BABYNET INTEGRATED CASE MGMT SYSTEM

The South Carolina Department of Health and Human Services (SCDHHS) has issued a Request for Proposal (RFP) for a BabyNet Integrated Early Intervention Case Management System to replace the existing BRIDGES system. The procurement seeks a Software-as-a-Service (SaaS) or Commercial Off-the-Shelf (COTS) solution to support the Individuals with Disabilities Education Act (IDEA) Part C program, which provides early intervention services for children with disabilities from birth to age three. Key deliverables include a comprehensive case management system capable of managing child referrals, eligibility determination, Individual Family Service Plan (IFSP) development, service coordination, provider networks, claims submission to the Medicaid Management Information System (MMIS), and federal compliance reporting. Mandatory minimum qualifications for bidders include three years of experience implementing IDEA Part C case management systems, three years of experience integrating with claims processing systems using X12 EDI transactions, and three years of experience processing ASC X12 healthcare transactions. The evaluation process will occur in two phases: Phase I will assess technical solution (45 points), experience and qualifications (40 points), and pricing (15 points), while Phase II will involve a demonstration and oral presentation worth an additional 30 points. A non-mandatory pre-proposal conference was held on February 9, 2023, with questions due by February 17, 2023, and original proposal submissions initially set for April 13, 2023, but subsequently extended to May 18, 2023, at 2:00 PM EST.

The contract does not appear to have specific set-aside designations for disadvantaged enterprises. The system must interface with existing SCDHHS systems including Curam (eligibility determination), MMIS (claims adjudication), MES Core, OnBase, SCEIS, and TPL systems. The contract term is structured for an initial three-year period with two optional one-year renewals, for a maximum of five years, with an estimated start date of August 15, 2023. A 10% Modification Pool is included for emerging requirements, and the pricing will be evaluated based on Total Potential Value, including costs over the five-year period. While specific budget ranges are not explicitly stated, the contract will utilize a hybrid payment methodology combining milestone-based and fixed-price monthly payments across Design, Development, and Implementation (DDI), Operations and Maintenance, and Turnover phases. The contractor must host the solution within the continental United States, maintain 99.9% system uptime, and comply with various regulatory requirements including HIPAA, FERPA, Section 508 accessibility standards, and CMS Minimum Acceptable Risk Standards for Exchanges (MARS-E).