ESBD_File_352749_HHS0013981_Addendum 2_Attachment 2_Q&As.pdf

PCS 134 HHS Responses to Questions

Effective Date 06/26/2015 Version 1.00 Page 1 of 4 Revision Date 09/13/2023

Solicitation Title: Actuarial Services for Medicaid Managed Care and CHIP

Solicitation Number: HHS0013981

# Reference Question Response

1. Section 2.1.10 Turnover Services

Please clarify the duration of the turnover period referenced in item e.

Refer to Addendum No. 2 to the RFP.

2.

Section 2.1.3 Principal Actuary Requirements

4.2.2 Minimum

Qualifications

Question Topic: Fellows in the Society of Actuaries on Staff Question for HHSC: On page 9, in the Principal Actuary Requirement section, the RFP notes that the Respondent must have 3 Principal Actuaries on staff (2.1.3.a) and that all Principal Actuaries must be Fellows in the Society of Actuaries (2.1.3.b.2). However, on page 33, in the Minimum Qualifications section, the RFP notes that “at least 2 (two) actuaries on staff must be fellows in the Society of Actuaries.” Can you please confirm how many Principal Actuaries must be Fellows in the Society of Actuaries and how many fellows in the Society of Actuaries the respondent needs to have on staff?

Refer to Addendum No. 2 to the RFP.

3.

Section 2.2.3 Historical Compensation

Question Topic: Incumbent and historical compensation Question for HHSC: Is there an incumbent actuarial consultant? If so, what service(s) are being provided by the incumbent? In addition, what are the hours, hourly rates, and total fees for these services for the past 3 years? Is the incumbent eligible to participate in this RFP process?

Yes, the current incumbent is Rudd and Wisdom Inc.

The hourly rates and services are available in the current contract,HHS000166800001 , which is publicly available at the following link:

https://contracts.hhs.texas.gov/contracts/2019/hhs000166800001

For any additional information, an open records request must be made. For more information on how to obtain an request, visit:

https://www.hhs.texas.gov/about/contact-us/open-records-policy-procedures

Yes, the incumbent is eligible to participate in this RFP process.

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# Reference Question Response

4.

Section 7.1 Cost Proposal

Exhibit J - Cost Proposal

Note 6 in Exhibit J indicates the lowest "Total Cost" will receive the highest available rating allocated to costs.

Does "Total Cost" refer to the initial term total cost, the optional extension term total cost, or the initial AND optional extension terms?

Total Cost referenced in Note 6 in Exhibit J Cost Proposal is the sum of the Initial Term Total Cost (Year 1-2) 24 Months and Optional Extension Term Total Cost (Years 3-5) 36 Months.

5. Section 2.1.11 (a)(1) Payment Method

Does the $1,900,000 annual compensation maximum apply to each of the potential five years of the contract or only to the first two years included in the initial term?

The $1,900,000 annual compensation maximum applies to each year during the Contract Term. Refer to Section 2.1.11, Payment Method and Frequency, of the RFP which states in Subsection (a)(1) that “The Contractor’s compensation must not exceed $1,900,000 annually.”

Also, refer to Section 2.4, No Guarantee of Volume, Usage, or Compensation, of the RFP which states in its first paragraph that “HHSC makes no guarantee of volume, usage, or total compensation to be paid to any Respondent under any awarded Contract, if any, resulting from this Solicitation.”

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# Reference Question Response

6.

Section 2.1.11 (a)(1) Principal Actuary Requirements

Exhibit J Cost Proposal

As noted in Section 2.1.11, all services will be compensated at the applicable hourly rates stated in Exhibit J, Cost Proposal. We understand costs for certain items (e.g., administration, travel) should be included in the "loaded" rates entered into Exhibit J. How should vendors provide proposed rates for positions that do not fall into the three FSA categories included in Section 2.1.2 (e) but are critical to the development of actuarially sound capitation rates or other analyses included in the scope of services? Some examples may include, but are not limited to:

a. Pharmacists to assist in analyzing preferred drug list change impacts and pharmacy trend (Section 2.1.5 (c))

b. Actuaries or other professionals without Medicaid or CHIP capitation rate experience to bring their areas of expertise to assist HHSC in specialty areas for ad hoc projects (Section 2.1.5 (i))

c. Actuarial students, data scientists, associates in the Society of Actuaries (ASAs), and FSAs with less than 5 years of Medicaid or CHIP managed care rate development experience to assist in developing technical models under the supervision of the Principal actuaries

The cost proposal hourly rates in Exhibit J Cost Proposal are All- Inclusive Hourly Rates. Refer to Exhibit J Cost Proposal, to the RFP which states in Note 2 that “The Respondent’s proposed All- Inclusive rate(s) is for the Goods and/or Services as specified in this Solicitation and shall include all labor, materials, tools, supplies, equipment, and personnel, including but not limited to, associated cost and incidental costs necessary to provide the products and Services according to minimum specifications, requirements, provisions, terms, and conditions set forth in the Solicitation” and in Note 7 that “Any Clerical/Administrative duties performed in support of the Actuary Positions are to be included in the All-Inclusive Hourly Rate ($).”

7.

Section 3.5.2 Page Limit and Supporting Documentation

Article 3.5.2 Page Limit and Supporting Documentation states “The narrative/technical proposal should not exceed twenty-five (25) pages, excluding key staffing profiles and resumes. Article 3.6.3 Submission Checklist has a list all the required documents. Section A Proposal and Respondent Information of the checklist has a list of 17 items that must be included in one file name “Original” that contains the Respondent’s entire Solicitation Response (except cost proposal and HUB). Please confirm that the 25-page limit only applies to response to the Narrative Proposal (Section 5.1) excluding key staffing profiles and resumes (Section 5.1.2.1) and if not, please clarify which section(s) on the checklist the 25-page limit applies to.

Yes, the 25-page limit only applies to the Narrative Proposal (Section 5.1). Refer to Section 3.5.2, Page Limit and Supporting Documentation, of the Solicitation which states that “The narrative/technical proposal should not exceed twenty-five (25) pages, excluding key staffing profiles and resumes…”

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# Reference Question Response

8.

Section 3.5.2 Page Limit and Supporting Documentation

Question Topic: Page Limit Question for HHSC: Is the Executive Summary included in the 25 page limit for the narrative/technical proposal?

Yes, the executive summary is included in the 25-page limit referenced in Section 3.5.2, Page Limit and Supporting Documentation, of the RFP. Refer to Section 5.1.1, Executive Summary, of the RFP which states in its last paragraph that “The executive summary must not exceed two (2) pages and should represent a full and concise summary of the contents of the proposal.”

9.

Section 3.5.2 Page Limit and Supporting Documentation

Is the Respondent allowed to attach writing samples from similar clients? If so, please confirm these attachments will not count toward the twenty-five (25) page response limit.

Refer to Addendum No. 2 to the RFP.

10. Section 6.9 Secretary of State Certification

Article 6.9 Secretary of State Certification request a Certificate of Authority from the Texas Secretary of State be submitted with the proposal. A Certificate of Authority shows that you are authorized to do business in a state other than your original formation state. A Certificate of Authority is not available for business formed in Texas. For business formed in Texas, will you accept other documents as evidence of existence or authority to transact business in Texas such as Certificate of Fact or Certificate of Incorporation?

Respondents must provide documentation that proves they are authorized to do business in Texas.