Attachment 1 - Required Deliverables and Reporting.docx

This document is an attachment to a Request for Proposal issued by the Illinois Department of Healthcare and Family Services for Actuarial Analysis and Consulting Services (BidBuy #26-478HFS-MEDPR-B-52728). The contractor will provide actuarial services including review, advisement, policy support, and development of actuarially sound rates for Managed Care Organizations participating in Illinois Medicaid or related medical programs. The deliverables and reporting requirements outlined in this attachment correspond to Section F.2 Contract Requirements of the RFP and are mandatory; failure to submit required deliverables, submissions, and reports will result in fees at risk. Key administrative deliverables include Rate Certifications (annually by December 31), Rate Amendments (as requested), Risk Adjustments (as requested), Waiver Reporting (annually by July 31), Medical Loss Ratios Reports (annually, two years after the rating period ends by December 31), Risk Pool Reconciliations (annually, two years after the rating period ends by December 31), weekly status reports (due Mondays at 9:00 a.m. Central Time), and monthly status reports (due by the fifth business day following month-end). The contractor must also submit a Transition Plan within one year after contract execution for Department approval, which shall detail policies, procedures, and staffing models to achieve a smooth two-month transition period prior to contract termination or expiration.

Additionally, the contractor must comply with the Business Enterprise Program Act for Minorities, Females, and Persons with Disabilities by submitting quarterly reports to the Diversity Contract Monitoring System no later than the last day of the month following each quarter, and an annual report by March 1 detailing all requirements under 305 ILCS 5/5-30.13. Most administrative deliverables do not require prior Department approval, with the exception of the Transition Plan. The document does not specify pricing terms, contract duration, renewal options, or funding amounts within this attachment.