DHR25008-HDW-qa.pdf

STATE OF DELAWARE

Department of Human Resources

DHR25008-HDW 1

DHR25008-HDW

Health Data Warehouse

VENDOR QUESTIONS AND ANSWERS

# Date Received

RFP Section/ Question/Page

Question Response

1 09/15/2025 Attachments Would it be possible to obtain Attachment 21 – Scope of Services Questionnaire?

Attachment 21 – Scope of Services Questionnaire is built into the Proposal Tech technology for vendors to access and answer through the tool. Therefore, this is not provided as a separate attachment. If you are having issues accessing the questionnaire through Proposal Tech, we would suggest accessing the demo available through the technology or reaching out to Proposal Tech Support at (877) 211- 8316 x 84.

2 9/18/2025

Attachment 19; Page

Does Delaware have any concerns about personnel and subcontractors outside the United States accessing state data remotely?

If so, is there scoring preference for a provider who can offer to have all data, support, and access (including subcontractors) reside in the United States?

Page 31 of the RFP, 21. Vendor Activity states “No activity is to be executed in an offshore facility, either by a subcontracted firm or a foreign office or division of the vendor. The vendor must attest to the fact that no activity will take place outside of the United States in its transmittal letter. Failure to adhere to this requirement is cause for elimination from future consideration”.

Additionally, bidders are required to adhere to all provisions within Attachment 19 as this is a minimum requirement as noted in Section III.A.4., on page 7 of the RFP. Scoring criteria is outlined in Section IV.C.2, on pages 19 and 20 of the RFP.

3 9/18/2025

Questionnaire - Section 4. Service Delivery – Page 99

Is there a specific wellness program (point solution) or two that Delaware is most eager to evaluate the utilization and effectiveness of?

Refer to the SEBC Strategic Framework which outlines the GHIP goals and guiding principles found here-https://dhr.delaware.gov/benefits/sebc/documents/str ategic-framework.pdf?ver=0117 as well as SEBC meeting discussions on GHIP planning found here-https://dhr.delaware.gov/benefits/sebc/index.shtml.

https://dhr.delaware.gov/benefits/sebc/documents/strategic-framework.pdf?ver=0117 https://dhr.delaware.gov/benefits/sebc/documents/strategic-framework.pdf?ver=0117 https://dhr.delaware.gov/benefits/sebc/index.shtml

DHR25008-HDW 2

# Date Received

RFP Section/ Question/Page

Question Response

4 9/18/2025

Questionnaire - Section 12.

Reporting and analytics services –

Can Delaware elaborate further on their specific current & future healthcare consumerism initiatives?

Refer to the SEBC Strategic Framework which outlines the GHIP goals and guiding principles found here-https://dhr.delaware.gov/benefits/sebc/documents/str ategic-framework.pdf?ver=0117 as well as SBO’s Choosing the Right Care webpage found here-https://dhr.delaware.gov/benefits/right-care/index.shtml.

5 9/19/2025 RFP Section I (Overview), p.3

The Proposal Tech submission portal does not appear to have a specific location for uploading the required transmittal letter. Can the State please clarify the requested submission location and format for this item.

Attachments are uploaded through the Manage Documents screen within Proposal Tech. You go through Manage Documents > Upload Attachments.

Once you are finished responding to the Questionnaire and have uploaded your full set of Attachments, you will hit “Post Answer” where you confirm you’d like to submit your bid and make it visible to WTW.

6 9/19/2025 RFP Section II (Scope of Services), Subsection A.2 (Program Information), p.5

Can the State please clarify whether its desired solution includes access for SBO employees to the “standard” data warehouse and/or the enriched data sets that include enhancements. If such access is required, can the State please clarify the number of its anticipated users who would require role-based permission?

The State desires to allow SBO employees as well as its Benefits Consultants access to the “standard” data warehouse as well as the enriched data sets that include enhancements. The total number of users would not exceed 3 at any given time.

7 9/19/2025 RFP Attachment 16 (Performance Guarantees), Subsection B (Ongoing Performance Guarantees) p.73

Can the State please clarify whether one of the RFP’s desired deliverables is a regularly updated database accessible by the State? If yes, does the State require access to the “standard” database of clean and complete data prior to enhancements and/or access to the enriched database that includes enhancements (both standard and those performed at the State’s request)?

