PBS_Bidders_Conference_Presentation_(RFP) _ F.pdf

February 13, 2024

Department of Community Health

41900-DCH0000136

Pharmacy Benefit Services

Request for Proposals

AGENDA

1 Welcome and Introductions

Procurement Objectives4

Agency Overview

Meeting Rules and Format

Pharmacy Benefits Services eRFP Overview

7 Schedule of Events

8 Solicitation Structure

Closing Remarks11

Questions and Answers12

Appendix A: Register and Respond to Bid

How to Register and Respond to a Bid

Communication Restrictions

Documents to be submitted with RFP

Purpose: To provide a general overview of the eRFP and to provide instructions for entering proposals in the Team Georgia Marketplace procurement tool.

This Offeror’s conference is Optional.

Please include your organization or company name in any chat communication.

The information in this presentation will be recorded and will be uploaded as a reference.

Tracey Woods, Issuing Officer State of Georgia, Department of Administrative Services, State Purchasing Division 200 Piedmont Avenue, SE Atlanta, GA 30334-9010 PBA.Procurement@dch.ga.gov

Welcome mailto:PBA.Procurement@dch.ga.gov

Introductions Primary Team Members

Name Title

Tracey Woods Issuing Officer, Georgia Department of Administrative Services

Czarina Woods Director/APO, Georgia Department of Community Health

Elisabeth Zelenak Sr. Category Manager, Georgia Department of Community Health

Peter D’Alba Director, Pharmacy Services, Georgia Department of Community Health

Mike Malone Project Manager, North Highland

Peter Cotterrell Consultant, North Highland

Core Participating States Intent to Participate States

State of Alaska State of Connecticut State of Illinois

State of Montana State of Rhode Island State of Washington

State of Vermont

Meeting Rules and Format

• It is imperative you respect the process of this procurement and not speak with staff members other than the Issuing Officer (Tracey Woods) regarding this solicitation.

• We ask State of Georgia staff, other than the Issuing Officer, not to speak to Suppliers regarding this Sourcing Event.

• All questions must be directed to the Issuing Officer.

• The State will attempt to answer questions relative to the RFP process during this meeting. However, responses may be deferred and provided in the Questions & Answers document.

• If you have questions, please type them in the chat and include your name and the Supplier you represent.

Submit Your Bid Early

6Submit Your Bid Early

Agency Overview

Department of Administrative Services State Purchasing Division

• The State Purchasing Division (SPD) oversees the procurement functions for the State of Georgia and manages all policies related to procurement.

• SPD negotiates Statewide Contracts and provides technical assistance to State Entities in conducting and evaluating entity-specific competitive bids.

Department of Community Health

The Department of Community Health (DCH) is the lead agency for health care planning, purchasing and oversight in Georgia.

The Department’s Division of Medical Assistance Plans is responsible for the administration of Georgia’s Medical Assistance Plans (Medicaid), a jointly funded cooperative venture between the federal government and the State which enables the State to provide medical assistance to low-income individuals.

As the Department’s largest division, Medicaid/ CHIP serves approximately 2.7M Georgians, and oversees program administration and funding for all Georgia Medicaid/Children’s Health Insurance Program services.

States participate in ValuePoint contracts by executing a “Participating Addendum.”

Political subdivisions of a participating state may utilize a Master Agreement, in accordance with their procurement authority, unless the State’s Participating Addendum excludes them from participating.

If a state has not signed a Participating Addendum, political subdivisions or other eligible entities of state may utilize the Master Agreement if permitted by the Chief Procurement Officer of the relevant state, working through NASPO ValuePoint.

How States Participate in NASPO ValuePoint Contracts NASPO ValuePoint is the cooperative purchasing arm of the National Association of State Procurement Officials.

NASPO Value Point’s nationwide Master Agreements are competitively solicited using a Lead State model, supported by a Sourcing Team comprised of multiple state procurement representatives and subject matter experts; leveraging the collective expertise and buying power of many states to deliver best value on price, quality, reliability, and service.

Procurement Objectives

The objective of this eRFP is to identify qualified Suppliers whose proposals offer Services and Solutions (where applicable) which demonstrate that the Supplier(s) is (are) able to support a minimum of one (1) of the following four (4) categories of service:

1. Pharmacy Benefits Administrator Services: Provide pharmacy benefit administrator services to Fee-for-Service (FFS) Medicaid pharmacy program members (including pediatric members) and full-benefit dual eligible members;

2. Pharmacy Clinical Management Services: Provide clinical management services for a Participating Entity’s state’s FFS Medicaid pharmacy program;

3. Pharmacy Fraud, Waste, and Abuse Audit Services: Support audits in accordance with applicable state laws to identify and respond to potential fraud, waste, and abuse within the system; and

4. Pharmacy Drug Rebate Services: Administer the invoicing, collection, financial analysis, and negotiations of pharmacy drug rebates for eligible Federal Rebates and Supplemental Rebates.

