Ext_5.TechProp_FA5_Attachments_List__Medical_HMO-PPO_Plans__2025.8.9.pdf
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- Attached to
- 1-DBM Health Plan Admin&Svcs, Functional Area 3
- Solicitation number
- BPM053331
- Issued by
- Anne Arundel County, Maryland
About this file
This document is an Attachments List for a Request for Proposal (RFP) Number AGY-24-026-SR-A issued by MDOT MTA for Represented Health Benefits, specifically focusing on Functional Area (FA) 5 – Medical HMO-PPO Plans Technical Proposal. The list details 26 attachments that potential bidders must submit or use as reference documents for their proposal, including technical proposals, plan designs, service area maps, claim files, network disruption reports, management reporting packages, compliance checklists, performance guarantees, satisfaction surveys, implementation plans, and various organizational charts and team information.
The attachments require comprehensive documentation from bidders, ranging from medical census and claim files to provider and member satisfaction surveys, financial reports, and detailed account management plans. Most attachments are marked as "Submit", indicating they are mandatory components of the proposal, while a few (such as Medical Census, Medical HMO EOC, and Medical PPO EOC) are designated as reference documents. The extensive list suggests a complex procurement process for health benefits management, with a focus on technical capabilities, network coverage, claims handling, and organizational readiness.
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Text version
MDOT MTA REPRESENTED HEALTH BENEFITS
RFP NUMBER AGY-24-026-SR-A
ATTACHMENTS LIST
FUNCTIONAL AREA (FA) 5 – MEDICAL HMO-PPO PLANS TECHNICAL
PROPOSAL
ATTACHMENT NUMBER & NAME ATTACHMENT TYPE:
REFERENCE DOCUMENT OR
SUBMIT WITH PROPOSAL
FA5 Attachment 1: Medical HMO and PPO Technical Proposal
Submit
FA5 Attachment 2: Plan Designs Submit
FA5 Attachment 3 (and 3a, if needed): Explanations and Deviations
Submit
FA5 Attachment 4: Transitional Care Information. Submit
FA5 Attachment 5: Service Area Map Submit
FA5 Attachment 6a: Medical Census Reference
FA5 Attachment 6b: Medical HMO Claim File Submit
FA5 Attachment 6c: Medical PPO Claim File Submit-
FA5 Attachment 7: Medical HMO and PPO Network Match/Disruption Report
Submit
FA5 Attachment 8: Management Reporting Package
Submit
FA5 Attachment 9: Claims Appeal Protocol Submit
FA5 Attachment 10: Medical HMO EOC Reference
FA5 Attachment 11: Medical PPO EOC Reference
FA5 Attachment 12: Compliance Checklist Submit
FA5 Attachment 13: Performance Guarantees Submit
FA5 Attachment 14: Questionnaire Submit
FA5 Attachment 15: Certificates of Insurance Submit
FA5 Attachment 16: Member Communications Package
Submit
FA5 Attachment 17: Provider Satisfaction Survey Submit
FA5 Attachment 18: Medical Management Staff Biographies
Submit
FA5 Attachment 19: Member Satisfaction Survey Submit
FA5 Attachment 20: Sample Financial Reports Submit
FA5 Attachment 21: Implementation Team Submit
FA5 Attachment 22: Implementation Plan Submit
FA5 Attachment 23: Account Management Team Organizational Chart and Resumes.”
Submit
FA5 Attachment 24 Account Management Plan Submit
FA5 Attachment 25: Subcontractors Questionnaire Submit
FA5 Attachment 26: Network Management Organization Chart
Submit
| FA5 Attachment 10: Medical HMO EOC |
| FA5 Attachment 14: Questionnaire |
File details come from the government source that posted it. Updated .