The State’s desire is a regularly updated database accessible to SBO employees as well as its Benefits Consultants to access the “standard” data warehouse as well as the enriched data sets that include enhancements.

8 9/19/2025 Attachment 16 (Performance Guarantees), Section

Can the State please clarify whether one of the RFP’s desired deliverables is a regularly updated database accessible by the State? If

DUPLICATE – See #7 above https://dhr.delaware.gov/benefits/sebc/documents/strategic-framework.pdf?ver=0117 https://dhr.delaware.gov/benefits/sebc/documents/strategic-framework.pdf?ver=0117 https://dhr.delaware.gov/benefits/right-care/index.shtml

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# Date Received

RFP Section/ Question/Page

Question Response

B (Ongoing Performance Guarantees) p.73 yes, does the State require access to the “standard” database of clean and complete data prior to enhancements and/or access to the enriched database that includes enhancements (both standard and those performed at the State’s request)?

9 9/19/2025 Attachment 16 (Performance Guarantees), Section B (Ongoing Performance Guarantees) p.73-78

The RFP’s required performance guarantees repeatedly cite a "Client Information Workbook." Can the State provide an example and/or additional detail regarding the expected contents and format of this monthly deliverable?

The “Client Information Workbook” is an Excel file that is created by the incumbent and includes the details related to the Performance Guarantees and is shared with the SBO. It also includes updates to open and closed issues, project and retainer hours tracking, and any proposed data quality improvements.

10 9/19/2025 RFP Attachment 21 (Response to Scope of Services Questionnaire), Section 3.1 (Account Management) p.95

The supporting table immediately beneath this passage includes only a single column for “Other Team Member.” If more than one additional individual is part of an interested vendor’s core team to support the SEBC, would the State allow for additional columns (and the related information and resume) to be included? If yes, please advise on the wanted location and mechanism for providing this information

We recommend bidders try to provide answers within the limits provided in Proposal Tech.

However, if you are unable to submit your full answer to a question with the area provided within Proposal Tech, we would suggest uploading a document with additional information as a part of your bid and clearly flagging as Attachment 21 with the section and question applicable to for ease of reference.

11 9/19/2025 RFP Attachment 21 (Response to Scope of Services Questionnaire), Section 3 (Account Management) p.96

In RFP Attachment 21 (Response to Scope of Services Questionnaire), Section 3 (Account Management), Question 5 requests confirmation that the proposed Dedicated Analytic Resource “will either be located onsite at the SBO or within driving distance of the SBO for frequent onsite meetings with SBO employees.” Could the State provide additional guidance on expectations or preferences regarding the frequency of onsite time commitments?

The State is requiring a full-time (37.5 hours per week) dedicated analytic resource who must be onsite at least three days per week, except in instances of leave. The individual may work remote up to two days a week.

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# Date Received

RFP Section/ Question/Page

Question Response

12 9/19/2025 RFP Attachment 21 (Response to Scope of Services Questionnaire), Section 4 (Service Delivery) p.97-98

In this section’s “data type” table under Question #7, the RFP notes the following data types: “health management program participation” and “bundled surgery provider.” Can the State explain whether these data are submitted as discrete file types or instead embedded in a standard claims layout (e.g., medical, pharmacy)

They are discrete file types rather than embedded in a standard claims layout.

Please refer to Attachment 22- Data File Descriptions and Layouts.

13 9/19/2025 RFP Attachment 21 of Services Questionnaire), Section 4 (Service Delivery) p.99

Can the State please clarify if integrating the decision support tool into your existing benefits administration system is a requirement for this RFP? If so, can you detail your integration expectation (e.g., API, SSO)? And, if applicable, who would be the benefits administrator?

This is not a requirement however the incumbent’s decision support tool is available to State employees via SSO in the State’s Oracle HR/payroll system.

14 9/19/2025 RFP Attachment 21 of Services Questionnaire), Section 4 (Service Delivery) p.99

Can the State please clarify whether the solution requires decision support for non-medical benefits (e.g., vision benefits, etc.)?

No, the decision support tool is limited to the State’s non-Medicare health plans.

