ESBD_488571_1771617230983_RFP 2602-002 Addendum #2 PPC & Transcription.pdf

Date: February 19, 2026 Issued by: Balena Bunch Pages: 1

2602-002 - Addendum No. 2 Infusion Therapy Consulting Services

Description of Addendum No. 2:

1) To add a list of vendors who attended the Pre-Proposal Conference

2) To provide transcription of the Pre-Proposal Conference

ADDENDUM

1. Vendors who registered for the 2/19/2026 Pre-proposal Conference.

A listing of entities who attended for the February 19, 2026 Pre-proposal Conference is ADDED as follows.

This information is being provided solely to facilitate subcontracting opportunities, not for public distribution.

Entity Contact Person Contact Email Prime/Sub

Expert Infusion Nurse Consulting LLC

Pamela McIntyre pamela@expertinfusionnurse.com Sub

Red Nucleus Danny Singh dsingh@rednucleus.com Prime

Echelon Health Partners

Idara Umoh Prime

Elite Image Professional Services

Nicholas Bennett Nicholas.bennett@eliteimagetax.com Prime

Michelle Levi- McDaniel

Michelle Levi- McDaniel

Michelle.levi@eliteimagetax.com Prime

2. Transcription of the Pre-Proposal Conference conducted February 19, 2026 at 11:00 AM.

RFP 2602-002 Infusion Therapy Consulting Services - Pre Proposal Call-20260219_110048-Meeting Transcript

February 19, 2026, 5:00PM 30m 12s

Dancer, Jay started transcription

Dancer, Jay 0:03

Being started and is recording.

Are we able to use the chat right now?

Gaston, Morgan 0:22

Yes.

Dancer, Jay 0:26

OK.

All right, let's go ahead and get started. Thank you everyone for attending today's pre-proposal conference. We are here today to discuss RFP 2602002 for Infusion

Therapy Consulting Services.

My name is Jay Dancer. I'm a senior procurement analyst for the procurement team here at Central Health.

I am taking charge today today of this PPC for Balena Bunch, who is the purchaser in charge. She is our Senior Director for Procurement here at Central Health.

I just want to notate for all vendors who are joining today's call, if you could please sign in to the chat, we will need your name, the company name, e-mail address and please state if you're a prime vendor or a subcontractor.

Again, we're here today for the pre-proposal conference for the Infusion Therapy

Consulting Services Central Health. If we can have everyone unmute your mics for a moment and introduce yourselves and then we can get started with.

Next steps.

Again, Essential Health members, just unmute and introduce yourself to our vendors.

Dobecka, Samuel 1:59

Well, I guess I'll go. My name is Samuel Debetska. I'm the Senior Purchasing Specialist for our Healthcare Delivery team and I'm assisting Balena Bunch and Jay with this

RFP.

Gaston, Morgan 2:12

I am Morgan Gaston. I work alongside Samuel Bolina and Jay as well. I'm a Purchasing specialist. I'm assistant with this RFP solicitation.

2:26

Hi everyone.

Good morning.

My name is Margherita Flores, director of operations here at Central Health.

I primarily oversee our specialty service lines and working on the planning and implementation of this project.

Subash, Meera 2:38

Good morning, everyone.

2:39

My name is Mira Subhash.

I'm a rheumatologist at central Health and Central health director for medical specialty care.

Alberto Sanchez here, project manager for this infusion project and also working at multiple other projects. Pleasure to meet everyone.

Chacko, Arsha 3:01

Good morning, everyone. I'm Arsha. I'm one of the program managers and I'm here to support this infusion project.

Ryan-Schutt, Michelle 3:15

Good morning, everyone. I'm Michelle Shoot. I am the Director of Revenue Cycle for

Community Care.

Barcenas, Anna 3:25

Pamela Jones McIntyre 3:25

Morning.

Mohammadi, Nazley 3:26

Hi, everyone.

Pamela Jones McIntyre 3:28

I'm Pamela McIntyre. I'm an infusion nurse and consultant. I do primarily clinical. I have a team I work with that does contracting and operations who are both on the call and they will introduce themselves. We work nationwide and are happy to talk about your project.

