Word) and that as stated in Attachment A, Section 1.3 Response Submission Requirements, electronic copies of the response are to be provided as Portable Document Format (PDF) documents.

See Attachment A, Instructions and Special Conditions, Section 1., Instructions, Sub-Section 1.3, Response Submission Requirements, Item 1.3.1, Hardcopy and Electronic Submission Requirements, Sub- Item 3), Electronic Copy of the Response.

Maximus US Services, Inc. RFP Attachment A Instructions and Special Conditions

1.3.1 Hardcopy and

Electronic Submission Requirements

3.b 10 of 20 (RFP PDF pg 12)

RFP Attachment A, Section 1.2.1.3 notes that Respondents must submit required forms in the original format. However, many require original signatures. Please confirm that "original format" does not apply to the file type (e.g., Microsoft Word) and as stated in Attachment A, Section 1.3 Response Submission Requirements, electronic copies of the response should be provided as Portable Document Format (PDF) documents (scanned with signatures).

See answer to Question #5 and #6.

Maximus US Services, Inc. RFP Attachment A 1.3 Response Submission Requirements

1.3.1 Hardcopy and

Electronic Submission Requirements

3.d 10 of 20 (RFP PDF pg 12)

The RFP requires that bidders provide Exhibit A-5 Cost Proposal and Exhibit A-5-a Detailed Budget & Rate Card as Excel documents as well as PDF. Both Exhibits must be signed with an original signature. Please confirm that the Excel version of these Exhibits can be submitted unsigned, provided the PDF and the original hard copy contain the signed version.

See answer to Question #5. All documentation requesting a signature shall be signed.

Maximus US Services, Inc. RFP Attachment A 1.3 Response Submission Requirements

1.3.1 Hardcopy and

Electronic Submission Requirements

3.c.iii 10 of 20 (RFP PDF pg 12)

Instructions for submittal of an Electronic Copy of the Response include item iii, Financial Information. Can the Agency please provide details on what financial information should be submitted?

See Addendum No. 1, Item 2.

Maximus US Services, Inc. Attachment A - Instructions and Special Conditions

1.3.8 - Performance Bond

Performance Bond 17 of 20 (RFP PDF pg 19)

Referencing Section 1.3.8: Performance Bonds in Attachment A, would the State consider removing the Performance Bond requirement because the services are operational and technology-based rather than construction-related, and the Contract already contains performance protections through service levels, liquidated damages, and termination rights?

No.

Maximus US Services, Inc. RFP Attachment A 2. Acceptance of Contract Terms and Conditions

Exhibit A-3 1 of 6 (RFP PDF pg 34)

Exhibit A-3 requires that I hereby certify that in responding to this solicitation, should my organization be awarded a contract resulting from this solicitation, it agrees to accept and comply with all terms and conditions as specified in this solicitation and in the Agency Standard Contract (Exhibit A-7, including its Attachments). Please confirm whether the Vendor will be allowed to provide exceptions and negotiate the contract or if the Agency intends to bind the

This is a Request for Proposals issued by the Agency in accordance with s. 287.057(1)(b), Florida Statutes. Therefore, no negotiations will be conducted as part of the solicitation process. The Agency will not consider proposed modifications to Attachment A, Exhibit A-7, Standard Contract.

Maximus US Services, Inc. RFP Attachment A 2. Acceptance of Contract Terms and Conditions

Exhibit A-3 1 of 6 (RFP PDF pg 34)

In event that the State will allow Respondents to submit Contract exceptions, please advise whether acceptance of the Respondent’s proposal constitutes acceptance of those exceptions or if the State can reject all exceptions and bind the Contractor to the contract

See answer to Question #11.

AHCA RFP 001-26/27, Questions and Answers, Page 1 of 11

QUESTIONS AND ANSWERS

REF # VENDOR NAME

ATTACHMENT

IDENTIFIER

SECTION

IDENTIFIER

SUB-SECTION

REFERENCE ITEM REFERENCE

ATTACHMENT

EXHIBIT

PAGE

NUMBER QUESTION ANSWER

Maximus US Services, Inc. RFP Submission Requirements and Evaluation Criteria Components (Technical Response)

A-4 2 of 12 (RFP PDF pg 44)

The instructions for Exhibit A-4 state that text responses must be in a size 11 Arial font.