15 9/19/2025 RFP Attachment 21 (Response to Scope of Services Questionnaire), Section 4 (Service Delivery) p.99

Can the State please clarify whether multiple languages are required for the Decision Support tool? If so, what languages?

No, this is not a requirement.

16 9/19/2025 RFP Attachment 21 (Response to Scope of Services Questionnaire), Section 4 (Service Delivery) p.99

Can the State please clarify whether the use of historical, personalized claims data is a mandatory requirement for decision support vendors, or will the State consider alternative approaches?

The current decision support tool utilizes historical personalized claims to recommend a “best” health plan option for members. The State would be interested in exploring alternative approaches.

17 9/19/2025 RFP Attachment 21 (Response to Scope of Services

Can the State please clarify how historical claims data currently are being shared with the incumbent vendor (e.g., direct feeds

Descriptions and Layouts.

DHR25008-HDW 5

# Date Received

RFP Section/ Question/Page

Question Response

Questionnaire), Section 4 (Service Delivery) p.99 from carriers/TPAs, annual extracts, another process, etc.)? Related: How frequently are the claims data updated in the current decision support tool (e.g., in real time, monthly, annually)?

Claims data is uploaded annually for use in the current decision support tool.

18 9/19/2025 RFP Attachment 21 (Response to Scope of Services Questionnaire), Section 4 (Service Delivery) p.99

Can the State please clarify whether all groups (e.g., state agency employees, participating group employees, Department of Education employees, non-Medicare pensioners pre-65 retirees) will have access to the decision support tool?

The decision support tool would be available to active State employees and State non-Medicare pensioners. The tool is also available to DE Transit Corporation active employees (DTC is a participating group).

19 9/19/2025 RFP Attachment 21 (Response to Scope of Services Questionnaire), Section 4 (Service Delivery) p.99

Can the State please clarify whether the decision support tool must show specific rates for each individual group within these categories (e.g., all groups, just state agency employees, participating group employees, Department of Education employees, and/or non-Medicare pensioners pre-65 retirees), OR can the tool instead provide all employees with the rate for state agency employees?

The rates in the tool should be specific to the member (i.e. the rates provided to DTC active employees would be different than the rates for State employees).

20 9/19/2025 RFP Attachment 21 (Response to Scope of Services Questionnaire), Section 4 (Service Delivery) p.99

Is the State comfortable with a decision support tool that lets users self-select their type of group (e.g., state retiree, Department of Education employee, non-Medicare pensioners pre-65 retirees) in order to show their appropriate rates/benefits based on the selected group?

The State would prefer that the tool provide the member with a personalized experience based on their current group (vs. allowing them to select a group). Member enrollment would be provided to the vendor along with a historical claims file.

21 9/19/2025 RFP Attachment 21 (Response to Scope of Services Questionnaire), Section 4 (Service Delivery) p.99

Can the State please confirm the required go-live date for the decision support tool?

The decision support tool would need to go live in conjunction with the State’s annual open enrollment on May 6, 2026.

DHR25008-HDW 6

# Date Received

RFP Section/ Question/Page

Question Response

22 9/19/2025 Proposal Tech Section 2 (Attachment 21 - Response to Scope of Services Questionnaire), misc. subsections

In the Proposal Tech portal’s Section 2 (Attachment 21 - Response to Scope of Services Questionnaire), many questions are structured with radio button response options (e.g., “Yes,” “No, explain”;

“Confirmed/ Not confirmed, Briefly explain”) and provide a text box beneath labeled “Details.” Could the State provide any guidance regarding the amount of detail wanted in these supplementary responses?

The Instructions ahead of the Questionnaire within Proposal Tech state the expectations for answering questions for this RFP.

23 9/19/2025 RFP Attachment 15 (Pricing Exhibit)

Can the State please confirm that “Year 1” should be defined as months 7-12 (vs. 6-12) and that “Year 2” should be defined as months 13-24 (vs. 12-24)?

Yes

24 9/19/2025 Attachment 21 / 4.

Service Delivery, Question 17 / Page

Can the State please explain what it means to promote health care consumerism, and could this potentially create data share implications?

Refer to the SEBC Strategic Framework which outlines the GHIP goals and guiding principles found here-https://dhr.delaware.gov/benefits/sebc/documents/str ategic-framework.pdf?ver=0117 as well as SBO’s Choosing the Right Care webpage found here-https://dhr.delaware.gov/benefits/right-care/index.shtml.

