VendorChangeDetailsReport_QLV27007040_v2_Oct_23_26.pdf

This Vendor Change Details Report documents modifications to a Qualified List of Vendors (QLV) solicitation issued by the Rhode Island Executive Office of Health and Human Services for the administration of the Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Program. The solicitation seeks proposals from qualified bidders to manage all functions related to the FIDE-SNP Program, which serves approximately 37,060 full-benefit dual-eligible members age 21 and older. Proposals are due November 4, 2026, with a non-mandatory pre-bid conference scheduled for October 15, 2026, and vendor questions due by October 16, 2026. The initial contract term runs from January 1, 2028 through December 31, 2028, with renewal options for up to five additional 12-month periods at the State's discretion based on performance and fund availability. The State reserves the right to award one to three bidders. Bidders must maintain or establish a Rhode Island location within three months of award within a 25-mile radius of Cranston, Rhode Island.

Minimum qualifications include federal MCO status, Rhode Island HMO licensure or commitment to obtain it within 60 days of contract execution, at least three consecutive years managing medical, behavioral, and long-term services and support services with a minimum of 50,000 combined Medicaid, Medicare, or Medicaid-like members, current NCQA or URAC accreditation, and CMS approval to execute an integrated D-SNP contract for plan year 2028. A 0.33% contract administrative fee will be withheld from invoices. Vendors must maintain comprehensive insurance coverage including general liability ($1 million per occurrence/$2 million aggregate), workers' compensation, automobile liability ($1 million), professional liability ($2 million per occurrence/$3 million aggregate), cyber/privacy liability ($20 million per occurrence/aggregate), and physical abuse and molestation liability ($1 million per occurrence). Technical proposals are scored out of 100 points with a passing threshold of 60 points; up to 6 ISBE bonus points are available. A minimum 10% dollar-value participation requirement by certified minority and women-owned businesses is mandated. All submissions must be submitted electronically through Ocean State Procures.