May Bidders use a smaller, still readable font for each of the following:

a) exhibits/figures/graphics

b) tables

c) RFP/Scope of Services text

The Agency recommends submitting supporting attachments to Exhibit A-4, Submission Requirements and Evaluation Criteria Components (Technical Response), in the format and font outlined in Exhibit A-4. However, it is not required of the Respondent.

Maximus US Services, Inc. RFP Submission Requirements and Evaluation Criteria Components (Technical Response)

A-4 2 of 12 (RFP PDF pg 44)

Several requested documents/samples do not comply with font restrictions and they are not available in a native MS Office format for font adjustments, such as financials, proposal guarantee, etc.

Please confirm that it is permissible to submit those documents as is.

Mandatory response documents shall be submitted as the Agency provided unless otherwise specified.

Maximus US Services, Inc. RFP Exhibit A-4 SRC 9: Security Rating Score

SRC 9: Security Rating Score

A-4 12 of 12 (RFP PDF pg 54)

RFP Attachment A, Exhibit A-4, SRC 9: In accordance with Attachment B, Scope or Services, Section X., Information Technology, Sub-Section T., the Agency will conduct an initial IT security risk score scan on the respondent, using the “Cyber Rating” as provided by RiskRecon by Mastercard, as well as periodic or continuous security monitoring, at the Agency's expense, to enable the Agency to effectively measure and mitigate the successful respondent’s security risks. If awarded, the respondent will work with the Agency’s Cyber Security Rating Provider (RiskRecon by Mastercard) to define the relevant respondent assets providing Agency services.

The Agency performs and monitors the risk score scan.

At the end of the contract term, the Agency would expect any data that is unique to the Vendor's system and/or a derivative work of data originally provided by the Agency to be placed in a consumable format (relational database or other agreed upon format) for return.

Data that was received from the Department for the purposes of conducting business should be securely destroyed at the end of the contract, following approval from the Agency.

References RFP Exhibit A-7 § F(3) Audits / Monitoring (page 5 of 27): “Records [procedures, computer systems, recipient records, accounting records, and internal quality control reviews] shall be available at the Vendor’s office at all reasonable times. After this Contract period and for ten (10) years following, the records shall be available at the Vendor’s chosen location subject to the approval of the Agency.”

RFP Exhibit A-7 § G(2) Inspection of Record and Work Performed (pages page 5-6 of 27): “The Vendor shall retain all financial records, medical records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to performance under this Contract for a period of ten (10) years after termination of this Contract, or if an audit has been initiated and audit findings have not been resolved at the end of ten

(10) years, the records shall be retained until resolution of the audit findings.”

RFP Attachment II § 14 Effect of Termination (pages 4-5 of 5): “At the termination of this Contract, the Vendor shall return all protected health information that the Vendor still maintains in any form, including any copies or hybrid or merged databases made by the Vendor; or with prior written approval of the Agency, the protected health information may be destroyed by the Vendor after its use. If the protected health information is destroyed pursuant to the Agency’s prior written approval, the Vendor must provide a written confirmation of such destruction to the Agency. If return or destruction of the protected health information is determined not feasible by the Agency, the Vendor agrees to protect the protected health information and treat it as strictly confidential.”

Question Please clarify the Vendor’s post-termination obligations with respect to PHI contained in recipient records, medical records, and other contract records. RFP Exhibit A-7 §§ F(3) and G(2) require certain records to be retained for ten (10) years following contract termination, while RFP Attachment II § 14 (the BAA) requires PHI to be returned to the Agency or destroyed at termination unless the Agency determines return or destruction is not feasible. In the event PHI is contained within records subject to the ten-year retention requirement, should the Vendor retain those records for the required retention period or return/destroy the PHI at contract termination in accordance with the BAA?