The SBO’s motto “Benefits Made Easy” focuses on the goal of helping our members understand their benefits by giving them the information, resources and tools they need when they need them, so they can make the most of their benefits and healthcare dollars. There is no risk of inappropriate data sharing with the online decision tool as the claims data in the tool are only accessible to the applicable member.

25 9/19/2025 Attachment 21 / 7.

Data Integration, Management &

Is there specific DE documentation that will need to be updated?

The State is requesting your process to maintain documentation on all data management activities, data file, etc.

https://dhr.delaware.gov/benefits/sebc/documents/strategic-framework.pdf?ver=0117 https://dhr.delaware.gov/benefits/sebc/documents/strategic-framework.pdf?ver=0117

DHR25008-HDW 7

# Date Received

RFP Section/ Question/Page

Question Response

Quality, Question 5 /

26 9/19/2025 Section II / A.2 /

Can you please identify the incumbent data warehouse vendor and how long they have been providing the requested service?

The incumbent vendor is Merative, formerly IBM who has held the contract since 7/1/12.

27 9/19/2025 Section II / A.2 /

Can you please provide a copy of the current contract with renewals and amendments with the incumbent data warehouse vendor?

No, vendor contracts are not publicly available.

FOIA Request Form - Guides to Services - State of Delaware

28 9/19/2025 Section II / A.2 /

Can you please provide a copy of the pricing included in the current contract?

No, vendor contracts are not publicly available.

FOIA Request Form - Guides to Services - State of Delaware

29 9/19/2025 Section II / B Paragraph 2 / Page 5

Can you please provide details on the support tool and how it works and a copy of a sample "personalized recommendations" to employees?

Refer to Goal #4 in the SEBC Strategic Framework found here-https://dhr.delaware.gov/benefits/sebc/documents/str ategic-framework.pdf?ver=0117.

The personalized recommendations page should include a breakdown of the four GHIP health plans, ranked by “best-to-worst” option for the member, customized by using their own claims data and any supplemental information they choose to add regarding upcoming procedures and overall health/family status. This should include an estimated total cost to the member, including the annual premium amount and additional payments projected for medical expenses. Additionally, a recommendation for total FSA contribution should be included on this page. Options to compare the health plans in more detail should be provided.

30 9/19/2025 Section II / B Paragraph 4 / Page 6

Can you please provide details on the "healthcare consumerism initiatives" of the State"?

Refer to the SEBC Strategic Framework which outlines the GHIP goals and guiding principles found here-https://dhr.delaware.gov/benefits/sebc/documents/str ategic-framework.pdf?ver=0117 as well as SBO’s Choosing the Right Care webpage found here-https://delaware.gov/foia/?subj=DHR https://delaware.gov/foia/?subj=DHR https://delaware.gov/foia/?subj=DHR https://delaware.gov/foia/?subj=DHR https://dhr.delaware.gov/benefits/sebc/documents/strategic-framework.pdf?ver=0117 https://dhr.delaware.gov/benefits/sebc/documents/strategic-framework.pdf?ver=0117

DHR25008-HDW 8

# Date Received

RFP Section/ Question/Page

Question Response https://dhr.delaware.gov/benefits/right-care/index.shtml.

31 9/19/2025 "Attachment 21 / 3.

Account Management / Page

Attachment 21 / 6.

Proposed Account Staffing and Support / Page 100"

To ensure clarity and alignment with the State’s fiduciary responsibility to safeguard taxpayer dollars and ensure effective oversight of the Group Health Insurance Program, can you confirm whether the requirement is for the Dedicated Analytic Resource to be a permanent FTE fully dedicated to the State account, or if the State would consider a model where the vendor provides a guaranteed commitment to deliver analytic support “on demand” (i.e., whenever requested), provided service levels and response times meet or exceed the State’s needs?

The requirement is for the Dedicated Analytic Resource to be a permanent FTE fully dedicated to the State’s account who works at least three days a week onsite in the SBO office.

32 9/19/2025 Appendix B / 10.3 /

When would Security Clearance be required, and is this something that the State of Delaware would request or the vendor?

