MQIDTA_(QPP-SURS)_RFP_Clarification_Q A.pdf

Question Original Answer Clarification

J.6 - Contractor Business Ethics COI and Compliance Program Requirements tab 2. B. 2nd bullet states to provide "Level of Need for each customer segment". Please define what is meant by "customer segment".

CMS expects to cover all eligible clinicians meeting the target population requirements designated in the statute that need assistance across the country. The target population includes practices with 15 or fewer clinicians, with preference given to practices in medically underserved and rural areas.

Some clinicians may need more or less and different types of assistance and the offeror should propose a strategy to segment customers based on needs and a proposed approach to address those needs.

L.12 - Technical Approach and Targeted Outcomes

Bullet # 2 states, "Describe methodology for a tailored technical assistance strategy to serve ALL Eligible Providers based on customer segments," but Bullet 4 states, "Propose, at a minimum, the total % of providers in a proposed area of contiguous states/territories that meet the MIPS/APM enrollment requirements as stated in the legislation." Are contractors able to propose a % of the eligible population they will offer assistance to?

Yes.

No. Offerors should propose to assist all eligible clinicians that need assistance. Bullet 4 is asking for offerors to propose a timeline for reaching all eligible clinicians in need and what percentage will be reached per quarter/per year, etc

L.16 - Business Proposal Instructions (Volume IV)

At the bottom of page 105 the instructions state “annual level of effort (FTEs) for each customer segment”. Does customer segment equate to: Individual & small practice providers, Providers located in primary care HPSAs, Providers in practices located in rural counties & Providers serving large underserved populations.

It is up to the offeror to determine the best strategy to define customer segments to meet the needs of clinicians which may include these descriptors.

It is up to the offeror to determine the best strategy to define customer segments to meet the needs of clinicians which may include small, rural, underserved as well as other proposed strategies to segment customers (eligible clinicians) based on need.

L.16 - Business Proposal Instructions (Volume IV)

For each proposal, provide the overall average cost per clinician and show how the cost was derived based on the level of effort associated with meeting individual clinician needs. Please clarify what information is to be collected in the first column of these tables? What are the distinctions required, by row for both tables? Can you provide a sample entry for both tables?

The offeror should propose a basis to provide a level of effort per clinician reached based on the offeror's proposed customer segmentation approach. Some clinicians may need more or less and different types of assistance and CMS would like to see how the cost per clinician is derived to meet different needs and then role up to an average cost per clinician across the state.

No further clarification is offered.

Please confirm the segments to be itemized for the level of effort and level of need are as follows:

(1) Individual and small practice clinicians

(2) Clinicians located in primary care HPSAs

(3) Clinicians in practices located in rural counties

(4) Clinicians serving large underserved populations

(5) Clinicians with the greatest need of technical assistance

187 M.4 - Technical Proposal Evaluation Category may refer to the four performance categories under MIPS, or any other variable that the offeror proposes to distinguish between customer segments and target individual clinician needs.

Category may refer to the four performance categories under MIPS, or any other variable that the offeror proposes to distinguish between individual clinician needs in order to best target assistance.

CMS is not prescribing a specified customer segmentation approach. The offeror should propose a strategy to provide support and assistance to eligible clinicians based on their needs. The bullets listed may be included as customer segments that should be itemized, but the offeror may choose to propose and itemize customer segments that are different from those listed in order to best meet SOW requirements.

This section states, "Demonstrated methodology for identifying provider need for all appropriate categories and addressing how those needs will be met." To what does "categories" refer: MIPS categories to achieve composite score, clinician categories (HPSAs, rural, etc.), or something else? Please clarify.

L.16 - Business Proposal Instructions (Volume IV)

105 Correct

213 SOW - C.3.1 Program Overview 4

The five categories of targeted clinicians are not aligned with the provider types listed in RFP Attachment J.3., Estimated Eligible Clinician Dataset. Please clarify how the targeted clinicians should be categorized/stratified.

It is up to the offeror to determine the best strategy to define customer segments to meet the needs of clinicians which may include these descriptors.

CMS is not prescribing a specified customer segmentation approach. The offeror should propose a strategy to provide support and assistance to eligible clinicians based on their needs. The bullets listed may be included as customer segments that should be itemized, but the offeror may choose to propose and itemize customer segments that are different from those listed in order to best meet SOW requirements.

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