RFP Questions and Responses.xlsx

XLSX spreadsheet 58 KB Posted Nov 30, 2022

Attached to: Part A/B Medicare Administrative Contractor (MAC) Jurisdiction 15 (15) RFP
Solicitation number: 75FCMC23R0003
Issued by: Department of Health and Human Services Centers for Medicare and Medicaid Services

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Written by GovTribe AI · Dec 27, 2023

This document contains questions and responses related to a Request for Proposal for a Part A/B Medicare Administrative Contractor for Jurisdiction 15. Key details include that the purpose of the contract is to obtain an A/B MAC contractor to provide specified health insurance benefit administration services including Medicare claims processing and payment services in support of the traditional Medicare program for the states of Kentucky and Ohio. The J15 MAC is also responsible for processing Medicare Home Health and Hospice billings in 16 additional states and the District of Columbia. The solicitation number is 75FCMC23R0003 and was issued by the Department of Health and Human Services Centers for Medicare and Medicaid Services. The document addresses questions from potential offerors to clarify requirements and makes corrections or updates to an attachment regarding the required Basis of Estimate.

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File	Type	Posted
RFP 75FCMC23R0003 12-15-2022.pdf	PDF	Dec 15, 2022
RFP 75FCMC23R0003 11-30-22.docx	DOCX document	Nov 30, 2022
RFP Attachments.zip	ZIP file	Nov 30, 2022

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A. Section B-K

Question ID

Entity

Point of Contact (POC)

Date of Email Submission

Document

Section

Page #

Question

CMS Answer/Action

Responsibility

Lead Analyst

Amendment 1?

Amendment #

A.1

A.2

A.3

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B. Section L-M

Question ID

Entity

Point of Contact (POC)

Date of Email Submission

Document

Section

Page #

Question

CMS Answer/Action

Responsibility

Lead Analyst

Amendment 1?

Amendment #

B.1

CGS Administrators, LLC

James Doane

6/29/22

Solicitation RFP

L.14.5.3 Volume III, Tab F, Mission-Essential Functions, Proposal Instructions

118

Audit and Reimbursement section of the Mission-Essential Functions reads as L.14.5.3.1.

QUESTION: This number is a repeat of the Implementation section above on page 114. Was this number intended to be L.14.5.3.7, as it would be the next number if following the established sequence?	CMS confirms the RFP document is updated, the Tab F Mission Essential Functions proposal instructions section for Audit and Reimbursement is L.14.5.3.7. (RFP updated)	MCMG
	B.2
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C. Section J.1 SOW

Question ID

Entity

Point of Contact (POC)

Date of Email Submission

Document

Section

Page #

Question

CMS Answer/Action

Responsibility

Lead Analyst

Amendment 1?

Amendment #

C.1

C.2

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D. Sections J.1-J.11

Question ID

Entity

Point of Contact (POC)

Date of Email Submission

Document

Section

Page #

Question

CMS Answer/Action

Responsibility

Lead Analyst

Amendment 1?

Amendment #

D.1

D.2

D.3

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E. Section J.22 BOE

Question ID

Entity

Point of Contact (POC)

Date of Email Submission

Document

Section

Page #

Question

CMS Answer/Action

Responsibility

Lead Analyst

Amendment 1?

Amendment #

E.1

FCSO (Guidewell)

Gayeta Porter

8/30/22

J.22 Basis of Estimate

Column G - Detail Required

ALL

Since CMS is requiring labor categoty detail in the Technical Proposal Staffing Plan charts and CLIN Schedules, would CMS consider changing the J.22 Basis of Estimate to allow offerors to use labor categories for all workload subcategories within the Basis of Estimate with the exception of :"ODC, Indirect, Overhead and G&A FTEs." In doing so this would allow the offeror to tie out the Technical Proposal, CLIN Schedule, and Basis of Estimate by labor category.

CMS confirms Offerors may choose to provide the labor category for the workloads designated as "Total FTEs" in column G of the Basis of Estimate. If the Offeror chooses to provide the labor category breakout for these "Total FTEs" workloads, the Offeror shall copy-paste and add enough rows as necessary to detail the labor category breakout in column J according to the instructions for this column in Attachment J.22.C. The Offeror shall also remove the formatting fill from column J for these newly added rows. The Offeror shall follow all other instructions from Attachment J.22.C for all other cells in these newly added rows.

MCMG

E.2

CGS Administrators, LLC

James Doane

6/29/22

J.22 Basis of Estimate

Item Number 9, 10, 11, 14, 15, 237, 238, 240, 242, 243, 245, 246, 248, 249, 251, 253, 255, 257, 384, 385, 386, 389, 390, 392, 393, 395, 396, 397, 399, 400, 401, 403, 404, 405, 409, 410, 414, 420, 421, 431, 432, 441, 442

N/A

In Column G - Detail Required, these are all listed as Total FTEs.

