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2011 Requests for Proposals

last modified 12/05/2011 - 02:01 PM

Requests for Proposals (RFP) issued by the Department of Vermont Health Access in 2011

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Scroll down the page for RFP's with earlier posting dates.

State of Vermont bid opportunites: http://www.vermontbidsystem.com

Health Benefits Exchange Planning and Implementation, Req # 03410-103-12 (10/27/2011)

The Department of Vermont Health Access is seeking to establish service agreements with one or more companies that can provide assistance in Vermont's second year of planning for design and implementation of federally mandated American Health Benefits Exchange. Award of this bid is expressly conditioned on receipt of grant funding. Even if grant funding is awarded, the State expressly reserves the right to award no contracts pursuant to this RFP, in its entirety or in sections. Contracts awarded pursuant to this RFP will not include minimum guarantees of funding and will include payments based on actual work performed as requested.

All communications concerning this Request For Proposal (RFP) are to be addressed in writing to the attention of: Jason Elledge, 312 Hurricane Lane, Suite 201, Williston, VT 05495, (802) 879-5946, Jason.Elledge@ahs.state.vt.us

Health Benefits Exchange Planning and Implementation Pre-Q&A Document (11/16/2011)

Health Benefits Exchange Planning and Implementation Questions and Answers (11/21/2011)

Health Benefits Exhange Planning and Implemention List of Bidders (12/05/2011)

Consultant Services - Pharmacy Programs Oversight/Operations, Req # 03410-102-12 (9/14/2011)

The states of Iowa, Maine, Oregon, Utah, Vermont, West Virginia, and Wyoming have formed a multi-state administered Medicaid drug rebate pooling arrangement, Sovereign States Drug Consortium (SSDC). This arrangement, formed in 2005 with three founding member states has successfully grown to the current seven member states offering significant drug savings to all Medicaid beneficiaries. The SSDC is seeking to establish a service agreement with one company/individual that can provide State Pharmacy Programs Oversight/Operations. The successful bidder will be expected to provide support for the development, review, and execution of the Sovereign States Drug Consortium Memorandum of Understanding (MOU) including annual renewals along with oversight of the rebate procurement contract. The State of Vermont will act as the lead contracting agency, however all member states share in fiduciary and program responsibility.

All communications concerning this Request For Proposal (RFP) are to be addressed in writing to the attention of: Kate Jones, 312 Hurricane Lane, Suite 201, Williston, VT 05495, (802) 879-8256, kate.jones@state.vt.us

SSDC Support Service RFP Appendices:

Appendix A: Required General Forms

Appendix B: Required Cover Sheet and Reporting Forms

SSDC Support Service Questions and Answers

Health-Care Related Tax Study, Req #03410-101-12 (9/9/2011)

The Department of Vermont Health Access, (DVHA) is seeking to establish service agreements with one or more companies that can assist in the development of systems and collection of data necessary to administer health-care-related tax. Work will include documentation of all steps involved to conduct the required work, coupled with a list of required data and information resources, and to submit a final written health-care-related tax work process and practice document to the State. The 2011 legislative session granted authority to the Secretary of Administration to explore the functionality and practicality of establishing any health-care-related tax under 42 C.F.R. part 433.50 et seq. which Vermont does not currently levy, including an analysis of the base to which such a tax would apply and mechanisms for collection. Under the Secretary’s authority administration of this project has been delegated to the DVHA. Any resulting contract(s) shall be written as a performance based contract and as such all submitted proposals shall be written with that structure.

Full-Time Quality Improvement Practice Facilitators (08/11/2011)

The Expansion and Quality Improvement Program Facilitators work with multi-disciplinary teams in practices to successful in implementing and managing quality improvement including National Committee on Quality Assurance (NCQA) Patient Centered Medical Home (PCMH) recognition; effective use of information technology systems such as registries (Covisint DocSite) and portals to improve patient care; integration of self-management support, shared decision making, and planned care visits; redefining roles and establishing team-based care; and seamlessly connecting with community resources and specialty referrals (for example with the Community Health Team).

