Financial management services

The South Carolina Department of Health and Human Services (SCDHHS) is procuring comprehensive Financial Management Services (FMS) for in-home Medicaid providers participating in home and community-based waiver programs. The primary objectives include processing payments to providers, managing employer identification numbers, withholding and disbursing taxes, coordinating with the Phoenix case management system, and operating a customer support help desk. Key deliverables include bi-weekly payroll processing for approximately 2,000 payments, vendor payment management, and comprehensive financial administration for healthcare providers. The procurement will utilize a best value methodology with evaluation criteria weighted as follows: 60 points for pricing (total cost of ownership), 20 points for technical ability addressing scope compliance and implementation planning, and 20 points for qualifications and experience. The solicitation requires offerors to demonstrate a minimum of three years of similar solution experience. Critical procurement dates include a pre-proposal conference on January 29, 2020 at 10:00 AM, question submissions due by January 29, 2020 at 5:00 PM, proposal submissions due by February 7, 2020 at 11:00 AM, and award notification projected for March 6, 2020. The contract is structured with an initial one-year term and four potential one-year renewal options, for a maximum five-year contract period beginning approximately March 18, 2020.

The procurement does not specify explicit set-aside designations or restrictions on respondent organizations. The current system involves approximately 1,901 providers and 2,054 participants, with a monthly fee structure of $49.00 per beneficiary receiving waiver services. The contract will require integration with existing systems, including the Phoenix case management system and Medicaid Management Information System. Contractors must comply with HIPAA requirements and maintain specific insurance coverage, including cyber liability and privacy insurance with minimum $1,000,000 per occurrence and $5,000,000 aggregate limits, general liability coverage, and worker's compensation insurance. The total cost of ownership across the five-year contract period will be a critical evaluation factor, with pricing to be submitted using SCDHHS-provided Excel spreadsheets that include separate tables for implementation, operations, and turnover phases. While no incumbent vendor is explicitly named, the documentation references a previous emergency contract (solicitation 5400004191, contract number 400006180) that ended in 2018, suggesting potential transition considerations for the new financial management services provider.