Attachment H - Network Access.xlsx

This is a Network Access submission template issued by the State of South Dakota for use in response to RFP #25RFP17863 for Medical Network and Pharmacy Administration Services. The template requires responding vendors to complete three separate exhibits documenting network adequacy across Primary Care Physicians (PCPs), Specialists, and Hospitals. For each provider category, vendors must identify the number of available providers and those with closed practices across eight specified South Dakota geographic areas: Aberdeen (574XX zip codes), Brookings (570XX excluding 57069 and 57078), Pierre (575XX), Rapid City (577XX), Sioux Falls (571XX), Yankton (57078), Vermillion (57069), and all other South Dakota zip codes. The submission instructions explicitly prohibit any alterations to the worksheet structure, including changes to row or column order or insertion of additional rows or columns, with non-compliance potentially resulting in proposal elimination. Proposals are due December 15, 2025, at 5:00 p.m. CDT, with the contract period running five years from July 1, 2026, through June 30, 2031, with two potential five-year renewals.

The network access exhibits serve as critical components of the technical evaluation, which is conducted on a 100-point scoring basis with network management adequacy as a key assessment factor. The State currently serves approximately 12,435 active employees across four medical plans and operates as a self-insured entity without stop-loss coverage. CVS Caremark is the current pharmacy services administrator, though the RFP does not designate them as the incumbent for the comprehensive services being sought. Implementation must be completed 60 days prior to the FY27 Annual Enrollment period beginning April 15, 2026, with final vendor selection anticipated by January 16, 2026. No specific set-aside designations for disadvantaged enterprises are mentioned, and no explicit contract value is stated, though the comprehensive nature of services and employee population size indicate substantial contract value. Vendors must demonstrate compliance with South Dakota's BIT Technology Standards and Single Sign-On integration requirements using OAuth 2.0 standards.