solicitation_summary.pdf
PDF 22 KB Posted
- Solicitation number
- RFPS30034901600321
- Issued by
- Cole County, Jefferson City, Missouri
About this file
This document is a solicitation for Third Party Liability Fund Recovery and Cost Avoidance Services issued by the Missouri Department of Social Services. The services requested include fund recovery and cost avoidance for Medicaid and Children's Health Insurance Program (CHIP) claims. The solicitation covers a contract period of one year effective from the date of award. Vendors must submit proposals by July 7, 2016 at 3:00 PM CDT. The solicitation includes line items for different revenue recovery thresholds, cost avoidance services based on membership volumes, and additional services such as credit balance audits, Medicare buy-in, and targeted clinical bill audits.
The pricing structure involves firm, fixed percentage rates for fund recovery services based on revenue thresholds, and firm, fixed per member per month rates for cost avoidance services based on membership volumes. The solicitation does not mention any specific set-asides, incumbents, or funding sources. Vendors must either print the solicitation document and submit a hard copy, or review and accept the solicitation documents electronically through the MissouriBUYS system to submit a response.
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Text version
Solicitation Number: RFPS30034901600321
Third Party Liability Fund Recovery and Cost Avoidance
Services
Request for Proposal - Services (RFPS)
State of Missouri
June 01, 2016 - July 07, 2016
Page:2
General Header Information
RFPS30034901600321
No. RFPS30034901600321 Title: Third Party Liability Fund Recovery and Cost Avoidance Services Start Date: June 01, 2016 at 3:00:00 PM CDT End Date: July 07, 2016 at 3:00:00 PM CDT Vendor Q&A Start Date:
Vendor Q&A End Date:
Estimated Total Value:
Who can respond to this bid? : All Vendors Description: Agency: Missouri Department of Social Services
Contract Period: Effective Date of Award through One Year Delivery Terms: Free On Board Destination Delivery Notes: Missouri Department of Social Services
615 Howerton PO Box 6500 Jefferson City, MO 65102
Payment Terms: Net 45 Days Contact Information: State of Missouri
Megan Howser 301 West High Street Jefferson City MO, 65101 United States Tel: 573-751-1686 Megan.Howser@oa.mo.gov
Contact Details: If you have any questions, please contact:
Megan Howser 301 West High Street Jefferson City MO, 65101 United States Tel: 573-751-1686 Megan.Howser@oa.mo.gov
Selected Categories:
Page:3
Solicitation Requirements:
This bid has no questions defined.
RFPS30034901600321
REQUIREMENTS
Requirements:
To access the official solicitation document, which includes all applicable requirements, detailed specifications, and terms and conditions, the vendor must click on the Overview tab to view the solicitation. Under the Overview tab, the vendor must either: 1) print the solicitation document in order to submit a hard copy to ________________________, or 2) review and accept the solicitation documents under the Overview tab, and submit an electronic response to the solicitation through the MissouriBUYS system.
Page:4
Documents:
Third Party Liability Fund Recovery and Cost Avoidance Services.docx
Addendum 01 Third Party Liability Fund Recovery and Cost Avoidance Services.docx
Pre-Preposal Conference attendance record.pdf
Page:5
Item Specifications
No. Item Alternative Supplier Part No Mfr.
Name
Mfr. No Del
Date
Unit Unit Bid Qty. Total
1 Fund Recovery Services, Total Revenue Recovered
(Cumulative for Contract
Period) $0.00 to
$20,000,000.00 percent 1.00
Item Specification for Fund Recovery Services, Total Revenue Recovered (Cumulative for Contract Period) $0.00 to $20,000,000.00
Description: Firm, Fixed Percentage of Total Net Revenue Funds Recovered
Specification Number: 1
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
2 Fund Recovery Service, Total Revenue Recovered
(Cumulative for Contract
Period) $20,000,000.01 to
$30,000,000.00 percent 1.00
Item Specification for Fund Recovery Service, Total Revenue Recovered (Cumulative for Contract Period) $20,000,000.01 to $30,000,000.00
Description: Firm, Fixed Percentage of Total Net Revenue Funds Recovered
Specification Number: 2
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
3 Fund Recovery Service, Total Revenue Recovered
(Cumulative for the
Contract Period)
$30,000,000.01 and over percent 1.00
Item Specification for Fund Recovery Service, Total Revenue Recovered (Cumulative for the Contract Period) $30,000,000.01 and over
Description: Firm, Fixed Percentage of Total Net Revenue Funds Recovered
Specification Number: 3
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
4 Cost Avoidance Services, Less than or equal to
1,200,000 members per month each 1.00
Item Specification for Cost Avoidance Services, Less than or equal to 1,200,000 members per month
Description: Firm, Fixed Price Per Member, Per Month
Specification Number: 4
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
5 Cost Avoidance Services, 1,200,000 to 1,400,000 members per month each 1.00
Item Specification for Cost Avoidance Services, 1,200,000 to 1,400,000 members per month
Description: Firm, Fixed Price Per Member, Per Month
Specification Number: 5
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
Page:6
No. Item Alternative Supplier Part No Mfr.
Name
Mfr. No Del
Date
Unit Unit Bid Qty. Total
6 Cost Avoidance Services, 1,400,001 members or more per month each 1.00
Item Specification for Cost Avoidance Services, 1,400,001 members or more per month
Description: Firm, Fixed Price Per Member, Per Month
Specification Number: 6
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
7 Credit Balance Audits/Data
Audits percent 1.00
Item Specification for Credit Balance Audits/Data Audits
Description: Additional Third Party Liability Funds Recovery and Cost Avoidance Service Firm, Fixed Percentage of fee recovered
Specification Number: 7
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
8 Medicare Buy-In each 1.00
Item Specification for Medicare Buy-In
Description: Additional Third Party Liability Funds Recovery and Cost Avoidance Service Firm, Fixed Price per Addition of a Record
Specification Number: 8
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
9 Health Insurance Premium
Payment (HIPP) for
Medicaid and Children's
Health Insurance Program
(HIPP for CHIPP) each 1.00
Item Specification for Health Insurance Premium Payment (HIPP) for Medicaid and Children's Health Insurance Program (HIPP for CHIPP)
Description: Additional Third Party Liability Fund Recovery and Cost Avoidance Service Firm, Fixed Price per Addition of a Case
Specification Number: 9
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
10 Clinical Review Services:
Targeted Clinical Bill
Audits percent 1.00
Item Specification for Clinical Review Services: Targeted Clinical Bill Audits
Description: Additional Third Party Liability Funds Recovery and Cost Avoidance Service Firm, Fixed Percentage of fee recovered
Specification Number: 10
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
11 Concurrent Claim Payment
Review percent 1.00
Item Specification for Concurrent Claim Payment Review
Description: Additional Third Party Liability Funds Recovery and Cost Avoidance Service Firm, Fixed Percentage of fee recovered
Specification Number: 11
Allow Vendor to Enter Negative Value : No
Exclude Line Item from Bid Total : No
Page:7
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