3:50

We have a couple of Members from. We have Anna and Doctor Mohammadi. If y'all want to introduce yourselves.

Mohammadi, Nazley 3:59

Go ahead, Anna.

Barcenas, Anna 4:01

OK, yes, my name is Anna Barcenas. I'm the Associate Director of Nursing for

Community Care.

Mohammadi, Nazley 4:08

And my name is Nazley Mohammadi, I go by Naz. I am the Director of Outpatient

Pharmacy Services at Community Care.

4:28

Trust.

Mohammadi, Nazley 4:36

Hey, um.

+18*******18 4:37

I'm done.

Dancer, Jay 4:44

OK. If that is everyone, we can go ahead and get started. Thank you guys.

4:48

Cracker bar.

Dancer, Jay 4:51

So sorry, thank you guys for introducing yourselves. So in today's a pre-proposal conference, I'm going to be going over the key points of the RFP for our vendors here and then after that I'm going to pass it over to our subject matter experts to go over the project overview and specifications.

4:59

Yeah.

Dancer, Jay 5:09

And then lastly, we're going to do the questions and answers.

5:17

Thank you.

Dancer, Jay 5:26

OK, for our vendors going over the RFP itself.

Referencing the schedule of events in the RFP, our question submittal due date is

March 26th, 2026 and that is next week. You can ask questions here or you can provide your questions to our Central Health Procurement e-mail address which is listed in the RFP.

Central Health will have a response to due date to those questions on March 5th, 2026.

The proposal submission due date for you guys will be March 11th, 2026 by 2:00 PM

Central Standard Time.

If you have any contract issues that come up with your firm in a Central Health, please notate that on the the Exhibit C which is the acknowledgment form.

Any updates to the RFP itself will be posted on Bidnet, our Central Health website and the ESBD, the Electronic State Business Daily. Your questions will also be answered on

Bidnet and on the ESBD.

As an addendum, so please lookout for.

Further addendums for this solicitation on the ASBD and on bid that.

When you submit your proposals, you should allow an acceptance period of 90 days.

That gives us enough time to evaluate your proposal and accept your terms.

On page five of the solicitation RFP document, there is a checklist for which forms are required within your submittal. If you do not submit any of the forms that are listed in the requirements, your proposal will be deemed non-responsive non.

Responsible and rejected.

In your proposal, we have a maximum amount of 40 pages.

That is not included the required forms that you submit along with your proposal, just your proposal itself. There is a maximum number of 40 pages and if you go over that 40 page mark then your proposal will be rejected.

There is a evaluation criteria listed in the RFP document. You'll need to be able to go in there and study this and make sure that you're providing the best proposal.

Based off of this evaluation criteria.

Points will be evaluation will be based off of this evaluation criterion on and each criteria listed there.

Whenever you for your firm, whenever you're delivering your proposal, we have our address at the Central Central Health Purchasing Main Office, which is located at 111

E Cesar Chavez St. in Austin, TX.

You can also provide your proposal submission on bidnet.com.

Again, for all the vendors who are continuing to show up to this pre-proposal conference, if you could sign in, there are sign in instructions listed in the chat.

All right guys, that concludes my RFP review and we can go ahead and pass it over to our subject matter experts for the project overview.

9:34

Appreciate that.

Good morning, everyone.

My name is Margarito Flores, director of operations here with central health. I have the pleasure of giving you guys a little bit of an overview about the project along with

Doctor Subhash here, medical director.

So just to take a step back, this is a joint collaboration that we are working between central health and Community care health centers. For those of you guys that may not know. Central Health is part of the Travis County Health Care district.

And we are unique in the sense that we work not only as a funder of services, but we also provide direct practice.

Since 2023, we've established over 13 different service lines that are now getting into the infusion space along with our partners here Community care.

We are looking for some consulting to be able to help us stand up the services by

December or January, December 2026, January 2027.

However, we are also looking for an opportunity to be able to build.

Systems and structures to be able to have some long term sustainability in different locations.

Our target population of courses are map and map basic patients.