Maximus US Services, Inc. RFP Exhibit A-7 & Attachment II

RFP Exhibit A-7 §§ F(3) and G(2); RFP Attachment II § 14

Pages 5-6 of Exhibit A-7 (RFP PDF pg 70-71); pages 4-5 of Attachment II (RFP PDF pg 96-97)

AHCA RFP 001-26/27, Questions and Answers, Page 2 of 11

QUESTIONS AND ANSWERS

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Maximus US Services, Inc. Attachment A - Standard Contract

I M. Indemnification a. & b.: Duty to Indemnify/Duty to Defend

Exhibit A-7 10 of 27 (RFP PDF pg 75)

Will the Agency please consider limiting Contractor’s obligation to indemnify to third-party claims and will apply to only proven direct claims. For example: The Vendor agrees to hold harmless and indemnify the Agency to the full extent permitted by law against any and all third party liability, claims, actions, suits and proven direct judgments, damages and costs of whatsoever name and description, including attorney's fees, arising from or relating to any Proceeding.

No.

Maximus US Services, Inc. Attachment A - Standard Contract

I M. Indemnification a. & b.: Duty to Indemnify/Duty to Defend

Exhibit A-7 10 of 27 (RFP PDF pg 75)

Would the Agency revise the indemnification provision so that it applies only to third-party claims arising from the Vendor's negligence, willful misconduct, breach of confidentiality obligations, or intellectual property infringement, rather than all claims relating to the Contract?

No.

Maximus US Services, Inc. Standard Contract W 8.a Indemnification (against IP claims)

16 of 27 (RFP PDF pg 81)

Section 8.a states "the Vendor, without exception, shall indemnify and hold harmless the Agency and its employees from liability or any nature or kind, including cost and expenses for or on account of any copyrighted, patented, or unattended invention, process or article manufactured or supplied by the Vendor." Will the Agency please consider limiting Vendor's indemnification to third-party claims. For example: the Vendor, without exception, shall indemnify and hold harmless the Agency and its employees from third-party liability or any nature or kind, including cost and expenses for or on account of any copyrighted, patented, or unattended invention, process or article manufactured or supplied by the Vendor.

No.

Maximus US Services, Inc. Standard Contract W 8.d Disclosing intellectual properties

17 of 27 (RFP PDF pg 82)

Section W(8)(d) requires that prior to initiating services under the Contract, Vendor shall disclose, in writing, all intellectual properties relevant to the performance of the Contract, When we disclose these, we retain all IP rights. Failure to disclose indicates that no IP rights exist. Please advise how Contractor should disclose such pre-existing rights within its proposal response.

The Vendor should identify intellectual property within the applicable SRC(s) of its response to Exhibit A-4. Additionally, if awarded, the Vendor shall comply with the Standard Contract requirements for disclosing intellectual property.

Maximus US Services, Inc. Standard Contract W 8.d Disclosing intellectual properties

17 of 27 (RFP PDF pg 82)

Per Section W(8)(d) preexisting IP rights will remain with the vendor provided they are disclosed accordingly. However, please confirm that modifications or configurations made to pre-existing IP under this Contract will remain with Contractor provided that Contractor discloses such rights in accordance with Section W(8)d).

Confirmed.

Maximus US Services, Inc. Standard Contract W 8.h Works for Hire 18 of 27 (RFP PDF pg 83)

Will the Agency confirm that "works for hire" do not include Vendor's pre-existing and proprietary property by adding language such as:

Vendor retains all right, title, and interest in and to its pre-existing intellectual property, proprietary software, tools, algorithms, templates, methodologies, processes, know-how, trade secrets, AI systems, AI-generated outputs, inventions, concepts, and any enhancements, modifications, or improvements thereto ("Vendor

IP").

The Agency shall own only those deliverables specifically created and delivered exclusively for the Agency under the Agreement ("Deliverables"). To the extent any Deliverable incorporates Vendor IP, Vendor retains ownership of such Vendor IP and grants the State a non-exclusive, royalty-free license to use such Vendor IP solely as incorporated into the Deliverables for the Agency's internal governmental purposes.

For clarity, Vendor retains ownership of all methodologies, processes, techniques, software, tools, know-how, templates, inventions, discoveries, concepts, improvements, and other intellectual property developed, acquired, or used in connection with performing the Services, regardless of whether such intellectual property is utilized in creating a Deliverable. Nothing in the Agreement shall restrict Vendor from using its general knowledge, skills, experience, ideas, concept, methodologies, processes, or techniques retained in the unaided memory of its personnel, provided that Vendor does not disclose the Agency's confidential information.