The Supplier must offer a customizable Service(s) and Solution(s), if applicable, that may be tailored to a Participating Entity’s state’s program(s) and unique requirements.

Submit Your Bid Early 8

Pharmacy Benefit Services eRFP Overview

• Lead State: Georgia, acting through the Department of Administrative Services (DOAS), State Purchasing Division (SPD), on behalf of the Department of Community Health (DCH).

• Program: Pursuant to the State Purchasing Act, the State of Georgia is soliciting proposals for Pharmacy Benefit Services under the NASPO ValuePoint Cooperative Purchasing Program.

• Objective: Identify qualified Suppliers to provide pharmacy benefit services for Fee-for-Service (FFS) Medicaid pharmacy program members and full-benefit dual eligible members, clinical management services, fraud detection, and pharmacy drug rebate administration.

• Partnership: Georgia, in collaboration with Alaska, Montana, and Vermont under the NASPO ValuePoint cooperative purchasing program.

• Agreement Utilization: The resulting Master Agreement(s) may be utilized by various entities, including state governments, institutions of higher education, political subdivisions, and other eligible entities, subject to approval and compliance with local regulations.

Submit Your Bid Early 9

Communication Restrictions

• All communications should be directed to the Issuing Officer, Tracey Woods

• From the issue date of this eRFP until the final award is announced or cancelled, Suppliers are not allowed to communicate for any reason with any State staff member regarding this eRFP- except through the Issuing Officer.

• Prohibited communication includes all contact or interaction, including but not limited to telephonic communications, emails, faxes, letters, or personal meetings, such as lunch, entertainment, or otherwise.

• The State reserves the right to reject the response of any Supplier violating this provision.

Schedule of Events

Description Date Time

RFP Posting Date January 31, 2024 6:59 p.m. ET

Offeror’s Conference: Online Event Attendance is Optional

February 13, 2024 1:00 p.m. ET

Due Date for Written Questions February 20, 2024 2:00 p.m. ET

Response to Written Questions March 1, 2024 5:00 p.m. ET

Proposals Due/Close Date and Time March 28, 2024 3:00 p.m. ET

Pharmacy Benefit Services RFP Structure

Submit Your Bid Early 12

Solicitation Components

Common Documents – These are requirements which apply to all Scopes of Work:

• Common Scope Requirements and Security Standards

• Pharmacy Benefit Management (PBM) & Point of Sale(POS) CMS Required Outcomes

• Service Level Agreements

Four (4) Scopes of Work (SOWs) and Supplemental Requirements documents:

• Pharmacy Benefits Administrator Services

• Pharmacy Clinical Management Services

• Pharmacy Fraud, Waste, and Abuse Audit Services

• Pharmacy Drug Rebate Services

Documents applicable to each Scope of Work:

• Mandatory Scored Response Worksheet

• Cost Worksheet

• Demonstration Guidelines (as applicable)

Submit Your Bid Early 13

Request for Proposal (RFP) Information

Documents to be submitted with Request for Proposal

Supplier must respond to a minimum of One (1) Scope of Work Pharmacy Benefits Administrator Services

1. Attachment R - PBA Services Mandatory Scored Response Worksheet

2. Attachment S - PBA Services Cost Worksheet

Pharmacy Clinical Management Services

1. Attachment U - Pharmacy Clinical Management Services Mandatory Scored Response Worksheet

2. Attachment V - Pharmacy Clinical Management Services Cost Worksheet

Pharmacy Fraud, Waste, and Abuse Audit Services

1. Attachment W - Pharmacy FWA Audit Services Mandatory Scored Response

2. Attachment X - Pharmacy FWA Audit Services Cost Worksheet

Pharmacy Drug Rebate Services

1. Attachment Z - Pharmacy Drug Rebate Services Mandatory Scored Response

2. Attachment AA - Pharmacy Drug Rebate Services Cost

Administrative / Procurement Documents

Submit Your Bid Early

Attachment L - Certificate of Non-Collusion Attachment P - Mandatory Response Worksheet

