Attachment E.docx

Attachment E is a certification outcomes and metrics document for the State of Nebraska Department of Health and Human Services related to RFP #124528 for a new Medicaid Drug Rebate System. The solicitation seeks a qualified contractor to design, develop, test, implement, and provide five-year operational support for a comprehensive system to manage Medicaid drug rebates, including rebate calculations, claims processing, vendor management, and reporting. The system must integrate with Nebraska's Medicaid Management Information System, Health Insurance Administration, Centers for Medicare & Medicaid Services, managed care organizations, and pharmacy benefit managers across eighteen defined data interfaces. Key operational requirements include capturing rebate data for timely invoicing within 60 days of each quarter end, generating automatic delinquent letters within 10 business days, completing quarterly rebate file generation within one business day of invoice cycle completion, and providing dispute resolution support within five business days of DHHS request. Written questions are due June 23, 2026, with proposals due July 23, 2026 at 2:00 p.m. Central Time. The evaluation period runs July 30 through August 13, 2026, with Intent to Award expected August 27, 2026 and contract finalization targeted for September and October 2026, with a January 2027 award and start date. The initial contract term is five years with one optional three-year renewal.

The contractor must comply with Section 1927 of the Social Security Act, applicable CFR provisions, HIPAA regulations, and NIST standards, and must designate Privacy and Information Security Officials with implementation of administrative, physical, and technical safeguards. The contractor bears all costs for breach investigation, mitigation, and notification and must notify DHHS of breaches to federal information within one hour of discovery and all other confidential information within 15 days. Pricing must remain fixed for the first five years. The contract includes performance guarantees with daily monetary penalties ranging from $500 to $5,000 per incident for non-compliance across six requirement categories. The vendor must provide trained operational staff 30 calendar days prior to Go Live and replace key personnel within 30 calendar days. The vendor must develop and submit a DHHS-approved Turnover Plan at least 180 days before contract end. The State may consider resident disabled veteran and designated enterprise zone preferences under Nebraska Revised Statutes and reserves the right to conduct best and final offer rounds and vendor demonstrations.