As stated in the RFP, this may be required and if so, it would be required by the contract effective date, 7/1/26.

33 9/19/2025 General What is the total volume of data in the existing data warehouse, in GB or TB?

The SBO does not have access to this information, however, the current vendor stores 48 months of paid claims data and 51 months of incurred claims data for all members, including members who may no longer be enrolled in a health plan.

34 9/19/2025 General What is the anticipated volume of data in the data warehouse with all additional referenced data sources?

This is not currently known.

35 9/19/2025 Attachment 21 / Section 4, Question 7 / Page 97

Would the State please define "Health Management Program Participation" and how that data differs from eligibility and claims data?

Information on the current health management programs can be found on the SEBC meeting materials webpage in the June 20, 2023 presentations section - DHR - Division of Statewide Benefits.

Information on the data files can be found in Attachment 22- Data File Descriptions and Layouts.

https://dhr.delaware.gov/benefits/right-care/index.shtml https://dhr.delaware.gov/benefits/sebc/sebc-archives.shtml

DHR25008-HDW 9

# Date Received

RFP Section/ Question/Page

Question Response

36 9/19/2025 Attachment 21 / Section 4, Question 11 / Page 98

The RFP requests vendors to confirm the provision of consulting retainer hours beginning July 1, 2026, and specifies that unused hours will carry over into subsequent years. However, because the RFP does not identify a minimum or standard number of consulting hours that all vendors must include, each vendor is left to independently define their own allocation. This introduces potential inconsistency in scoring and pricing, and could inadvertently disadvantage vendors who take a more conservative approach versus those who inflate hours without a cost basis. In alignment with the State’s fiduciary responsibility to ensure fair, apples-to-apples evaluation and transparency in pricing, will the State consider establishing a baseline number of consulting retainer hours that all vendors must include, so responses can be evaluated equitably?

A pre-paid bank of 10-days consulting time for additional ad hoc services to assist Client with such activities as the analysis of Health Insights reports, studies and research, and design of report formats is included. Unused consulting retainer in any year can be carried over to the next year and any remaining analytic hours at the end of this contract term be rolled into the optional year, should the State elect to renew.

37 9/19/2025 Attachment 21 / Section 4, Question 13 / Page 98

Will the State please provide examples of competitive benchmarking that would be desired, as well as examples that are currently provided in the solution today?

Competitive benchmarking would encompass book of business, public sector, geography, or industry data to use as a benchmark when comparing State of Delaware specific data. Benchmarking is often used in our dashboards found on the Facts and Figures webpage – https://dhr.delaware.gov/benefits/facts-figures/index.shtml.

38 9/19/2025 Attachment 21 / Section 12, Question 13 / Page 107

Can the State describe its current approach to provider attribution within the existing health data warehouse — including the methodology used (e.g., plurality of visits, majority of claims, first touch) and for

A member is attributed to a provider or practice if they have visited that provider/practice in the past 12 months. Attribution is not regularly applied in reporting unless requested for a specific report.

https://dhr.delaware.gov/benefits/facts-figures/index.shtml https://dhr.delaware.gov/benefits/facts-figures/index.shtml

DHR25008-HDW 10

# Date Received

RFP Section/ Question/Page

Question Response which programs or analyses attribution is currently applied?

39 9/19/2025 Attachment 21 / Section 12, Question 13 / Page 107

Looking forward, what are the State’s goals for provider attribution? For example, does the State want to support value-based purchasing, population health initiatives, or provider performance guarantees tied to attribution?

Refer to the SEBC Strategic Framework which outlines the GHIP goals and guiding principles found here-https://dhr.delaware.gov/benefits/sebc/documents/str ategic-framework.pdf?ver=0117.

40 9/19/2025 Attachment 21 / Section 12, Question 13 / Page 107

The RFP references provider attribution, which can serve multiple purposes in population health and program evaluation.

To better understand the State’s expectations, can you describe the primary use cases for provider attribution today (e.g., cost and quality reporting, benchmarking, member outreach, provider performance evaluation) and any additional use cases the State would ideally like to support in the future?

Provider attribution is not regularly reported, however has been requested on an ad-hoc basis when reviewing billing practices of certain providers or practices. This information should be available at the request of the State or the SEBC.