Attachment M - Immigration and Security Form Attachment Q - Supplier Responsibility Questionnaire

Attachment N - SPD-SP045 Tax Compliance Form Attachment CC - Supplier Client References Form

Attachment O - Scopes of Work Submission Checklist

Mandatory Response Worksheet:

Submit Your Bid Early

• Must respond to all questions with a “Yes” to qualify

• Any “No” responses will result in the disqualification of the proposal

• Questions include financial position, Client References, onshore operations

• Upload requested attachments to the procurement system using the attachment file name provided

• Please be sure to note where attachment files are required*

Mandatory Scored Response Worksheets:

This RFP consists of four (4) Scopes of Work (SOWs) containing separate requirements and responsibilities. Suppliers must submit a response to at least one (1) of the SOWs.

In their response, the Supplier must indicate whether they will meet the individual requirements and provide a supporting narrative and any requested supplemental attachments as specified in the Mandatory Scored Response Worksheets for the Scope of Work to which you are responding from the list below:

• Pharmacy Benefit Administrator (PBA) Services

• Pharmacy Clinical Management Services

• Pharmacy Fraud, Waste, and Abuse (FWA) Audit Services

• Pharmacy Drug Rebate Services

To be considered Responsive, Responsible, and Eligible for Award, Suppliers must meet the requirements identified in the Mandatory Scored Response Worksheets.

• Worksheets provided for each of the four (4) Business Services

• Three (3) Tabs per Worksheet: Instructions;

Cost Proposal; Scoring Formula Only enter pricing in unprotected cells (yellow highlights)

• Provide Design, Development, Implementation (DDI) costs where indicated

• Provide ten (10) Years Cost as indicated per Year

• Spreadsheets calculate annual totals for ten

(10) years

• Ad-Hoc Professional Services are related to potential tasks requested by the State for project-related services not specified in the eRFP.

• For Participating Addenda signed one (1) or more years after the effective date of the Master Agreement, costs will adjust based on the CPI. Steps for adjusting costs are found on the Instructions tab.

Cost Worksheets Rebate

FWA

Clinical

PBA

• In general, the cost worksheets ask for Design, Development, and Implementation Costs (DDI), and Administrative and/or Operational Costs for evaluation.

• The PBA cost worksheet will ask for a Tiered range of pricing based on the number of claims per month.

• Detailed information for completing the cost worksheet is found in the instruction tab for each of the service scopes.

Cost Worksheets – Pharmacy Benefit Administrator Services

Submit Your Bid Early 19

Team Georgia Marketplace Overview

How to Register and Respond to a Bid

Presented by : Osborne Johnson

Closing Remarks

• Only communicate with the Issuing Officer Tracey Woods, Agency Sourcing Manager

PBA.Procurement@dch.ga.gov 470.763.6524

• Submit your bid response early.

• Written Questions are due February 20th, 2024, 2:00pm ET.

• Proposal Due Date: March 28th, 2024, 3:00 p.m. ET.

• For technical issues or assistance, please contact the Team Georgia Marketplace Help Desk at 404-657-6000 mailto:PBA.Procurement@dch.ga.gov

THANK YOU FOR ATTENDING

Georgia Department of Administrative Services

Supplier Training

Training includes web-based videos, quick reference guides, webinars, and face-to-face training and workshops across the State!

https://doas.ga.gov/state-purchasing https://doas.ga.gov/state-purchasing https://doas.ga.gov/state-purchasing

Team Georgia Marketplace

• The NIGP Commodity Services Code was developed by the National Institute of Governmental Purchasing to bring efficiency to automated purchasing

• The NIGP Codes provide an excellent coding structure for standardizing purchasing

• Identify which products and/or services you wish to sell to the state

Team Georgia Marketplace

Georgia Department of Administrative ServicesGeorgia Department of Administrative Services

Team Georgia Marketplace

Sign into Team Georgia Marketplace

Accept invitation to the bid Click on Event to respond

Please provide a response to all General Event

Questions!

• Click on “Events Comments and Attachments” to view documents for download

• Click on the if there are lines to see if there is any attached documents

• Always click on “Validate Entries” to ensure you are not missing response to any of the required questions.

Click on “View” to download documents!

Please do not put any questions or comments that you would like the buyer to see before the bid closes.

Technical Assistance

For technical issues and assistance, Pleas contact the Team Georgia Marketplace:

- Help Desk at 404-657-6000

- Procurementhelp@doas.ga.gov mailto:Procurementhelp@doas.ga.gov