Confirmed. However, there will be no edits to this provision of the Standard Contract.

Maximus US Services, Inc. Standard Contract III A.3 Termination for Breach

Termination 24 of 27 (RFP PDF pg 89)

Would the Agency revise the termination-for-breach provision to provide a reasonable opportunity to cure any curable breach before termination? For example: Unless the Vendor's breach is waived by the Agency in writing, the Agency may, by written notice to the Vendor, terminate this Contract no less than twenty-four (24) clock hours' thirty (30) days written notice.

No.

AHCA RFP 001-26/27, Questions and Answers, Page 3 of 11

QUESTIONS AND ANSWERS

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Maximus US Services, Inc. Standard Contract III.C Renegotiation or Modification

3. Preferred Pricing 25 of 27 (RFP PDF pg 90)

Referencing Section III.c.3, Preferred Pricing, Vendor requests that the State strike this provision, as the services contemplated under this Agreement are uniquely tailored to the State’s requirements.

The preferred pricing obligation may unduly restrict the Contractor’s ability to structure pricing that appropriately reflects the specialized scope, risks, and operational requirements of the engagement.

See Addendum No. 1, Item 4.

Maximus US Services, Inc. RFP Attachment II 11(a) To Agency 3 of 5 (RFP PDF pg 95)

Reference RFP Attachment II § 11(a) To Agency (page 3 of 5): “The Vendor will report to the Agency in the manner and format obtained from the Contract Manager or Agency contact, within ten (10) business days of discovery, any use or disclosure, or loss of confidentiality, integrity, or availability, of protected health information, or e-PHI, not provided for in this Contract of which the Vendor is aware. The Vendor will report to the Agency in the manner and format obtained from the Contract Manager or Agency contact, within twenty-four

(24) hours of discovery, any security incident of which the Vendor is aware.”

Question Please clarify the applicable reporting timeframe for an unauthorized use or disclosure of PHI. Because the BAA defines a "security incident" broadly to include unauthorized access, use, or disclosure of information, an unauthorized use or disclosure of PHI could appear to fall within both the ten (10) business day reporting requirement for impermissible uses/disclosures and the twenty-four

(24) hour reporting requirement for security incidents. In such circumstances, which reporting timeframe governs?

A security incident is formally defined by NIST as an event that actually or potentially threatens the confidentiality, integrity, or availability (CIA) of information systems or the data they process, store, or transmit. It also includes violations or imminent threats of violations of security policies, procedures, or acceptable use rules (24 hours). This differs from impermissible use/disclosure, which is the result of a mistake made when processing data (For instance, a case worker sends PHI to the wrong recipient)(Up to ten business days).

Maximus US Services, Inc. Attachment B - Scope of Services

B.

Overview/Purpose

2 of 43 (RFP PDF pg 104)

Attachment B Scope of Services, Subsection B Overview Purpose indicates that the Goals of the Contract are for the Vendor to “Develop and maintain a web-based data system…” See also Section E, 1(s) (“develop and maintain a secure web based system…”, (t) (“develop and maintain a secure database for storage of PASRR data…” See also Section 19 of the SOW.

Please confirm that the Agency is willing to consider pre-existing proprietary web-base data systems for the purpose of the contract instead of net-new development.

Yes.

Maximus US Services, Inc. B Scope of Services

I. Services to be Provided

E. Services to be Provided by the Vendor

1.d. 4 of 43 (RFP PDF pg 106)

Please clarify the Vendor’s scope & responsibility in arranging specialized services (versus recommending specialized services).

The awarded Vendor will be responsible for arranging Specialized Services by making recommendations, facilitating communication of recommendation, and following up to ensure services were provided.

Maximus US Services, Inc. B Scope of

Services 2 6-8 of 43

(RFP PDF pg 108-110)

Will the Agency consider use of an alternate well validated, CMS approved, Level I screening tool, in use by multiple states, with substantial validity data to support its use?

The awarded Vendor must use the forms promulgated in Rule 59G- 1.040.

Maximus US Services, Inc. B Scope of

Services I. Services to be Provided

E. 2 vi. 7 of 43 (RFP PDF pg 109)

Who will notify the Vendor of the need for face-to-face Level I screenings, and how can the Vendor expect to receive that notification?