41 9/19/2025 General What estimated or actual dollars were paid last year, last month, or last quarter to any incumbent(s)?

In FY25, the State paid Merative $658,000.00, which includes the monthly fee and the decision support tool.

42 9/19/2025 General How are fees currently being billed by any incumbent(s), by Category, and at what rates?

See above response.

43 9/19/2025 General Please describe your level of satisfaction with your current or recent Contractor for the same purchasing activity, if applicable.

SBO is satisfied with the incumbent.

44 9/19/2025 General Has the current contract gone full term? The current contract will expire on 6/30/26.

45 9/19/2025 General Have all options to extend the current contract been exercised?

The current contract, initial term and all extensions will expire on 6/30/26.

46 9/19/2025 Attachment 21 -

RESPONSE TO

SCOPE OF

SERVICES

Will the State facilitate establishing data use agreements with the five mentioned data suppliers/plans? Regardless of existing/ongoing relationships, access to the

Yes, the State would help facilitate establishing data use agreements with SBO’s current benefit vendors.

DHR25008-HDW 11

# Date Received

RFP Section/ Question/Page

Question Response

QUESTIONNAIRE,

p.97

State's plan data would be excluded without expressed consent from the State.

47 9/19/2025 Attachment 21 -

RESPONSE TO

SCOPE OF

SERVICES

QUESTIONNAIRE,

p.101

Are the nine data suppliers provided in item 9 (referenced) included in the base scope and should they be considered in pricing?

Yes, the State would help facilitate establishing data use agreements with SBO’s current benefit vendors.

Please consider the nine data sources as part of the base scope and include costs to implement them in your pricing.

48 9/19/2025 Attachment 21 -

RESPONSE TO

SCOPE OF

SERVICES

QUESTIONNAIRE,

p.100

Is the State using a Master Person Index vendor currently or is this native in the current solution?

Member to claims matching is currently done within the solution in place.

49 9/19/2025 Attachment 21 -

RESPONSE TO

SCOPE OF

SERVICES

QUESTIONNAIRE,

p.104

How does the State plan to use biometric data for reporting and analytics? What type of biometric data is anticipated? Is biometric data in the current data warehouse?

The awarded vendor should have the ability to ingest and analyze biometric, clinical and laboratory data to monitor and evaluate clinical outcomes pertaining to pertinent medical conditions, point solutions, medications, etc. Biometric data can be ingested by the current data warehouse.

50 9/19/2025 Attachment 21 -

RESPONSE TO

SCOPE OF

SERVICES

QUESTIONNAIRE,

p.106

How does the State intend to promote health care consumerism? Can the State share few examples of what an online decision support tool would do?

Refer to the SEBC Strategic Framework which outlines the GHIP goals and guiding principles found here-https://dhr.delaware.gov/benefits/sebc/documents/str ategic-framework.pdf?ver=0117 as well as SBO’s Choosing the Right Care webpage found here-https://dhr.delaware.gov/benefits/right-care/index.shtml.

The current decision support tool utilizes historical personalized claims to recommend a “best” health plan option for members.

https://dhr.delaware.gov/benefits/sebc/documents/strategic-framework.pdf?ver=0117 https://dhr.delaware.gov/benefits/sebc/documents/strategic-framework.pdf?ver=0117

DHR25008-HDW 12

# Date Received

RFP Section/ Question/Page

Question Response

51 9/19/2025 Attachment 21 -

RESPONSE TO

SCOPE OF

SERVICES

QUESTIONNAIRE,

p. 103

Does the current solution provide benchmarking based on data from other public sector government employers?

The current data warehouse provides national benchmarking data from over 273 million unique patients, including other public sector government employers.

52 9/19/2025 Attachment 21 -

RESPONSE TO

SCOPE OF

SERVICES

QUESTIONNAIRE,

p.106

Is there a current online decision support tool accessed by consumers to promote consumerism?

Yes, the current decision support tool utilizes historical personalized claims to recommend a “best” health plan option for members.

53 9/19/2025 IV. Professional Services RFP Administrative Information, p.16

If a bidder does not have 3 previous customers for the similar scope and value, due to high retention rates, will the bidder be penalized in the scoring or should they provide 6 current references?