Please contact Jenney Samuelson at 802-879-5900 for more information

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Clinical Criteria (08/01/2011)

The Department of Vermont Health Access, Clinical and Program Integrity Units, (herinafter called DVHA) is seeking to establish service agreements with one or more companies that can provide clinical criteria.

All communications concerning this Request For Proposal (RFP) are to be addressed in writing to the attention of: Daljit Clark, Director, Clinical Operations, 312 Hurricane Lane, Suite 201, Williston, VT 05495, (802) 879-5900, daljit.clark@ahs.state.vt.us.

Clinical Criteria (08/01/2011)

Member Services for Green Mountain Care (07/01/2011)

Amendments, attachments & other documents related to this RFP

It is the responsibility of interested parties to periodically check the web site for any and all notifications, releases and amendments associated with this RFP.

The Department of Vermont Health Access (DVHA), part of the Agency of Human Services (AHS), is responsible for the administration of health care services for those eligible for Medicaid, Dr. Dynasaur, State Children's Health Insurance Program (SCHIP), Vermont Health Access Plan (VHAP), Catamount Health and other publicly funded health insurance programs in Vermont. Green Mountain Care is the umbrella name for the state-sponsored family of low-cost and free health coverage programs for uninsured Vermonters (http://www.greenmountaincare.org/). DVHA provides medical assistance to nearly 26% of Vermonters. DVHA health care services are provided through managed care and fee-for-service delivery systems. The health care services system is a collaborative process that includes representatives from the provider, beneficiary, multiple State government agencies and the Centers for Medicare and Medicaid Services (CMS).DVHA began the enrollment of individuals into managed health care in October 1996. From the beginning, DVHA has contracted for the provision of independent unbiased benefits and enrollment counseling to those being enrolled into managed health care. In addition, since April 1998, DVHA has contracted for the provision of general member services for enrollees and others eligible for medical assistance. The current contract was effective starting July 1, 2005 and the last extension is scheduled to end October 31, 2011. DVHA is requesting proposals from qualified organizations to provide benefits counseling, enrollment services, outreach, and member services for health care beneficiaries.

Contact Bill Clark, 312 Hurricane Lane, Williston, VT 05495. (802) 879-5900 for further information.

Primary Care / Mental Health Workforce Research Project (02/14/2011)

The Department of Vermont Health Access is seeking to establish service agreements with one vendor that can provide Primary Care / Mental Health Workforce Research. Contact Steven Maier, 312 Hurricane Lane, Williston, VT 05495. (802) 879-2395 for further information.

Sovereign States Drug Consortium (SSDC) Request for Proposals for Services to Procure Medicaid Supplemental Drug Rebates and Other Medicaid Pharmacy Benefit Rebates (01/04/2011)

Sovereign States Drug Consortium (SSDC) Request for Proposals for Services to Procure Medicaid Supplemental Drug Rebates and Other Medicaid Pharmacy Benefit Rebates (MS-Word version 01/19/2011)

The State of Vermont, Department of Vermont Health Access is issuing a Request for Proposal (RFP) on behalf of the SSDC. The SSDC is a partnership of the states of Iowa, Maine, Oregon, Utah, Vermont, West Virginia, and Wyoming formed to secure rebates for their Medicaid pharmacy benefit programs. The RFP is for services to solicit, negotiate, and procure Medicaid supplemental drug rebate bids and other Medicaid pharmacy benefit rebates for the SSDC member states.

SSDC RFP: Amendment #1 (Revised 01/24/2011)

This amendment is issued to incorporate the referenced changes into the RFP. All other conditions and specifications of the RFP remain as originally written.