However, we will be working with third party payers.

That are in both the FQHC and non FQHC environments. Just talking a little bit about our clinical aspect. I'll hand it over to Doctor Subhash, talk a little bit about the infusions Dr. Subhash.

Subash, Meera 11:06

Dr. Slosh.

11:07

Sure. Thank you, margueto.

So again, my name is Mira Subhash.

I'm practicing rheumatologist and director of medical specialty care here.

Health we are excited to kick off this project aiming to help our patients who are part of our medical access program coverage plan here in Travis County and eventually those covered by third party payers.

As he alluded to, partnering with the FQHC and a County Hospital district to really develop a non oncologic infusion service offered to our patients.

Right now it's a gap in care.

With some unnecessary delays and challenges.

So this is really the.

Impetus for doing this work?

And.

For now, phase.

One is again focusing on non oncology confusions.

We have a formulary of medications that have been selected and have been vetted by our different specialists. We intend that.

There be a variety of specialties referring patients into this infusion center, including

GI, endocrine, rheumatology, and primary care for certain medications.

And really be open to hearing.

Any question?

Questions or comments from different consultants. The way I see it, we're looking for a group or an individual to come in who has experience in standing.

Up similar service lines in an FQHC or a county health authority system and has familiarity with 340B pricing policy and how that may be.

Incorporated into the overall reimbursement and procurement structure for for these medications and the infusion system as a whole, we are on EPIC here at central

Health and CUC. We're on the same instance. We have purchased their pharmacy module, which includes order sets and therapy plans for the spec.

Drugs.

Ideally looking for someone who is familiar with that EHR.

Not necessarily a technical build, but at least being an architect to direct our analysts in in developing.

The workflow within the EHR and and more importantly outside of the EHR with our staff.

With that, I'll leave it back to Margarito.

Something else, if anything else I left out.

Yeah. No, thank you.

I think as you guys can see in RFP, we outlined a few things and we have some of our directors of revenue cycle here that will be a big part of this RFP as well.

So Jay, I don't think we have anything else unless there is wanted to just provide a very high level overview for the team.

Dancer, Jay 13:43

Gotcha. Thank you so much. We can go ahead and allow questions at this time. If anyone has questions, you can put it in the chat and then our subject matter experts can answer those for you.

And Sam and Morgan, if you may read those aloud if they come in.

Dobecka, Samuel 14:12

All right. So first question, will you be utilizing a 340B for reimbursement?

14:22

Yes, we'll have to model this across utilizing 340B and non 340B.

As we mentioned, we're working with both FQET and non FQET settings and we're looking for that level of expertise.

Dobecka, Samuel 14:39

Next question, will RCM be entirely in-house, outsourced or hybrid?

14:49

I think it's pretty cycle management. Are we referring to?

That or it's. Yeah. Michelle did.

You want to answer that one.

Ryan-Schutt, Michelle 14:55

Sure. Yes, we intend for it to be all in house. There's no outsourcing or hybrid.

Dobecka, Samuel 15:05

All right, next question. Do you plan to insert PICC lines or mid lines in the center?

15:14

Yeah, I think this is a great question in phase one.

These are intravenous medications.

However, there's always patients who benefit from a PICC line. If they have difficulty and access.

Practically, it's not something we have thought about in depth, but we have had patient scenarios come up and would be open to definitely discussing if that's a possibility. It would require additional workflow and safety regulations to my understanding.

Dobecka, Samuel 15:45

All right. Are you looking to contract with all major national payers or all claims being paid by the county?

15:47

Hey Cortana.

Yeah. So to provide a little bit of background.

So central health is currently contract with a few of the major payers.

However, our Community care team has a more established and robust payer network, so we are looking for all the major payers to be part of this project scope.

I'll just add on the timeline to 3rd party payers pretty soon.

We'll be kind of.

Crystallizing our contracts with Medicare and Medicaid.

Those will probably play into the timeline of this consultant.

Dobecka, Samuel 16:46

And if anyone has any questions, please feel free to put them in the chat. After this

PPC you can post them on Bidnet or send them to CH Purchasing at centralhealth.net. Your questions will be posted and answered on Bidnet and the SBD.

