indiana department of administration

INDIANA DEPARTMENT OF ADMINISTRATION

MEDICAID RATE SETTINGLTC AUDITING SERVICES

REQUEST FOR PROPOSAL 14-84on behalf of

the Family and Social Services Administration


GENERAL INFORMATION

• Attendee Sign-In Sheet

• Sign-In Sheet and PowerPoint will be posted on State’s Solicitation Website


RFP QUESTIONS AND ANSWERS

Questions answered verbally today are not official nor binding and should be submitted in writing if it will affect your proposal response (Q/A Template).

All questions must be submitted using the Question and Answer Template provided by 3:00 PM Eastern Time on April 9, 2014

Email: [email protected]

Fax: 317.232.7312

mailto:[email protected]


ACCESSING RFP DOCUMENTS

www.in.gov/idoa/proc


ACCESSING RFP Documents


KEY RFP DATES


PURPOSE AND SCOPE OF RFP 14-84

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The purpose of this RFP is to select a vendor(s) that can satisfy the State’s need for Medicaid Rate Setting and LTC Audit Services. It is the intent of the OMPP to contract with a vendor or vendors that provide specific experience and demonstrated success.

Medicaid Rate Setting

The Medicaid Rate Setting vendor shall provide the following:

- General- Transition- Code Set Analytical Support

- Long Term Care Rate Setting- Hospital Desk Review, Audit and Cost Report Maintenance- Determination of Disproportionate Share Hospital (DSH) and Medicaid Supplemental

Payments- Federally Qualified Health Centers (FQHC) and Rural Health Clinic (RHC) Rate-Setting- In-patient and Out-patient Rate Setting and Consulting- Physician, Dental, Other Practitioner, DME and Medical Supply Fee Maintenance and

Consulting- Psychiatric Residential Treatment Facility Desk Reviews and Rate- Setting- Child Protective Services (CPS) Quarterly Settlements- Adjustment of Pharmacy Dispensing Fees (Compliance with IC 12-15-31.1)- Other FSSA Program Consulting Services- Optional Responsibilities (services only to be performed subject to a separate contract amendment setting out the cost and specific timelines)


PURPOSE AND SCOPE OF RFP 14-84 (cont.)

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LTC Audit

The LTC Audit vendor shall provide the following:

- General- Transition

- Risk Assessment and Desk Review Process- Medicaid LTC AUP Contractor’s Responsibilities for Compliance Reviews and Enhanced

Desk Reviews- Compliance Reviews of State Owned ICFs/IID- Minimum Data Set Audits

Note: The RFP will be scored separately for both Medicaid Rate Setting and LTC Audit services. However, the State reserves the right to award both contracts to one vendor or to award each contract to separate vendors.


RFP OUTLINE


RFP OUTLINE (Cont.)


BUSINESS PROPOSALCompany Financial Information (Section 2.3.3)

Confidential information must be kept separate from the proposal in both hard and soft copy.

Vendors proposing both services need only to fill out one business proposal.


COST PROPOSAL

Project Directly on Screen

There are separate cost proposals for Rate Setting and LTC audit.


TECHNICAL PROPOSALS

There are separate technical proposals for Rate Setting and LTC audit.


MINORITY AND WOMEN’S BUSINESS ENTERPRISE

Complete Attachment A, MWBE Form- Include sub-contractor letters of commitment Goals for this RFP:

- 8% Minority Business Enterprise

- 8% Women’s Business Enterprise

There are separate MWBE forms for Rate Setting and LTC audit.


MINORITY AND WOMEN’S BUSINESS ENTERPRISE

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There are separate MWBE forms for Rate Setting and LTC audit.

This amount comes from Attachment E.1 or E.2. Only include Total Bid Amount for each form’s relevant SoW (Medicaid Rate Setting or LTC Audit). Do not combine the bid amounts for both services.


INDIANA VETERANS’ BUSINESS ENTERPRISES SUBCONTRACTOR COMMITMENT (ATTACHMENT A1)

Complete Attachment A1, IVBE Form- Include sub-contractor letters of commitment

Goal for this RFP: 3%

There are separate IVBE forms for Rate Setting and LTC audit.


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This amount comes from Attachment E.1 or E.2. Only include Total Bid Amount for each form’s relevant SoW (Medicaid Rate Setting OR LTC Audit). Do not combine the bid amounts for both services.

INDIANA VETERANS’ BUSINESS ENTERPRISES SUBCONTRACTOR COMMITMENT (ATTACHMENT A1)

There are separate IVBE forms for Rate Setting and LTC audit.


INDIANA ECONOMIC IMPACT

The State defines FTE as a measurement of an employee's productivity on a specific project or contract. A FTE of 1 would mean that there is one (1) worker fully engaged on a project; forty (40) hours a week, fifty-two (52) weeks a year. If there are two (2) employees each spending 1/2 of their working time, 20 hours per week, on a project that would also equal 1.

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There are separate IEI forms for Rate Setting and LTC audit.


RFP SCORING AND EVALUATION


QUESTIONS AND ANSWERS


ADDITIONAL INFORMATIONIDOA PROCUREMENT LINKS AND NUMBERS

http://www.in.gov/idoa/2354.htm1-877-77BUYIN (8946) For Vendor Registration Questions

http://www.in.gov/idoa/2464.htmFor Inquiries Regarding Substantial Indiana Economic Impact

A. Link to the developing “one stop shop” for vendor registry with IDOA and Secretary of State. http://www.in.gov/idoa/2467.htm

B. Secretary of State of Indiana: Can be reached at (317) 232-6576 for registration assistance. www.in.gov/sos

C. Vendor Handbook: Online version available at http://www.in.gov/idoa/files/vendor_handbook.doc

D. Minority and Women Owned Business Enterprises: http://www.in.gov/idoa/files/Certification_List(48).xls for table of IDOA certified MBEs and WBEs. For more WBE’s information http://www.in.gov/idoa/2352.htm

E. RFP posting and updates: Go to http://www.in.gov/idoa/2354.htm (select “State of Indiana Opportunities” link) Drag through table until you find desired RFP/RFI number on left-hand side and click the link.

http://www.in.gov/idoa/2788.htm



http://www.in.gov/sos

http://www.in.gov/idoa/files/vendor_handbook.doc

http://www.in.gov/idoa/files/Certification_List(48).xls



indiana department of administration

Documents

medicaid rate setting

patient rate setting

ltc audit services

scope of rfp

ltc audit vendor

separate vendors

separate cost

separate contract amendment