Attachment H - Network Access.xlsx
XLSX spreadsheet 18 KB Posted
- Solicitation number
- 25RFP17863
- Issued by
- Pennington County, South Dakota
About this file
Network Access Attachment for South Dakota State Employee Health Plan RFP
Attachment H is a network access submission form for the State of South Dakota Bureau of Human Resources and Administration's RFP #25RFP17863 for Medical Network and Pharmacy Administration Services. The document requires responding vendors to complete detailed charts documenting the availability of Primary Care Physicians (PCPs), Specialists, and Hospitals across eight geographic regions in South Dakota, including Aberdeen, Brookings, Pierre, Rapid City, Sioux Falls, Yankton, Vermillion, and all other South Dakota zip codes. The submission requires vendors to specify the number of network providers and the number with closed practices in each location. The form contains strict formatting requirements that prohibit vendors from altering the worksheet structure, inserting or deleting columns or rows, or modifying the order of information, with non-compliance resulting in proposal elimination. This network adequacy documentation serves as a critical evaluation component for the comprehensive five-year contract period running from July 1, 2026, through June 30, 2031, with two potential five-year renewal options.
The network access data collected through Attachment H will be evaluated as part of the technical scoring process to ensure the successful vendor can demonstrate adequate provider access and network management capacity to serve approximately 12,435 active state employees across four medical plans. This submission is essential for demonstrating network adequacy across geoaccess requirements specified in the RFP, ensuring providers are accessible within specified distances throughout South Dakota. The form functions as a standardized template to facilitate objective comparison of vendor network capabilities across the state's primary service areas and rural regions, supporting the State's evaluation of each bidder's ability to maintain sufficient healthcare provider networks for the self-funded employee benefits program.
View the file
Other files
Show all 43
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Physicians - PCPs
| State of South Dakota |
| Exhibit H: Network Access (Physicians - PCPs) |
| Instructions: |
| Please complete the yellow shaded areas of the chart by providing the number of PCPs in each location. |
| Do not alter the worksheet in any way (e.g., change order, insert columns or rows). |
| Failure to comply may result in elimination of your proposal from consideration! |
Responding Company Name
| Physicians - PCPs | PPO | ||
| City | Zip Codes | # of PCPs | # w/ Closed Practices |
| Aberdeen, SD | 574XX | ||
| Brookings, SD | 570XX, excluding 57069 & 57078 | ||
| Pierre, SD | 575XX | ||
| Rapid City, SD | 577XX | ||
| Sioux Falls, SD | 571XX | ||
| Yankton, SD | 57078 | ||
| Vermillion, SD | 57069 | ||
| All other SD zip codes |
&F &A
Physicans - Specs
| State of South Dakota |
| Exhibit H: Network Access (Physicians - Specs) |
| Instructions: |
| Please complete the yellow shaded areas of the chart by providing the number of Specialists in each location. |
| Do not alter the worksheet in any way (e.g., change order, insert columns or rows). |
| Failure to comply may result in elimination of your proposal from consideration! |
Responding Company Name
| Physicians - Specs | PPO | ||
| City | Zip Codes | # of Specs | # w/ Closed Practices |
| Aberdeen, SD | 574XX | ||
| Brookings, SD | 570XX, excluding 57069 & 57078 | ||
| Pierre, SD | 575XX | ||
| Rapid City, SD | 577XX | ||
| Sioux Falls, SD | 571XX | ||
| Yankton, SD | 57078 | ||
| Vermillion, SD | 57069 | ||
| All other SD zip codes |
&F &A
Hospitals
| State of South Dakota |
| Exhibit H: Network Access (Hospitals) |
| Instructions: |
| Please complete the yellow shaded areas of the chart by providing the number of hospitals in each location. |
| Do not alter the worksheet in any way (e.g., change order, insert columns or rows). |
| Failure to comply may result in elimination of your proposal from consideration! |
Responding Company Name
| Hospitals | PPO | |
| City | Zip Codes | # of Hospitals |
| Aberdeen, SD | 574XX | |
| Brookings, SD | 570XX, excluding 57069 & 57078 | |
| Pierre, SD | 575XX | |
| Rapid City, SD | 577XX | |
| Sioux Falls, SD | 571XX | |
| Yankton, SD | 57078 | |
| Vermillion, SD | 57069 | |
| All other SD zip codes |
&F &A
File details come from the government source that posted it. Updated .