Statement of Proprietary Information_Deloitte - 122125.docx

The document is a Statement of Proprietary Information related to Request for Proposal (RFP) Number 122125 O3 for the State of Nebraska's Department of Health and Human Services (DHHS), specifically for a Program Integrity Case Management and Fraud Analysis & Detection System. The RFP seeks a cloud-based, modular software solution to replace the current Medicaid program case management system, supporting fraud detection, case management, advanced analytics, and predictive modeling for 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 to renew for two additional two-year periods.

The 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 including potential oral interviews. Mandatory vendor qualifications include having a current implemented PICM/FADS contract with another State Medicaid agency. The solution must integrate with existing state systems, including the Medicaid Management Information System (MMIS) and the Nebraska Family Online Client User System (N-FOCUS). The project is eligible for enhanced federal financial participation (FFP), and the vendor will be responsible for supporting 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, and security requirements include TLS encryption, AES-256 data protection, role-based access control, and HIPAA compliance.