The awarded Vendor will receive this notification directly from those that are not approved facilities.

Maximus US Services, Inc. B Scope of

Services 3 e i.-iii 8 of 43 (RFP

PDF pg 110) Are there circumstances when the Agency permits face-to-face via remote telehealth when an in-person/face-to-face Level I screen or Level II assessment must be conducted?

No.

Maximus US Services, Inc. B Scope of Services

3 d 8 of 43 (RFP PDF pg 110)

Does the vendor's "time clock" for turnaround times for completion of the Level II stop during the 5 days that providers, physicians, or individuals are given to respond to requests for necessary additional information?

No.

Maximus US Services, Inc. B Scope of Services

3 8-12 of 43 (RFP PDF pg 110-114)

Please provide the annual volume, for each of the past three years for:

a) The number of Level II evaluations where it was determined that the individual meets the definition of SMI or ID and specialized services were recommended

b) Number of Level II evaluations where it was determined that a nursing facility is not the appropriate placement for the individual

b) The number of Level II evaluations that required an MD review

See Addendum No. 1, Item 5.

Maximus US Services, Inc. B Scope of Services

I. E 3.h. 9 of 43 (RFP PDF pg 111)

Regarding APD and DCF access to Vendor system for oversight of Level II determinations, please clarify whether access should be read-only or if users require the ability to modify Level II determinations.

This access should be read-only.

AHCA RFP 001-26/27, Questions and Answers, Page 4 of 11

QUESTIONS AND ANSWERS

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Maximus US Services, Inc. B Scope of Services

E. 3 j. 9 of 43 (RFP PDF pg 111)

The RFP states: “The Vendor shall not provide a written notice to any parties listed in Sub-item g., above if the Level II evaluation was not fully completed because the suspicion of SMI and/or ID was ruled out. However, the Vendor shall document such in the individual’s file or case record and describe the evidence that supported the conclusion.”

However, the Florida code states:

“(b) The Level II determination must be issued in the form of a written summary report that:

1.Confirms or rules out SMI or ID.”

Please confirm a written notice IS required when SMI and/or ID is ruled out.

Sub-item g references a notice of adverse determination, which is distinct from the written notice in the referenced section of Florida code.

Maximus US Services, Inc. B Scope of

Services E. 3 k. 9 of 43 (RFP

PDF pg 111) This requirement appears to be a duplicate of the previous requirement B.E.3.j. Please confirm deletion or provide the intended requirement language.

See Addendum No. 1, Item 6.

36 Maximus US Services, Inc. B Scope of Services

3 l. 10 of 43 (RFP PDF pg 112)

Please provide a copy of the current PASRR Level II Plan of Care template.

The awarded Vendor will develop the Plan of Care template.

Maximus US Services, Inc. B Scope of Services

3 m. 10 of 43 (RFP PDF pg 112)

The RFP requires the Vendor to ensure individuals requiring specialized services receive those services in accordance with Rule 59G-1.040 and 42 CFR 483.120.

1) How does the Agency define "ensure" in this context?

2) Is the Vendor responsible for:

a) Verifying delivery of specialized services?

b) Monitoring ongoing compliance?

c) Reporting non-compliance?

1) Ensure is defined as "to make sure, certain, or safe."

2) The awarded Vendor will be responsible for all of the below.

Maximus US Services, Inc. B Scope of

Services 3 m. 5., and associated

Level II requirements

10 of 43 (RFP PDF pg 112)

Please provide examples of the "alternative community options" referenced in the PASRR Level II determination process.

This will vary by community. The awarded Vendor will be responsible for identifying available services.

Maximus US Services, Inc. B Scope of Services

3 m. 5., and associated Level II requirements

10 of 43 (RFP PDF pg 112)

Please provide examples of the community options currently identified and communicated by the incumbent vendor when an individual is determined to be appropriate for a less restrictive setting.

The awarded Vendor will be responsible for identifying community options.

Maximus US Services, Inc. RFP Attachment B Section 9.d.i 15 of 43 (RFP PDF pg 117)

RFP:

At a minimum, the implementation plan shall include the following:

An itemization of activities that the Vendor shall undertake during the period between implementation and Year 1 of Operations and Maintenance, including identification of any upgrades or additions to the existing system.