If a bidder does not have 3 previous customers at all, they should include that on Appendix 3 as an exception. The vendor should then list 6 current customers as references.

54 9/19/2025 V. Contract Terms and Conditions, p.21

In the event there is an overlapping term between the RFP and the State of Delaware's professional agreement, and there is a requested exception for said term, should the bidder submit an exception for only the RFP term, or the term in the professional services agreement, or both? Does the RFP or State of Delaware's professional agreement take precedence?

The RFP terms take precedence and will be used to finalize the State of Delaware professional services agreement.

The vendor should list any and all exceptions on Attachment 3.

55 9/19/2025 V. Contract Terms and Conditions, p.22

Is the State open to a Software as a Service solution?

The State is interested in any bidder solution that meets the requirements of this RFP.

56 9/19/2025 V. Contract Terms and Conditions, p.22

Please confirm that if the proposed solution requires software as a service (SaaS) license agreements that the bidder should submit their software license, support/maintenance, source code escrow, and any other applicable agreements via Attachment 3, Confirmed

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# Date Received

RFP Section/ Question/Page

Question Response

Responses Exception Tracking. If not, please provide instructions for submitting.

57 9/18/2025 General, p.42 Does the supplier diversity vendor identified in our proposal need to be registered as a Delaware-certified diverse business, or will certification from another state be acceptable for meeting the RFP's Supplier Diversity goals?

There are no Supplier Diversity goals in Delaware.

Supplier Diversity is a reporting requirement, but certification does not have to be done by Delaware.

58 9/18/2025 Other For Appendix B - Do we have to fill in the blanks, sign, and return with our proposal submission OR is Appendix B an illustration of the Professional Services Agreement which the State wants us to review and submit any exceptions to in Attachment 3?

Appendix B is an example of the Professional Services Agreement that bidders should list any exceptions to in Attachment 3

59 9/18/2025 Other In Attachment 16 Performance Guarantees, A. Implementation Performance Guarantees

- it states that the data warehouse vendor will prepare the first draft of the contract.

Please confirm or clarify if the State's intent is for the awarded vendor to prepare the first draft of the contract.

It is the State’s intent for the awarded vendor to prepare the first draft of the contract.

60 9/18/2025 Attachment 17;

Pages 79-83

Regarding Attachment 17, Is this provided for reference purposes only? There is no specific instructions or “call to action” regarding this attachment. If it is not just for our reference to show us what we will need to be prepared to manage towards, please advise what is expected in the response pertaining to this section.

Yes, this is provided for reference only. Please refer to page 42 in the RFP for which Attachments are required to be submitted with your proposal.

61 9/18/2025 Section: 4. Service delivery

For Attachment 21, is there already a defined format structure and/or data dictionary as a guideline to how they should be stored? (sub section 7 Data Types Table)

Descriptions and Layouts for the data that will be sent to the health data warehouse vendor.

Data quality reporting thresholds can be agreed upon during contract negotiations.

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# Date Received

RFP Section/ Question/Page

Question Response

Can you provide a sample data quality report that you use today, including data quality thresholds and / or data quality threshold ranges? (Sub section 8 – page 98)

62 9/18/2025 Attachment 21, Section 7, p.100-101

“Are you currently receiving data feeds from the following? Please mark “yes” or “no” Yes or No :APCD Yes or No :ASI Flex Yes or No :Livongo Yes or No :Delta Dental Yes or No :Dominion National Yes or No :Health Advocate Yes or No :PMA Management Corp.

(Workers’ Compensation) Yes or No :Securian Yes or No :The Hartford” Please clarify

The incumbent is not currently receiving data fields from any of the entities listed, however, the State has interest in exploring the addition of data feeds from the Employee Assistance Plan (EAP) vendor, Health Advocate.

63 9/18/2025 Attachment 21, Section 8, p. 102

“What evidence-based medicine and care gaps methodologies do you use today?”

Please clarify

What measures are available in your solution that identify members that are non-adherent with preventive or condition-specific care that is recommended by credible healthcare organizations such as the United States Preventive Services Task Force (USPSTF) or the Agency for Healthcare Research and Quality (AHRQ).

64 9/18/2025 Attachment 21, Section 8-9, p. 103

Who are some of your current benchmarking data sources? (ie: Milliman, etc.)

