Amendment4Comp.doc

Department of Health & Human Services

Centers for Medicare & Medicaid Services

7500 Security Boulevard, Mail Stop C2-21-15

Baltimore, Maryland 21244-1850 Office of Acquisition and Grants Management

April 3, 2008 To:

Interested Parties Subject:

Request for Proposal (RFP) Number CMS-2007-QIO9thSOW-NAHC

Amendment Number 4 This document officially issues Amendment Number 4 to the subject Request for Proposal (RFP). Offerors are advised that they must acknowledge receipt of Amendment Number 4 on the Standard Form 33 which shall be completed and included in the Business Proposal. The purpose of this amendment is to:

1.

Transmit Industry Questions and Government Responses and

2.

Amend the RFP.

3.

The due date and time for submission of proposals is changed

From: “On or before 12 p.m. local time (Baltimore, MD) April 15, 2008,” To: “On or before 12 p.m. local (Baltimore, MD) April 18, 2008 Based upon the above, the following documents are hereby transmitted:

· Industry Questions and Government Responses

· Summary of Changes (Includes SDPS/TOPS/QNET Memos)

· Amended RFP Sections B thru E

· Amended RFP Section F

· Amended RFP Section G

· Amended RFP Section H

· Amended RFP Section I

· Amended RFP Section J

· Amended RFP Section J, Attachment J-10

· Section J, Attachment J-11 List of GFP for 8 Competitive States

· Section J, Attachment J-20

· Section J, Attachment J-21

· Amended RFP Section K

· Amended RFP Section L and M Questions concerning the above should be directed to me at 410-786-1607.

Sincerely yours, Naomi A. Haney-Ceresa

Naomi A. Haney-Ceresa

Contracting Officer

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