By the deadline.

Another question is Central Health expecting implementation support beyond advisory EG attending payer negotiations, Epic build validation, site readiness walkthroughs?

17:24

Sure.

So I I I think these are great points.

The epic build validation is outlined in the initial RFP. We were looking for someone with experience with that as well as site ready to walk through.

The terms of the consultancy would overlap the goal line and actually ideally there would be someone to carry us through the go, live and and even for a little bit of time afterwards.

Repl.

Dobecka, Samuel 18:02

Alright, one more. Will pharmacy operations be centralized or on site at infusion locations?

18:11

Yeah, this is a great question. I think the way we are modeling our space planning is that there will be a pharmacy presence.

At one of the locations in mind in Central Austin.

With some pharmacy support services on at satellite satellite sites as well.

Dobecka, Samuel 18:32

And do you envision your nurses to mix the product or pharmacy techs?

18:39

I think right now that workflow has not been fully worked out. We initially I think at this point were envisioning our nurses to mix the products if required.

Most, if not all, of the drugs on the formulary do not require a hood or any mixing or compounding.

And they're pretty much ready out-of-the-box, so I think it's less of an issue right now.

Will you be adding therapies including urology?

Yes, we will.

Especially if they are using some of the monoclonal antibody.

Therapies and NEO therapies.

Right now we're building up the neurology service line.

So we are focusing on those other specialties I mentioned, but the goal is to provide neurology, an outlet for for their patients.

Yeah, you make a great point, Pamela.

So oncology is actually an exclusion of this RFP at this point is considered out of scope for our FQHC and not not part of this initial phase.

Dancer, Jay 20:04

Right. Is there any more questions?

Dobecka, Samuel 20:05

But.

If we answer that, will oncology be available? Mabs. Oh, sorry.

20:11

Yes, yeah, I just asked.

Yeah, no worries.

It's OK.

Dancer, Jay 20:19

All right. If that is all the questions that come in, I just want to notate that questions are due. We have one more question there guys.

20:31

Yes. So we are focusing entirely on non oncologic infusions.

And.

Or include those safe for outpatient non hood. So it's entirely non alcoholic.

Now the medications.

Do do not require a hood. The ones that have been chosen right now that fall into the categories for patients in GI, Endocrine neurology, and rheumatology.

Hey Darry, if I'm not answering your question, feel free to unmute and explain a little bit more.

Pamela. Yes. So rituximab would be on the formulary for arthritis.

The indication we would exclude patients who have lymphoma but coming in for other non oncologic indications would be included.

And then how many chairs? Slash centers?

Yeah. So, so I think as we mentioned, I think for for the initial phase, we are potentially looking at 4 chairs.

There's a potentially one to two locations. However I think as part of this we also want to be able to have the consultants help us understand the infrastructure to be able to scale at other locations if we need to as well.

So, but however for the initial phase, we are looking.

At one or two locations with approximately 4 chairs.

We have determined at least one location that we will be going live with here, potentially 2 and then once again potentially more sites in the future.

Idara Umoh 22:31

Hi, this is Adara. Just to follow up. So Pam listed Rituxan, but just thinking about some others like Herceptin and others just trying to get kind of the boundary there.

22:43

Sure. So perception is excluded.

Idara Umoh 22:46

22:47

No, no. We're not gonna include any.

Medications.

That are for primary indication for malignancy at this point.

Most of the medications.

Are you know the ones for rheumatic disease?

IBD, osteoporosis medications, IV iron, some of the vitamin infusions right now is strictly non ank.

Idara Umoh 23:11

Got it. Thank you.

MB Consulting 23:15

How big is the staff that we're looking at? You know, if we're talking about one to two locations with only four chairs, how much staffing are we taking a look at here?

23:26

Yeah. And I think that that's what we're hoping to be able to leverage from your expertise.

We, as you see from the RFP, we are looking to determine what is a correct nursing pharmaceutical support or whatever that's needed to come up with ratios or for not just this site for all future sites as well.