QUESTION: Should the item numbers identified in Column C (of this document, at left) be listed as Labor Mix and all of the required columns for that entry be updatable, as the FTEs should be driven by productivity rates on these lines?	CMS confirms Offerors shall follow all instructions and examples as provided in the RFP when completing the Basis of Estimate. Offerors may choose to provide the labor category for the workloads designated as "Total FTEs" in column G of the Basis of Estimate. If the Offeror chooses to provide the labor category breakout for these "Total FTEs" workloads, the Offeror shall copy-paste and add enough rows as necessary to detail the labor category breakout in column J according to the instructions for this column in Attachment J.22.C. The Offeror shall also remove the formatting fill from column J for these newly added rows. The Offeror shall follow all other instructions from Attachment J.22.C for all other cells in these newly added rows.	MCMG
	E.3	CGS Administrators, LLC	James Doane	6/29/22	J.22 Basis of Estimate	Item Number 235	N/A	In Column G - Detail Required, these are all listed as Labor Mix.

QUESTION: Should the item number identified in Column C (of this document, at left) be listed as Total FTEs as there was not Workload provided in Column H and all of the fields associated with that modified?	CMS confirms the Offeror shall provide the information as requested for Item 235 on the BOE. CMS confirms there is no workload number associated with Item 235, however, the Offeror shall include all required level of effort for this item as indicated by the SOW.	MCMG
	E.4	CGS Administrators, LLC	James Doane	6/29/22	J.22 Basis of Estimate	Item Number 17	N/A	In Column D - Workload Category, this is listed as Congressional Inquiries.

QUESTION: Should this be listed as Congressional Inquiries Part A and Part B?	CMS confirms the BOE, J.22, Column D label is updated to reflect Congressional Inquiries Part A and Part B. (updated BOE)	MCMG
	E.5	CGS Administrators, LLC	James Doane	6/29/22	J.22 Basis of Estimate	Item Number 19	N/A	In Column D - Workload Category, this is listed as Congressional Inquires.

QUESTION: Should this be listed as Congressional Inquiries HH&H?	CMS confirms the BOE, J.22, Column D label is updated to reflect Congressional Inquiries HH&H. (updated BOE)	MCMG
	E.6	CGS Administrators, LLC	James Doane	6/29/22	J.22 Basis of Estimate	PM Table 1 Tab - Line Number 6, 7, 8, 80, 108, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124

MIP Table 2 Tab - Line Number 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63	N/A	Where a specific Home Health & Hospice (HHH) line item is not provided, only a Part A option available/listed, should HHH historic/proposed detail be rolled into the corresponding available/listed Part A line item?	CMS confirms that if a specific Home Health & Hospice (HH&H) workload is not provided, Offerors must include the HH&H historic and proposed detail with the Part A historic and proposed detail. Offerors may explain the breakdown in narrative provided in the technical proposal as needed.	MCMG
	E.7	CGS Administrators, LLC	James Doane	6/29/22	J.22 Basis of Estimate	Item Number 196 OY1 tab	N/A	The RFP Workload for Effectuations of Redeterminations (Claims) is 50.

QUESTION: Can you please confirm this workload volume is correct?	CMS confirms the BOE is updated to include the correct workload for Effectuations of Redeterminations. (BOE updated)	MCMG
	E.8	CGS Administrators, LLC	James Doane	6/29/22	J.22 Basis of Estimate	Item Number 197 OY1 tab	N/A	The RFP Workload for Effectuations of QIC Decisions (Claims) is 27, 507.

QUESTION: Can you please confirm this workload volume is correct?	CMS confirms the BOE is updated to include the correct workload for Effectuations of QIC Decisions. (BOE updated)	MCMG
	E.9	CGS Administrators, LLC	James Doane	6/29/22	J.22 Basis of Estimate	Item Number 356 BY, OY1-OY6	N/A	The Workload Subcategory in BY is RSNAT Redetermination Request Reviews of Claims that were Denied Under the Model. The Workload Subcategory in OY1 - OY6 is RSNAT Request Reviews that Resulted in a Decision.

QUESTION: Are the provided workload subcategories correctly named for OY1 - OY6?	CMS confirms the BOE is updated, the specific rows have been updated to correct the label to RSNAT Redetermination Request Reviews of Claims that were Denied Under the Model for OYs 1-6 tabs. (BOE updated)	MCMG
	E.10
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F. Section J.23 GPPA

Question ID

Entity

Point of Contact (POC)

Date of Email Submission

Document

Section

Page #

Question

CMS Answer/Action

Responsibility

Lead Analyst

Amendment 1?

Amendment #

F.1

F.2

F.3

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G. Section J.23.A-J.32

Question ID

Entity

Point of Contact (POC)

Date of Email Submission

Document

Section

Page #

Question

CMS Answer/Action

Responsibility

Lead Analyst

Amendment 1?

Amendment #

G.1

G.2

G.3

G.4

G.5

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H. Section J.33-J.49

Question ID

Entity

Point of Contact (POC)

Date of Email Submission

Document

Section

Page #

Question

CMS Answer/Action

Responsibility

Lead Analyst

Amendment 1?

Amendment #

H.1

H.2

H.3

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I. Cost Realism

Question ID

Entity

Point of Contact (POC)

Date of Email Submission

Document

Section

Page #

Question

CMS Answer/Action

Responsibility

Lead Analyst

Amendment 1?

Amendment #

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I.30

J. Other TBD

Question ID

Entity

Point of Contact (POC)

Date of Email Submission

Document

Section

Page #

Question

CMS Answer/Action

Responsibility

Lead Analyst

Amendment 1?

Amendment #

I.1

I.2

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&D &14Jurisdiction F

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File details come from the government source that posted it. Updated Nov 30, 2022.