Attachment 4 - Deliverables for Due Dates.pdf
PDF 127 KB Posted
- Attached to
- Nebraska Medicaid Enrollment Broker
- Solicitation number
- 125920 O3
- Issued by
- Nebraska
About this file
This file is a deliverables schedule (Attachment 4) for the Nebraska Medicaid Enrollment Broker contract issued by the State of Nebraska Department of Health and Human Services, Division of Medicaid and Long-Term Care. The document outlines 19 work products required across three distinct phases: the Implementation Phase, the Go-live Period (October 1, 2027 to November 1, 2027), and the Open Enrollment Period (November 1, 2027 to December 15, 2027). Implementation Phase deliverables include an integrated work plan, comprehensive test plan, change management plan, human resources and staffing plan, disaster recovery and business continuity plans, website materials, member mailings, provider directory template, choice counseling materials, member education plan, policies and procedures, data load specifications, and an internal quality assurance plan, with due dates ranging from 30 to 90 calendar days after contract award. Additionally, the contractor must submit weekly status reports by close of business each Monday and monthly status reports by the 10th calendar day of each month during the implementation phase, followed by a post-implementation report 45 days after the initial enrollment launch.
During the Go-live and Open Enrollment periods, the contractor is required to submit weekly status reports by Monday close of business containing detailed statistics on member enrollment by managed care organization, assignment types, disenrollment data, call center metrics, performance measures, mailings, choice counseling activities, web portal response times, grievances, and other measures identified by the Nebraska DHHS Division of Medicaid and Long-Term Care. The weekly reporting schedule continues through December 24th for the Open Enrollment Period. All deliverables are cross-referenced to specific sections of the RFP (Section V), establishing clear accountability for contractor compliance with contract requirements across staffing, quality assurance, data management, member education, and system documentation.
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125920 O3 Nebraska Medicaid Enrollment Broker
Attachment 4 – Deliverables, for Due Dates
Attachment 3, p. 1
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
Attachment 3, p. 2
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
Attachment 3, p. 3
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, Section V.L.d. – Additional Reporting Requirements
COB on Monday of each week until December 24th
Attachment 3, p. 4 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.
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