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 (PICM) and Fraud Analysis & Detection System (FADS). The solicitation 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 RFP was released on May 28, 2025, with proposal responses due by July 10, 2025, at 2:00 p.m. Central Time. The contract will have an initial five-year term with options to renew for two additional two-year periods, with an expected implementation date no later than October 31, 2026.

The evaluation will assess responses across three categories: Corporate Overview (25 points), Technical Response (60 points), and Cost Sheet (15 points), totaling 100-120 points including potential oral interviews. The solution must integrate with existing state systems like the Medicaid Management Information System (MMIS) and Nebraska Family Online Client User System (N-FOCUS), utilizing an integration hub with batch and potential real-time processing. 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 (FFP), with the vendor responsible for CMS certification process, data migration, training, and ongoing maintenance. The state will allocate up to 500 vendor hours annually for system modifications at no additional cost, and mandatory vendor qualifications include having a current implemented PICM/FADS contract with another State Medicaid agency.