SSDC RFP Appendices:

Appendix A1: State of Vermont Attachment C Customary State Contract Provisions

Appendix A2: State of Vermont Attachment E Business Associate Agreement

Appendix A3: State of Vermont Attachment F Other Contract Provisions

Appendix A4: State of Vermont Agency of Human Services Consumer Information & Privacy Rule

Appendix A5: State of Vermont Disclosure Statement

Appendix B: State of Iowa General Terms

Appendix C1: State of Maine Rider B-IT Contract Terms

Appendix C2: State of Maine Business Associate Agreement

Appendix D: State of Wyoming General Provisions

Library of Documents Related to the SSDC RFP:

1. CMS Letter, Multi-State Medicaid Supplemental Rebate Pooling Arrangements, September 9, 2004

2. Iowa’s SSDC CMS Medicaid State Plan Amendment (SPA) Approval Letter

3. Maine’s SSDC CMS Medicaid State Plan Amendment (SPA) Approval Letter

4. Oregon’s SSDC CMS Medicaid State Plan Amendment (SPA) Approval Letter

5. Utah’s SSDC CMS Medicaid State Plan Amendment (SPA) Approval Letter

6. Vermont’s SSDC CMS Medicaid State Plan Amendment (SPA) Approval Letter

7. West Virginia’s SSDC CMS Medicaid State Plan Amendment (SPA) Approval Letter

8. Wyoming’s SSDC CMS Medicaid State Plan Amendment (SPA) Approval Letter

9. Iowa’s Supplemental Rebate Agreement (SRA)

10. Maine’s Supplemental Rebate Agreement (SRA)

11. Oregon’s Supplemental Rebate Agreement (SRA)

12. Utah’s Supplemental Rebate Agreement (SRA)

13. Vermont’s Supplemental Rebate Agreement (SRA)

14. West Virginia’s Supplemental Rebate Agreement (SRA)

15. Wyoming’s Supplemental Rebate Agreement (SRA)

16. Iowa’s Preferred Drug List (PDL)

17. Maine’s Preferred Drug List (PDL)

18. Oregon’s Preferred Drug List (PDL)

19. Utah’s Preferred Drug List (PDL)

20. Vermont’s Preferred Drug List (PDL)

21. West Virginia’s Preferred Drug List (PDL)

22. Wyoming’s Preferred Drug List (PDL)

23. SSDC request for bids 2010

Bidders' Conference Summary (01/24/11)

SSDC Proposal Questions 2011 Received by Bidders' Conference (01/25/2011)

Questions & Answers (01/24/2011)

SSDC Supplemental Rebate Analysis Data (02/01/2011)

Instructions

Data File

The Request for Proposal (RFP), and any modifications, amendments and related documents, is available at http://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=7837 . It is the responsibility of the Bidder/Responder to check for updates and information related to this RFP. The State of Vermont Department of Vermont Health Access takes no responsibility for contacting vendors with additional information.

Quality Improvement Practice Facilitators (12/22/2010)

The State of Vermont, Agency of Human Services (AHS), Department of Vermont Health Access (DHVA) is responsible for the Blueprint for Health, and has issued an RFP to contract for personal services for up to two full time practice facilitators.

The Blueprint for Health is building a supportive infrastructure of practice facilitators to develop the capacity and expertise of primary care medical practices to achieve systems transformation.

Shifting the focus of primary care from episodic or acute care to prevention and the coordination of chronic disease care requires profound delivery system improvement and transformation leading to sustainable changes in clinical practice. Clinical practice improvement and transformation is complex and multifaceted enhancing clinical skills, shifting roles and responsibilities of staff, providing tools for clinical teams, patients and families, creating seamless connections between health care and community resources, and integrating Community Health Teams into primary care. The interaction of a patient with their medical home, before, during and after clinical visits will be affected.

The Request for Proposal (RFP), and any modifications, amendments and related documents, is available at http://www.vermontbusinessregistry.com/BidSearch.aspx?type=1 . It is the responsibility of the Bidder/Responder to check for updates and information related to this RFP. The State of Vermont Department of Vermont Health Access takes no responsibility for contacting vendors with additional information.

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