Statement of Proprietary Information_Alivia - 122125.docx

This document is a Statement of Proprietary Information related to Request for Proposal (RFP) Number 122125 for the State of Nebraska's Department of Health and Human Services (DHHS) Program Integrity Case Management project. The RFP seeks a comprehensive cloud-based software solution for Medicaid program case management, fraud detection, and advanced analytics, targeting approximately 340,000 Medicaid recipients. The solicitation was released on May 28, 2025, with proposal responses due by July 10, 2025, at 2:00 p.m. Central Time, and an expected implementation date no later than October 31, 2026. The contract will have an initial five-year term with options for two additional two-year renewal periods.

The procurement requires vendors to have a current implemented Program Integrity Case Management (PICM) and Fraud Analysis & Detection System (FADS) contract with another State Medicaid agency. The solution must integrate with existing state systems, including the Medicaid Management Information System (MMIS) and Nebraska Family Online Client User System (N-FOCUS). Evaluation criteria will assess responses across three categories: Corporate Overview (25 points), Technical Response (60 points), and Cost Sheet (15 points), with a potential total of 100-120 points. The project is eligible for enhanced federal financial participation (FFP), and the vendor will support CMS certification, data migration, training, and ongoing maintenance. The state will allocate up to 500 vendor hours annually for system modifications at no additional cost, with security requirements including TLS encryption, AES-256 data protection, role-based access control, and HIPAA compliance.