RFI 6097-0 Attachments final tlh~1.docx

ATTACHMENT A — RESPONDENT INFORMATION AND CERTIFICATION SHEET

Legal Name of Respondent:

Any individual signing below hereby certifies they are an authorized representative of Respondent and that:

No attempt has been made or will be made by the Respondent to induce any other person or organization to submit or not submit a Response.

All contents of this Respondent Information and Certification Sheet are truthful and accurate and have been prepared independently from all other Responses, and without collusion, fraud, or other dishonesty.

Respondent acknowledges that the Response for any of the services described in this RFI will be used for planning and informational purposes only. Agency may issue a separate procurement in the future or directly negotiate for the services required by Agency.

Authorized Signature

Date

(Printed Name and Title)

ATTACHMENT B — disclosure exemption AFFIDAVIT ____________________ (Affiant), being first duly sworn under oath, and representing [insert Respondent Name] (hereafter “Respondent”), hereby deposes and swears or affirms under penalty of perjury that:

1. I am an employee of the Respondent, I have knowledge of the Request for Information referenced herein, and I have full authority from the Respondent to submit this affidavit and accept the responsibilities stated herein.

1. I am aware that the Respondent has submitted a Response, dated on or about [insert date] (the “Response”), to the State of Oregon (State) in response to Request for Information [insert RFI #], for [insert description of RFI], and I am familiar with the contents of the RFI and Response.

1. I have read and am familiar with the provisions of Oregon’s Public Records Law, Oregon Revised Statutes (“ORS”) 192.311 through 192.478, and the Uniform Trade Secrets Act as adopted by the State of Oregon, which is set forth in ORS 646.461 through ORS 646.475. I understand that the Response is a public record held by a public body and is subject to disclosure under the Oregon Public Records Law unless specifically exempt from disclosure under that law.

1. I have reviewed the information contained in the Response. The Respondent believes the information listed in Exhibit A is exempt from public disclosure (collectively, the “Exempt Information”), which is incorporated herein by this reference. It is my opinion that the Exempt Information is exempt from disclosure under Oregon’s Public Records Law under the specifically designated sections as set forth in Exhibit A or constitutes “Trade Secrets” under either the Oregon Public Records Law or the Uniform Trade Secrets Act as adopted in Oregon because that information is either:

A formula, plan, pattern, process, tool, mechanism, compound, procedure, production data, or compilation of information that:

is not patented, is known only to certain individuals within the Respondent’s organization and that is used in a business the Respondent conducts, has actual or potential commercial value, and gives its user an opportunity to obtain a business advantage over competitors who do not know or use it.

or Information, including a drawing, cost data, customer list, formula, pattern, compilation, program, device, method, technique or process that:

Derives independent economic value, actual or potential, from not being generally known to the public or to other persons who can obtain economic value from its disclosure or use; and Is the subject of efforts by the Respondent that are reasonable under the circumstances to maintain its secrecy.

1. I understand that disclosure of the information referenced in Exhibit A may depend on official or judicial determinations made in accordance with the Public Records Law.

Affiant’s Signature State of ___________) ) ss:

County of ________) Signed and sworn to before me on ___________ (date) by ______________________ (Affiant’s name).

Notary Public for the State of _________________ My Commission Expires: _________

Attachment C - Response Cover Sheet Respondent Information - RFI # 6097 Respondent Legal Entity Name:

Primary Contact Person Name:

Title:

Address:

City, State, Zip:

Telephone:

E-mail Address:

Name and title of the person(s) authorized to represent the Respondent for any program follow up questions.

Name:

Title:

Telephone:

E-mail Address:

By signing this page and submitting a Response, the Authorized Representative certifies that the following statements are true:

1. No attempt has been made or will be made by the Respondent to induce any other person or organization to submit or not submit a Response.

2. Information included in this Response shall remain valid for 90 days after the Response due date or for informational purposes only with the understanding that no Contract will be awarded as a result of this RFI.

3. The statements contained in this Response are true and complete to the best of the Respondent’s knowledge and Respondent accepts as a condition Respondent and the Informational Response and information provided shall be in compliance with Respondent’s knowledge that descriptions and suggested answers shall comply with the applicable state and federal requirements, policies, standards, and regulations as required. The undersigned recognizes that this is a public document and open to public inspection.

4. Respondent acknowledges that the Informational Response for any of the services described in this RFI shall be used for planning and informational purposes only. OHA may issue a separate procurement in the future for the services required by OHA.