What type of benchmarking is the priority in state vs. national benchmarks vs. other?

Current Benchmarking data source is Merative MarketScan.

This provides national benchmarking data from over 273 million unique patients, including other public sector government employers.

Benchmarks should automatically adjust by age and gender to the population under review. The ability to select government as a comparator industry is preferred.

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# Date Received

RFP Section/ Question/Page

Question Response

65 9/18/2025 Attachment 21, Section 3, Account Management, p. 100

We are not finding a segment of the document titled “Introduction and Instructions” and when referencing Section 3, there is no Item 4 that delineates account management instructions. Please confirm if this is an omission, or identify the section that details all of the account management responsibilities in order for us to respond to this item in Attachment 21.

There is no omission of the information needed for account management responsibilities, as these are documented within the full RFP document - DHR- 25008-HDW RFP.pdf. To clarify specifically where the details are regarding the IV. Professional Services RFP Administrative Information, you can refer to the table starting on page 19 and continuing onto Page 20, which outlines the details of the Criteria for scoring this RFP.

66 9/18/2025 VII. Attachments p.41

If we are not using subcontractors – should this form be included, but left blank – or just left out?

If there are no subcontractors, please note that in the transmittal letter and do not return the form.

67 9/18/2025 Attachment 5 p.47 If our company does not have 3 termed clients, what is the best way to respond in Attachment 5? Should those be left blank or, should it be noted in some way?

Should this be noted in an attachment as well?

If a bidder does not have 3 previous customers at all, they should include that on Appendix 3 as an exception. The vendor should then list 6 current customers as references.

68 9/18/2025 Attachment 20 p.89 How many records does the State anticipate having in the data warehouse?

The current vendor stores 48 months of paid medical and pharmacy claims data and 51 months of incurred claims data for all members, including members who may no longer be enrolled in a health plan. This would be for over 135,000 members.

69 9/18/2025 5. Implementation, p.99

Based on dates provided in questions 1 & 2, if implementation starts immediately following award on February 28th, 2026, is it expected to be a 4 month implementation with a go-live of July 1, ,2026?

Please note – the Pricing Proposal (row 16) assumes a 6 month implementation.

The contract effective date would be 7/1/26 however the decision support tool would need to go live by the State’s annual open enrollment on May 6, 2026.

70 9/18/2025 7. Data Integration, Management and quality, p.100, Question 9

Can the State confirm that the APCD listed is the Delaware APCD?

Yes

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# Date Received

RFP Section/ Question/Page

Question Response

71 9/18/2025 16. Technical Standards and Security Requirements, p.109, Question 2

Can the State provide additional information and possibly an example of this potential scenario?

This is standard language for all State of Delaware RFPs. This is likely not applicable for this RFP.

72 9/18/2025 Miscellaneous, p.

109, Question 1

What correspondence and with which regulatory agencies is this question referring to?

This refers to federal regulatory agencies, like the IRS, CMS, etc.

73 9/18/2025 Instructions, Pricing If there are approximately 123,000 employees and dependents, how many employees are there? This is needed to provide the PEPM in the pricing proposal

There are approximately 75,000 employees.

74 9/18/2025 Pricing, Assume an annual enrollment decision support tool is included in your financial quote

If we are assuming an extract to a third party in our costs instead of a tool, as noted in the questionnaire, can we note the assumption in the Vendor Assumptions tab?

Yes. Please ensure these costs are reflected in your fees in Column B in the pricing proposal tab.

75 9/18/2025 Pricing, Rows 6 through 11 “Fees” and “PEPM Rate”

Is the intent to populate both columns for separate independent fees? Or, is the PEPM column meant to be an equivalent of the Fees column but on a PEPM basis?

The PEPM column is meant to be an equivalent of the fees column but on a PEPM basis.

76 9/18/2025 Pricing, Row 6 Implementation (months 1-6)

Should the cost for row 6 be a one-time implementation fee?

Yes. If that is how your organization prices implementation.

77 9/18/2025 Pricing, Assume a dedicated onsite or near site analytics resource is included in your financial quote.

Should this be included in the pricing in rows 6-11 or should it be included only in row 40 under additional pricing?

Please include this in the pricing in rows 6-11.

DHR25008-HDW