ELECTRONIC VISITATION VERIFICATION

The South Carolina Department of Health and Human Services (SCDHHS) is procuring an Electronic Visit Verification (EVV) system through a Request for Proposal (RFP) solicitation issued by the State Fiscal Accountability Authority. The procurement seeks a qualified vendor to provide a comprehensive EVV system and data aggregator to manage and track home and community-based services for Medicaid beneficiaries. The contract will support eight HCBS waivers, two State Plan children's programs, and the Home Health program, serving approximately 5.96 million claim lines annually across Community Long-Term Care, Department of Disabilities and Special Needs, and Home Health services. Mandatory vendor qualifications include three years of experience as a prime contractor for healthcare solutions, three years in Medicaid and HHS, successful state environment implementations, and a Project Manager with minimum three years of EVV experience. The system must comply with 21st Century Cures Act requirements, HIPAA standards, CMS Minimum Acceptable Risk Standards, and NIST security standards. Key dates include a non-mandatory pre-proposal conference on May 15, 2024, written questions due by May 23, 2024, and proposal submissions due by August 23, 2024, at 11:00 AM through the online bidding portal.

The contract has a four-year base term from December 2, 2024, to December 1, 2028, with three optional one-year renewals, and includes a one-year implementation phase followed by three years of operations and maintenance. Pricing structure involves fixed-price implementation milestones with 10% retainage until CMS certification, and transaction-based operational costs for EVV check-in and check-out activities. A $1,000,000 modification pool is available for addressing emerging requirements throughout the contract term. Federal funding is available through Medicaid 90% Federal Financial Participation (FFP), with CMS Conditions for Enhanced Funding applicable. The system must integrate with SCDHHS's Medicaid Enterprise System (MES) architecture and support current environments including approximately 4.6 million annual CLTC claim lines. Service Level Agreements require 99 percent system availability during core business hours, with liquidated damages for non-compliance. Vendors must obtain an Authority to Operate (ATO) prior to processing government data and submit comprehensive documentation including technical proposals, redacted proposals, and price proposal tables.