Printed Name:

Attachment C-1 - Response Please provide the following information to the extent possible. No fields are mandatory, but the information is appreciated. If you do not answer a question leave that answer blank, do not delete.

SERVICE AREA CONSIDERATIONS / RATE SETTING

a. If you are a current CCO, please describe your organization's current service area, and indicate whether you would consider expanding or reducing your coverage. If you are not a current CCO, please describe the regions where you would be interested in serving.

b. How do regional differences, such as workforce availability, infrastructure, or community partnerships, impact your ability to expand or sustain services in different areas?

c. What changes to rate methodologies (e.g., adjustments for rural vs. urban areas, risk stratification, value-based incentives) would help improve financial sustainability and service delivery?

d. Are there any anticipated mergers, acquisitions, or other organizational shifts that could impact service delivery, provider networks, or community partnerships?

COMMUNITY PARTNERSHIPS

a. What strategies have you used to build and sustain partnerships with community-based organizations, local governments, and health care providers to improve member outcomes? What partnerships have been most impactful?

b. How do you ensure that members, particularly those from historically marginalized communities, are meaningfully included in decision-making processes?

c. What partnerships or collaborations have you built to address social determinants of health (e.g., housing, transportation, food insecurity) that impact members? What have been the key successes and challenges in these efforts?

HEALTH EQUITY

a. How do you measure and report progress on health equity goals to your members and other key partners? What metrics or benchmarks are most meaningful in tracking impact on members?

b. What tools, funding opportunities, or policy changes would help strengthen collaboration between organizations working toward shared health goals for members?

c. Can you describe a specific initiative within your networks or collaborative partnerships that is advancing efforts to eliminate health inequities in alignment with OHA’s 2030 strategic goal? Please detail the strategies used, the measurable outcomes that demonstrate progress, and any challenges encountered.

TRADITIONAL HEALTH WORKERS & WORKFORCE

a. What barriers exist to integrating traditional health workers (e.g., community health workers, peer support specialists) into community-based settings?

b. What innovative payment models, incentives, or financial strategies have you implemented to expand the use of traditional health workers?

LANGUAGE ACCESS AND ACCESSIBILITY

a. How do you ensure that providers meet language access and accessibility requirements, including interpretation, translation, and accessible formats?

b. How do you identify communication barriers in healthcare among your members and in the broader community?

CHILDREN’S SERVICES & SCHOOL-BASED HEALTH

a. What strategies ensure school-based prevention efforts (e.g., dental sealants, social-emotional health, suicide prevention) align with community needs?

b. What are examples of barriers have you encountered between school-based health services and primary care providers? What about Behavior Health supports?

c. What strategies have been effective in ensuring smooth transitions for children moving between different levels of care (e.g., hospital to home, foster care placements, pediatric to adult care)?

CARE COORDINATION SERVICES

a. Describe a specific example of a successful care transition procedure you have implemented (e.g., from hospital discharge to long-term care, or between different provider types)? Please detail the strategies that contributed to its success, the key metrics you used to measure effectiveness, and any barriers you encountered.

b. What improvements in data-sharing or communication tools would help better coordinate care across different provider types and settings?

BEHAVIORAL HEALTH

a. What practices have helped bridge gaps between behavioral health and other care services in your organization?

b. In what ways have you successfully aligned behavioral health services with broader care delivery to support members with multifaceted needs?

c. Describe a specific innovative approach you have used to expand your behavioral health network in response to rising demand among populations affected by substance use, mental health challenges, serious mental illness, and houselessness? Please detail the strategies you employed, the key metrics you used to gauge its success, and any challenges you encountered.

ORAL HEALTH

a. What are the primary barriers to accessing timely and high-quality dental care, particularly for Medicaid members in underserved regions? What strategies have proven effective in overcoming these barriers, and how do you measure their success?

b. How does your organization integrate community partnerships and alternative care models (e.g., teledentistry, mobile units, school-based programs) into your dental care strategy? What evidence-based practices guide your approach, and how do you assess their effectiveness?

c. What strategies does your organization employ to recruit and retain dental providers in Medicaid? How do you support dental workforce expansion, particularly in rural areas?

d. How does your organization ensure that treatment plans for Medicaid patients are completed in a timely and comprehensive manner? What strategies do you use to prevent excessive appointment fragmentation, and prolonged treatment delays?

e. How does your organization promote and incentivize preventive dental care, and what value-based payment models have you implemented or considered for Medicaid dental services?

OB #S-44300-00013336 OHA RFI #6097 Page 2 of 2