Health and welfare critical incident man

The State of South Carolina, specifically the Department of Health and Human Services (SCDHHS) and the Department of Disabilities and Special Needs (SCDDSN), is seeking a comprehensive Health and Welfare Critical Incident Management (HWCIM) system solution for Medicaid Home and Community-Based Services (HCBS) waiver programs. The procurement aims to consolidate incident management functionality currently distributed across multiple agency systems, with requirements for a solution that can analytically process Medicaid claims data, identify unreported critical incidents, and interface with the SCDHHS MES Core enterprise information hub. The project requires a contractor with demonstrated implementation experience in at least three federal, state, local, or private healthcare environments, with successful prior state system implementation and federal approvals. Key deliverables include a system supporting approximately 1,030 active users, with stringent performance requirements such as query response times under three to five seconds, critical incident notifications within 30 minutes, and disaster recovery restoration within eight hours. The pre-proposal conference is scheduled for January 13, 2025, at 10:00 AM EST via Microsoft Teams, with questions due by January 17, 2025, at 12:00 PM EST, and proposal submissions required by April 11, 2025, at 11:00 AM EST. Award notification is planned for July 3, 2025, with the total contract term running from May 23, 2025, to May 22, 2032, including a one-year implementation period followed by a four-year base operations term and potential three one-year extensions.

The solicitation does not explicitly specify set-aside designations for disadvantaged enterprises. The current environment involves approximately 8,200 incidents in SCDHHS's Phoenix system with 992 active users and 34,000 incidents in SCDDSN's Incident Management System (IMS) with 600 active users. Mandatory qualifications include prime contractor experience within the past six years on at least three similar healthcare solutions, with a project manager having minimum three years of experience in critical incident management solutions and two years in health and human services. The contract will be funded through federal Medicaid funding, contingent upon achieving CMS Streamlined Modular Certification. While no specific budget was disclosed, the procurement includes a $750,000 Modification Pool for the full contract term, with pricing structured to cover Implementation, Operations & Maintenance, and Turnover phases. Pricing will be evaluated on a fixed, all-inclusive basis, with 10 percent retainage held until CMS certification is awarded. The solution must comply with multiple regulatory standards, including CMS Access Rule requirements, MARS-E version 2.2, HIPAA, NIST 800-63 standards, and Section 508 accessibility requirements.