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125920 O3 Nebraska Medicaid Enrollment Broker Attachment 4 – Deliverables, for Due Dates
Enrollment Broker Implementation Phase
| Work Product # |
| Work Product |
| RFP Reference |
| Due Date |
| 1 |
| Integrated work plan that addresses all project phases |
| Section V.M.1.a. – Transition and Implementation |
| 30 calendar days after contract award |
| 2 |
| Comprehensive test plan to identify, quantify, resolve, and retest defects |
| Section V.M.3.e – Quality Assurance (QA) and Monitoring |
| 60 calendar days after contract award |
| 3 |
| Change management plan that documents the Enrollment Broker’s (EB) methodology, approach, and process for change management |
| Section V.M.4.c – Change Management |
| 60 calendar days after contract award |
| 4 |
| Human resources and staffing plan that addresses EB staffing for the transition/implementation and operational phases of the contract |
| Section V.D.2.c – Staff Positions |
| 60 calendar days after contract award |
| 5 |
| Disaster recovery plan and business continuity plan |
| Section V.O.7.c.x– Systems and Technical Requirements |
| 60 calendar days after contract award |
| 6 |
| Website materials about Heritage Health, the EB, and the Managed Care Organization’s (MCO) |
| Section V.B.3.c – Web Based-Enrollment |
| 90 calendar days after contract award |
| 7 |
| Member mailings and other materials (print and multi-media) |
| Section V.B.3.d– Written Materials |
| 90 calendar days after contract award |
| 8 |
| Provider directory template |
| Section V.B.3.e - Provider Directory for Members |
| 90 calendar days after contract award |
| 9 |
| Choice counseling materials |
| Section V.B.3.f - Choice Counseling Material |
| 90 calendar days after contract award |
| 10 |
| Member education plan that addresses member outreach, methods of communication, and ongoing member education. It must address the State’s diversity, interpreter services, alternate communication mechanisms, and provide a list of subcontractors involved in member education |
| Section V.B.3.a.ii.- Member Outreach and Education |
| 90 calendar days after contract award |
| 11 |
| Policies and procedures related to call center staffing, staff training, hours of operations, access and response standards, choice counseling, member enrollment, monitoring of calls, and compliance with all RFP requirements; confidentiality of member information; staffing, including position descriptions; grievances; program integrity; and manual and automated information systems processes |
| - Section V.B.4- Oral Interpretation and Written Translation Services |
- Section V.C.11 Confidentiality;
- Section V.D.5 - Written Policies, Procedures, and Position Descriptions;
· Section V.G. - Program Integrity; and -Section V.O.9 - System Documentation 90 calendar days after contract award
| 12 |
| Initial data load specifications and mappings for all data sets |
| Section V.M.5 - Data Conversion and Data Load |
| 90 calendar days after contract award |
| 13 |
| Internal QA plan for monitoring and improving the enrollment process and the services provided to members and the MCOs |
| -Section V.M.3.e. - QA and Monitoring; |
- Section V.E.1.b - Internal QA Program 60 calendar days prior to operations start date
| 14 |
| Weekly status report that discusses the schedule’s status, project activities and accomplishments, risk and issues, and resource needs. |
| Section V.M.1.f. – Project Work Plan and Implementation Status Reports |
| Close of business (COB) on Monday of each week through transition/ implementation phase |
| 15 |
| Monthly status report that discusses the project’s status, milestones, risks and issues, and external communication activities |
| Section V.M.1.f. – Project Work Plan and Implementation Status Reports |
| COB on 10th calendar day of month following reporting month through transition/ implementation phase |
| 16 |
| Post-implementation report that describes hardware, network, software, and operational issues and their resolution |
| Section V.M.8.c. –Implementation |
| 45 calendar days following the initial enrollment launch |
| 17 |
| Policies and procedures not specified previously |
| Section V.M.1.. – Policies and Procedures |
| 60 calendar days prior to implementation; Readiness Review |
Go-live Period (October 1, 2027 to November 1, 2027)
| Work Product # |
| Work Product |
| RFP Reference |
| Due Date |
| 18 |
| Weekly status that includes statistics related to member enrollment by MCO, assignment type, disenrollment numbers and reasons, call center numbers and reasons, performance measures, mailings, choice counseling and outreach, web portal response time, grievances, and other measures identified by the Nebraska DHHS, Division of Medicaid and Long-Term Care (MLTC). |
| Section V.L.e. – Additional Reporting Requirements |
| COB on Monday of each week |
Open Enrollment (November 1, 2027 – December 15, 2027)
| Work Product # |
| Work Product |
| RFP Reference |
| Due Date |
| 19 |
| Weekly status that includes statistics related to member enrollment by MCO, assignment type, disenrollment numbers and reasons, call center numbers and reasons, performance measures, mailings, choice counseling and outreach, web portal response time, grievances, and other measures identified by MLTC. |
| Section V.L.d. – Additional Reporting Requirements |
| COB on Monday of each week until December 24th |
Attachment 3, p. 5