S000000357 Q&A.pdf

Question Nbr Question Subject Quoted Language (if applicable) Question Text Answer

1.00 Section 2.4 Prospective Contractor Minimum

Qualifications

If a Prospective Contractor does not meet one or more of the requirements in section 2.4 Prospective

Contractor Minimum Requirements, is that disqualifying or does it only impact scoring? If this is disqualifying, will a vendor's assertion that the requirement will be met by the start of the contract award be sufficient?

See Revised RFP.

2.00 2.6 General Requirements, D, Page 8 & 9

The system must have the ability to switch a member from "retiree" to "active" on same coverage level without starting their deductible over.

Could you please confirm the following:

1. Are the same plans offered to both active employees and retirees?

2. Do they receive the same level of coverage as well?

1. No.

2. They all receive the same level of coverage

(notwithstanding copays, premiums, etc.), except PSE retirees post-65 do not receive prescription coverage.

3.00 2.6 General Requirements, J, Page 8 & 9 The system must flag errors on forms or within files for correction prior to allowing submission.

Could you please confirm the following

1. How will the system identify the errors in the files?

2. Where these files are stored? (Ex: S3)

3. A file can have multiple forms?

1. The State would defer to the Contractor on the how.

2. Within the State's AWS environment.

3. No

4.00 2.6 General Requirements, Page 8 &9

Could you please provide the source code from outgoing contractor, access to the existing application and data

Yes. This will be provided to the successful contractor by the current system contractor during the transition period.

5.00 2.7 Pharmacy Review, A.9, Page 8 &9

The system must have Pharmacy Review functionality that includes, but is not limited to, the following:

See member history as we currently can in the coverage bands. (This is needed for eligibility reconciliation in the PBM system.)

Does this system handle eligibility checks internally, or does it only perform reconciliation with another system?

Internally. However, EBD requires the ability to manually validate when necessary.

6.00 2.8 Accounting, 4, Page 8 & 9

Multiple payment options; eCheck, online, Automated

Clearing House (ACH), wire, over the phone payments

Does this require exposing this to the member portal? or is it completely the back-office portion.Are we using any 3rd party solutions for this?

There is no current third party solution. EBD seeks to have multiple payment options exposed to the member. Further, it is anticipated by EBD that the successful Contractor will be capable of providing innovative, best practice solutions to these questions as the successful vendor becomes familiar with the old system during the transition period.

7.00

2.10 Collection Management Tool A.4, Page 9

&10

The system must have a dedicated Collection

Management tool that includes but is not limited to:

Multiple payment options; eCheck, online, Automated

Clearing House (ACH), wire, over the phone payments

1.Does this need to be exposed to the member portal, or is it strictly for back-office use? 2. Are we utilizing any third-party solutions for this?

1. It is for back office use.

2. There are no third party solutions

8.00

2.11 Customer Care Screens, B.3, Page 10 &

The system must provide accurate information quickly and easily for call center personnel to see a snapshot of what is occurring with a members account. This information must include but is not limited to: Retiree

System, if applicable

What is the Retiree system? Is it a third-party system that requires integration?

The retiree systems refer to APERS, ATRS, and ADOT.

Yes, there will need to be two way communication between these systems for the transfer of data/files. Currently the files are shared in cvs format and uploaded manually. See

Revised RFP Section 2.6.M.

9.00 Section 2.11 Customer Care Screens

Will call center employees need the ability to enter all benefits selections manually on behalf of a member?

Yes.

10.00 Section 2.12 Member Portal

Will a member be able to manage their benefits selections from this portal?

Yes.

11.00 Section 2.12 Member Portal

How will a member elect coverage? Paper form, or online enrollment, or both?

The desire is for online only, but we will need to be able to process paper in the interim.

12.00 Section 2.12 Member Portal

Will a member be able to submit mid-year changes due to qualifying events through the Member

Portal?

Yes.

13.00 2.13 Dashboard, A, Page 12

The system must produce a real-time functioning, viewer-friendly, customizable dashboard with activity summaries to support the EBD decision-making process, measure performance, and provide reports on program metrics.

Can you please provide a detailed breakdown of the EBD decision process?

The State will discuss this with the successful Contractor during the Discussions phase.

14.00 2.23 Licensing and Insurance, A, Page 16

A. The Contractor shall maintain, with respect to the services provided under a resulting contract, professional liability (errors and omissions) insurance and general liability insurance in amounts reasonable and customary for the nature and scope of technology services. The Contractor shall provide evidence of such insurance upon EBD's request.

Could you please modify this to A. The limitation of liability not to exceed the total value of the contract.

A limitation of liability clause may be negotiated with the successful Contractor during the Discussions phase.

15.00 2.23 Licensing and Insurance, D, Page 16

D. The Contractor shall accept liability for any mistakes, errors, or omissions it makes in providing services to EBD and its members.

Could you please modify this requirement to The

Contractor shall accept liability for any gross mistakes, errors, or omissions it makes in providing services to EBD and its members.

No.

16.00

2.29 Optional Additional Enhancements, A, The Contractor should provide an hourly rate for providing optional additional enhancements to the system throughout the life of the contract. EBD may request the Contractor to provide or assist with improvements or enhancements to the system not outlined in this RFP or defined during the Discussion

Phase of this Procurement. Upon request by EBD, the

Contractor shall prepare a Scope of Work and estimated number of hours to complete the project using the rates proposed in Table 2 of the Official Bid

Price Sheet.

Could you please provide Table 2 for proposed rates, as we don't see these details in the Official

Bid Price sheet for rates?

Table 2 is below Table 1 on the Price Sheet.

17.00

2.30 Licensing & Ownership of Custom Build

Software, B, Page 18

The State may, at its sole discretion and upon request, grant the Contractor a nonexclusive license to use the State's software, subject to mutually acceptable terms and license fees.

Could you please modify this requirement to The

State grants the contractor an exclusive license to use the software created as part of this project.

No.

18.00 General Question

Will the government allow us to ask questions after the Q&A released

The State does not have a second formal Q&A process.

OSP will answer questions related to the procurement process at any time. Other questions may or may not be answered at the State's discretion. Non-process related questions that are answered will be added to a revised

Q&A document.