ESBD_File_328828_TRS000412_Addendum 1.docx
DOCX document 63 KB Posted
- Attached to
- Healthcare Consulting Services
- Solicitation number
- TRS000412
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an Addendum to a Request for Proposal (RFP) issued by the Teacher Retirement System of Texas (TRS) for Healthcare Consulting Services, Solicitation No. TRS000412. The RFP seeks qualified vendors to provide consulting services related to TRS's healthcare programs, including expertise in plan design, pricing initiatives, clinical delivery, population health, procurement and contracting assistance, and vendor oversight. The proposal due date is August 7, 2023, at 5:00 p.m. CT. This Addendum provides answers to questions submitted during the question and answer period, including clarifications on the contract documents list, compliance with new regulations, auditing and monitoring requirements, and the timeline for selecting a new pharmacy consultant vendor.
The RFP indicates that TRS utilizes multiple consulting contractors and periodically solicits for these services. The contract documents list provided in the Addendum outlines the order of precedence for the various attachments that will be part of the final contract, including the scope of work, pricing form, key personnel, and relevant TRS policies and procedures. The contract does not include overpayment recovery or extrapolation of claims, but does allow for the evaluation of data analytics tools that support the consulting work or TRS's ability to analyze claim data.
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| ESBD_File_328828_TRS000412_Healthcare Consulting Services_Solicitation Document.docx | DOCX document |
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Addendum #1 Solicitation No. TRS000412 Teacher Retirement System of Texas (TRS)
July 27, 2023
ADDENDUM NUMBER 1
TO
SOLICITATION NO. TRS000412
FOR
Healthcare Consulting Services
PROPOSAL DUE DATE: August 7, 2023 @ 5:00 p.m. CT
ISSUED BY:
Jacob Bledsoe, Contract Specialist
Date 7/27/2023
NOTE: RESPONDENTS ARE REQUIRED TO ACKNOWLEDGE RECEIPT OF THIS ADDENDUM BY SIGNING AND DATING BELOW AND INCLUDING WITH SUBMITTED RESPONSE. RESPONSE MAY BE CONSIDERED NON-RESPONSIVE IF THIS COVER PAGE IS NOT SIGNED AND RETURNED.
RESPONDENT SIGNATURE DATE
This Addendum is issued to provide answers to questions submitted during the Question and Answer period.
| # |
| Submitted Question |
| TRS Response |
| 1. |
| There is some duplication of attachment numbers in Section IX. Please provide clarification. |
| TRS has revised Section IX as a result of this comment. The revised Section IX. “Contract Documents List” is attached to this Addendum. |
| 2. |
| With the passage of the Consolidated Appropriations Act, 2021, Gag Clauses, and HB711 Texas, transparency in to the plan has been codified. Will the RFP be revised to ensure compliance with the new regulations? |
| No, TRS will not be revising the RFP but respondents are welcome to propose consulting services in consideration of, or in alignment with, the stated laws. |
| 3. |
| Will the audit of services and performance of HPA include an audit of 100% of medical claims data to ensure transparency compliance? |
| No, the focus of this solicitation is healthcare consulting services. Relevant audits are targeted or specialized, and past projects include implementation audits, case management reviews, and COVID adjudication logic. |
| 4. |
| Would TRS be open to have a system that would monitor 100% of the claims data on a monthly basis to ensure errors and overbilling were caught in a timely manner? Monitoring it monthly allows for errors to be identified, corrected and recoupment to occur quickly. It also eliminates the need for annual monitoring. |
| Data analytic tools that support consulting work or TRS’ ability to analyze claim data is relevant to this procurement and TRS will evaluate tools proposed. |
| 5. |
| With a limited audit, will TRS require extrapolation of all similar claims to be reviewed and credited back to the plan? |
| No, extrapolation is not considered. |
| 6. |
| Will TRS require a detailed description on how the recovery of inappropriate payments are returned to the plan from the carrier? |
| This solicitation does not include overpayment recovery. |
| 7. |
| Will TRS require that duplicate payments are identified and recouped? If yes, a limited audit may not identify all duplicate claims or payments made by TRS |
| The focus of this solicitation is healthcare consulting services. |
| 8. |
| Will TRS want a system in place that tracks changes to payment/adjudication terms that occur on a monthly bases? |