MB Consulting 23:31

Mhm.

Got it.

23:44

So we look forward.

To working with the consultants on that.

MB Consulting 23:48

Absolutely. Thank you.

Dancer, Jay 24:05

Hey guys, I'm going to give it just one more minute and if no other questions are received then we can conclude today's meeting. Just want to give everyone another minute to ask questions.

MB Consulting 24:28

I wanted to revisit something that you talked about earlier to make sure that we all fully understand it. You're using Epic and so you are looking for your Consulting group to bring in, I guess, an interface with Epic, you know?

For the EHR as well as build a portal or make suggestions on how to build the right portal.

24:54

Actually, let me clarify that.

So we are looking to keep everything within epic.

MB Consulting 25:01

25:01

We're not looking to partner with any third party software at this time or additional interfaces, so ideally looking for.

A individual or group that has experience working end to end within Epic using their therapy plans, using their inventory management system and other other parts of their software.

MB Consulting 25:24

25:25

And yes, we do have our in House analysts and we do have our internal epic support team.

Who will be handling the technical aspect of the builds interface? Whatever may be required? I think what we're looking for is how do we structure it in order to kind of?

Be able to have the operational workflows and clinical workflows be optimized within our system.

MB Consulting 25:49

Idara Umoh 25:50

Should we note limitations based on past experience in Epic then if there are certain areas of of opportunity or concern based on our prior experience?

26:05

Fine, I think that would be really valuable information, you know, to pass on and we, we'd look to you guys, you know, whoever gets the contract to discuss maybe the pros and cons of epic and maybe if and there's a future state where.

Another third party software was, you know, incorporated, but right now as a hospital district, I think we are trying to increase maximize our ROI using EPIC.

Idara Umoh 26:31

Understood. Thank you.

MB Consulting 26:40

Sorry, one last question. Will there be an outpatient component to this, meaning patients who need to be infused in homes instead at their homes instead of just coming into your infusion suite?

26:55

Yeah, great question.

This is part of our future phases.

Actually we, we actually probably rely on the consultant as well.

Need to confirm if it's within scope of hersa and or FQHC. We're committed to do that, but the goal is.

To.

Be able to offer.

Home infusion services to our patients in a future state.

MB Consulting 27:17

Dancer, Jay 27:30

Sam and Morgan, can you confirm that all comments questions in the chat are answered?

Dobecka, Samuel 27:40

Yeah, I believe everything that that has been answered.

Dancer, Jay 27:45

OK, questions are due on March, excuse me, February 26th and we will have them answered on Bidnet and on the ESBD by March 5th. So please keep out, keep a lookout for the next addendum with those Q&A's including questions asked in today's pre-proposal conference.

And that is going to conclude our pre-proposal conference for the solicitation. Thank you everyone for your attendance and participation.

28:16

Dancer, Jay 28:16

All right. Thank you, guys.

28:17

Idara Umoh 28:17

Thank you. Take care.

28:18

All.

Gaston, Morgan 28:44

Does that stay in there?

Dancer, Jay 28:47

Guess so. Yeah, there was someone kept talking. It was so weird. I don't know if anyone else heard it.

Dobecka, Samuel 28:48

Um.

Dancer, Jay 28:54

But I'm gonna go ahead and.

Gaston, Morgan 28:55

It was like an announcement of some sort, I think, like every time someone came in and out.

Dancer, Jay 29:00

Yeah, I think that's what I heard. But should we go ahead and close it since we're the last ones here?

Dobecka, Samuel 29:01

Uh, let's just give it that one minute for it to be 11:30 and then we can close out.

Dancer, Jay 29:10

OK, sounds good.

Gaston, Morgan 29:15

Sammy, what are you?

Dancer, Jay 29:15

All right, it is 1130. Let's go ahead and close out. That way the transcribe ends and then we can get together if y'all want.

Dobecka, Samuel 29:24

Perfect. Sounds good.

Dancer, Jay 29:25

All right. Sounds good, guys. Bye.

Dobecka, Samuel 29:26

Dancer, Jay stopped transcription