Statement of Proprietary Information_Alivia - 122125.docx

The document is a Statement of Proprietary Information for Request for Proposal (RFP) Number 122125 issued by the Nebraska Department of Health and Human Services (DHHS). The RFP seeks a Program Integrity Case Management system, with Alivia Analytics proposing a comprehensive solution involving technology architecture, network design, cloud integration, and various technical components. The solicitation targets a cloud-based, modular software platform for Medicaid program integrity, fraud detection, and case management, covering approximately 340,000 Medicaid recipients. The proposal responses were due by July 10, 2025, at 2:00 p.m. Central Time, with 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 mandatory vendor qualifications, including a current implemented Program Integrity Case Management (PICM)/Fraud Analysis & Detection System (FADS) contract with another State Medicaid agency. The evaluation 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 solution must integrate with existing state systems like the Medicaid Management Information System (MMIS) and Nebraska Family Online Client User System (N-FOCUS). Security requirements include TLS encryption, AES-256 data protection, role-based access control, and HIPAA compliance. The project is eligible for enhanced federal financial participation, and the vendor will support CMS certification, data migration, training, and ongoing maintenance, with the state allocating up to 500 vendor hours annually for system modifications at no additional cost.