| Data analytic tools that support consulting work or TRS’ ability to analyze claim data is relevant to this procurement and TRS will evaluate tools proposed. |
| 9. |
| Given limited audits are considered a Gag Clause and are not statistically valid, will TRS identify what is considered a statistically valid sample size? |
| The focus of this solicitation is healthcare consulting. Any audit projects resulting from this solicitation will be negotiated as part of the Statement of Work. |
| 10. |
| Will TRS require a vendor to validate that identified errors are corrected within the carrier? |
| Validating that errors are corrected by the carrier may be required as part of a Statement of Work and can be further negotiated |
| 11. |
| In the General Information section, TRS asks: “Provide the name, title, and phone number of the Respondent representative responsible for all communication with TRS on Technical Matters if awarded a contract.” Will you please provide an example of the type of question that might be sent to this person, so we can best determine the appropriate contact person? |
| The Technical Matters contact would be the person TRS would reach out to regarding the services described in the SOW. This person may be the same contact as the contact for Contractual Matters. Typically, there is one account manager who serves as the single point of contact for TRS, but in the event this is not the case, this section allows for Respondents to list a different contact. |
| 12. |
| Is this going out to bid because the previous consulting contract has termed or other reason? If other, could you provide explanation of why? |
| TRS utilizes multiple consulting contractors and periodically solicits for these services. |
| 13. |
| Can you confirm that the claims on page 8 for fiscal 2023 represent a partial year, and share the timeframe for 2023 claims? |
| Confirmed, fiscal year 2023 is a partial year through February 28, 2023. |
| 14. |
| Can you provide enrollment totals for the time periods for which claims are provided on page 8? |
| FY21: |
TRS-ActiveCare = 431,487 TRS-Care = 221,201
FY22:
TRS-ActiveCare = 420,939 TRS-Care = 219,144
FY23:
TRS-ActiveCare = 410,662 TRS-Care = 217,983
| 15. |
| Will there be any other RFx materials provided after this Q/A round? |
| There are no plans at this time to provide any other RFx materials after the Q/A round. |
| 16. |
| What is the timeline to select a new Pharmacy consultant vendor? Is it reasonable to assume one will be in place at the start of the new plan year with ESI? |
| The timeline to award is not contingent on the new plan year with ESI. |
IX. Contract Documents List
TRS anticipates the entire Contract between TRS and Contractor consists of the Contract Documents listed below.
In the event of any conflict or contradiction between or among the documents attached to or otherwise incorporated into this Contract, the following order of precedence will govern this Contract in the following order:
· Contract Signature Page including Contract Documents List
· Attachment A: Business Associate Agreement (BAA)
· Attachment B: TRS General Terms and Conditions
· Attachment C: Scope of Work
· Attachment D: Price Form
· Attachment E: Statement(s) of Work and related documents created during the Contract (incorporated by reference)
· Attachment F: List of Key Personnel
· Attachment G: Insurance Section
· Attachment H: Insurance Certificate Submitted by Contractor (incorporated by reference when completed)
· Attachment I: Notices, Representatives, and Records Location
· Attachment J: Sample Release of Claims Form to be returned with final invoice
· Attachment K: Code of Ethics for Contractors (COE)
· Attachment L: Non-disclosure Agreement (NDA)
· Attachment M: TRS Third-Party Assessment Form
· Attachment N: Risk Assessment HIPAA Compliance – Supplemental Assessment (incorporated by reference)
· Attachment O: Risk Assessment HIPAA Compliance – Supplemental Assessment for Non-TRS Workers (incorporated by reference)
· Attachment P: TRS Background Check Policy
· Attachment Q: Confidentiality Policy
· Attachment R: Information Security Policy
· Attachment S: Information Security Manual
· Attachment T: TRS Confidential Information Procedures & Standards
· Attachment U: Non-TRS Workers Policy
· Attachment V: Any portions of the proposal/response that exceed the requirements of the RFP to the benefit of TRS (incorporated by reference)
· Attachment W: TRS Solicitation No. TRS000412 (RFP), including all addenda (incorporated by reference)
· Attachment X: Portions of the Response that do not exceed the requirements of the RFP (incorporated by reference)
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