Question:

Please clarify if the implementation plan is intended to just include implementation activities through Go-Live, or if it needs to include activities occurring in the first year of operations.

The Implementation Plan should include the first year of operations.

Maximus US Services, Inc. B Scope of Services

E. 9 e. 15 of 43 (RFP PDF pg 117)

Attachment A 1.1.14 Term of Contract states the resulting contract term begins 1/1/2027; however Exhibit B-1 Deliverables states that the implementation of PASRR Process due date is within 90 days of Contract execution.

Please clarify the implementation of PASRR process is within 90 calendar days of 1/1/2027 or within 90 calendar days of contract execution, whichever is later.

90 calendar days of contract execution.

Maximus US Services, Inc. B Scope of Services

13 b 17 of 43 (RFP PDF pg 119)

Please provide the Agency's best estimate for the number and regional location for distinct on-site training sites and the number of trainings in each that will be required for in person trainings during:

1) Implementation, and 2) ongoing years of the contract.

This will vary depending on need. Therefore, an estimate is not available.

AHCA RFP 001-26/27, Questions and Answers, Page 5 of 11

QUESTIONS AND ANSWERS

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Maximus US Services, Inc. Standard Contract;

Attachment B - Scope of Services

GG. Performance of Services;

Section 15.a;

Section 16.a.iv

Location of Data;

Corporate Capability; Staffing Requirements

21 of 27 (RFP PDF pg 86); 1 of 43 (RFP PDF pg 120)

The RFP and attachments references location of data and services must remain in the forty-eight (48) contiguous United States. Please confirm that a Vendor's use of affiliate personnel, Subcontractors, or shared service resources located outside the forty-eight (48) contiguous United States is acceptable and does not circumvent requirements in the contract. Will the Agency please consider adding the following the language: The Vendor shall ensure that all call centers, customer-facing contact center operations, and IT help desk services that directly interact with Program participants, applicants, beneficiaries, State personnel, or that access, receive, store, transmit, or process State Data under this Contract, shall be located within the forty-eight (48) contiguous United States.

Notwithstanding the foregoing, Vendor may utilize affiliate personnel, subcontractors, or shared service resources located outside the contiguous United States to perform administrative, analytical, technical, quality assurance, back-office, development, maintenance, or other support functions, provided that such personnel do not directly interact with Program participants or State personnel and are not granted access to State Data, Confidential Information, PHI, PII, or systems containing such information without the State's prior written approval.

No. Data and services shall remain in the forty eight contiguous United State regardless of whether services are preformed by the Vendor, Vendor's personnel or a subcontractor.

Maximus US Services, Inc. B Scope of Services

19 21-23 of 43 (RFP PDF pg 123-125)

a) With what state systems does the current PASRR web-based system have active integrations to receive or push data?

b) The RFP states: The Agency reserves the right to require the Vendor to verify against Agency data prior to accepting new records. With what state systems must approved staff of the current PASRR vendor interact to complete PASRR tasks required in the RFP?

The Florida Medicaid Management Information System and systems for background checks, victim services, offender verification, and public safety screening.

Maximus US Services, Inc. Attachment B - Scope of Services

Section E. 19 Information Technology Requirements

c. i. & ii. Data Creation 22 of 43 (RFP Page PDF 124)

Please confirm that Agency ownership of the "database and data" is limited to Agency data and Contract-specific deliverables and does not include Vendor Background IP, including pre-existing software, database structures, source code, methodologies, configurations, or other proprietary technology used to provide the services.

Please further confirm that the Agency's required read-only access will be limited to Agency data and records and will not require disclosure of Vendor proprietary technology, trade secrets, security architecture, or information relating to other customers.

The Agency asserts ownership of the data, and would expect, upon separation, the data be available in a relational database format to be consumed by the Agency. The Vendor will not need to disclose proprietary technology, trade secrets, or information relating to other customers.

Maximus US Services, Inc. Attachment B C. Financial Consequences

1. Performance Standards and Liquidated Damages

c. Liquidated Damages

30 of 43 (RFP PDF pg 132)

Would the Agency agree to negotiate a mutually acceptable liquidated damages provisions in the resulting Contract, including a reasonable cap of 10% of the applicable monthly invoice, to ensure any…