Exhibit S, TDI Certificate of Authority Table.pdf
PDF 168 KB Posted
- Solicitation number
- HHS0017108
- Issued by
- Texas
About this file
This is an exhibit document for RFP No. HHS0017108, issued by the Texas Health and Human Services Commission (HHSC) for Medicaid and Children's Health Insurance Program dental services. The exhibit, designated as Exhibit S, functions as a TDI Certificate of Authority Table that requires respondents to indicate their current certification status as a Health Maintenance Organization (HMO) by the Texas Department of Insurance (TDI) across all counties within their proposed service area. The table lists all 254 Texas counties alphabetically, with respondents required to designate "Yes" or "No" in Column B to indicate whether they hold a current TDI Certificate of Authority in each county. For counties where certification is not currently held, respondents must provide documentation demonstrating prior application to TDI for such certification, including the application date and current status of the application in Column C of their proposal submission to HHSC.
The exhibit establishes compliance requirements for HMO certification as a prerequisite qualification for proposal submission. This document does not establish pricing terms, set-asides, or other financial considerations but rather serves as a qualification verification mechanism. Respondents must demonstrate either current TDI HMO certification or documented evidence of pending certification applications for all counties within their single designated service area prior to RFP submission. The exhibit version is dated November 27, 2017, and applies to all proposals submitted in response to RFP No. HHS0017108.
View the file
Other files
Show all 27
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
RFP No. HHS0017108 Exhibit S
Version Date: 11/27/17 Page 1
TDI Certificate of Authority Table Indicate with a “Yes” or “No” in the applicable cell(s) of Column B of the following chart whether the Respondent is currently certified by TDI as an HMO in all counties in the single
Service Area for which the Respondent is submitting a Proposal. For each county in the
Service Area for which the HMO does not have a current TDI Certificate of Authority, the
Respondent must document that it applied to TDI for such Certificate of Authority prior to the submission of a Proposal for the Solicitation.
Indicate in Column C the date that the Respondent applied for such certification and the status of its application to get TDI certification in the relevant counties in this section of its submission to HHSC.
Column A Column B Column C County TDI Certificate of
Authority (Yes/No) TDI Application Date and Status
Anderson
Andrews Angelina Aransas Archer Armstrong Atascosa Austin Bailey Bandera Bastrop Baylor Bee Bell Bexar Blanco Borden Bosque Bowie Brazoria Brazos Brewster Briscoe Brooks
Version Date: 11/27/17 Page 2
County TDI Certificate of
Authority (Yes/No) TDI Application Date and Status
Brown Burleson Burnet Caldwell Calhoun Callahan Cameron Camp Carson Cass Castro Chambers Cherokee Childress Clay Cochran Coke Coleman Collin Collingsworth Colorado Comal Comanche Concho Cooke Coryell Cottle Crane Crockett Crosby Culberson Dallam Dallas Dawson Deaf Smith Delta Denton DeWitt Dickens
Version Date: 11/27/17 Page 3
County TDI Certificate of
Authority (Yes/No) TDI Application Date and Status
Dimmit Donley Duval Eastland Ector Edwards Ellis El Paso Erath Falls Fannin Fayette Fisher Floyd Foard Fort Bend Franklin Freestone Frio Gaines Galveston Garza Gillespie Glasscock Goliad Gonzales Gray Grayson Gregg Grimes Guadalupe Hale Hall Hamilton Hansford Hardeman Hardin Harris Harrison
Version Date: 11/27/17 Page 4
County TDI Certificate of
Authority (Yes/No) TDI Application Date and Status
Hartley Haskell Hays Hemphill Henderson Hidalgo Hill Hockley Hood Hopkins Houston Howard Hudspeth Hunt Hutchinson Irion Jack Jackson Jasper Jeff Davis Jefferson Jim Hogg Jim Wells Johnson Jones Karnes Kaufman Kendall Kenedy Kent Kerr Kimble King Kinney Kleberg Knox Lamar Lamb Lampasas
Version Date: 11/27/17 Page 5
County TDI Certificate of
Authority (Yes/No) TDI Application Date and Status
La Salle Lavaca Lee Leon Liberty Limestone Lipscomb Live Oak Llano Loving Lubbock Lynn Madison Marion Martin Mason Matagorda Maverick McCulloch McLennan McMullen Medina Menard Midland Milam Mills Mitchell Montague Montgomery Moore Morris Motley Nacogdoches Navarro Newton Nolan Nueces Ochiltree Oldham
Version Date: 11/27/17 Page 6
County TDI Certificate of
Authority (Yes/No) TDI Application Date and Status
Orange Palo Pinto Panola Parker Parmer Pecos Polk Potter Presidio Rains Randall Reagan Real Red River Reeves Refugio Roberts Robertson Rockwall Runnels Rusk Sabine San Augustine San Jacinto San Patricio San Saba Schleicher Scurry Shackelford Shelby Sherman Smith Somervell Starr Stephens Sterling Stonewall Sutton Swisher
Version Date: 11/27/17 Page 7
County TDI Certificate of
Authority (Yes/No) TDI Application Date and Status
Tarrant Taylor Terrell Terry Throckmorton Titus Tom Green Travis Trinity Tyler Upshur Upton Uvalde Val Verde Van Zandt Victoria Walker Waller Ward Washington Webb Wharton Wheeler Wichita Wilbarger Willacy Williamson Wilson Winkler Wise Wood Yoakum Young Zapata Zavala
TDI Certificate of Authority Table
File details come from the government source that posted it. Updated .