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2017-2018 Request for Proposals (RFPs)

last modified 10/12/2018 - 09:06 AM

RFPs issued by the Department of Vermont Health Access in 2017, listed in descending chronological order. An up-to-date version of Adobe Acrobat Reader is needed to access the documents provided. A link to the Adobe software download site is provided on the left side of this page. More State of Vermont bid opportunities are posted at

Request for Information: Vermont Drug Wholesaler Savings Initiative

This RFI is issued by DVHA to gather information from drug wholesalers that can result in new cost-saving opportunities throughout the Medicaid outpatient drug supply chain. DVHA recognizes drug wholesalers as a key player in the supply chain and would like to explore opportunities for cost savings and improved pricing transparency in delivering the Vermont Mediaid drug benefit. DVHA is also interested in leveraging information gained in this RFI to benefit other payers and Vermont consumers. DVHA intends to evaluate the submissions by respondents to explore how wholesalers can meet DVHA's needs and understand the costs associated with proposed solutions.

RFI ISSUED: September 27, 2018
QUESTIONS DUE BY: October 5, 2018
**(10/12/2018) Updated Due Date: October 26, 2018
: October 12, 2018 @ 2:00pm
**(10/12/2018) Updated Due Date: November 2, 2018

Disproportionate Share Hospital (DSH) Audit

The Department of Vermont Health Access (DVHA) is soliciting proposals to contract with a CPA firm that is independent of the State Medicaid Agency and perform Disproportionate Share Hospital (DSH) audits as required under the December 19, 2008 Medicaid DSH final rule (73FR 77904) and CMS-2198-F (Medicaid Program; Disproportionate Share Hospital Payments). The Contractor must review the criteria of the federal audit regulation and complete the verification, calculations, and report under the professional rules and generally accepted standards of audit practice

RFP POSTED: September 27, 2018
QUESTIONS DUE BY: October 8, 2018
: October 26, 2018 @ 2:00pm
BID OPENING: October 26, 2018 @ 2:30pm

Pilot Prototypes for Alternative Systematic Approaches to Management of Chronic Pain

AHS/DVHA is seeking proposals to pilot test alternative approaches to the management of chronic pain. The pilots will test new services that provide coordinated specialists, complementary and alternative treatment modalities (CAMs), and ongoing enhanced primary care for Medicaid Members experiencing complex pain conditions for three months or longer duration.

RFP POSTED: August 27, 2018
QUESTIONS DUE BY: September 12, 2018 @ 4:30pm
: September 28, 2018 @ 3:00pm **Updated to: October 5, 2018

Health Care Paper Application Usability Consolidation/Enhancement

AHS/DVHA is seeking to establish contracts with one or more cpmanies that can provide Health Care Paper Application Usability Consolidation/Enhancement. The Health Care Paper Application Usability (HCAU) initiative is one of the initial projects of the IE&E Program that will result ultimately in the implementation of a modern IE&E system. 

RFP POSTED: May 2, 2018
BIDDER CONFERENCE CALL: May 10, 2018 @ 2:00pm
RESPONSE DUE BY: May 24, 2018 @ 1:30pm
BID OPENING: May 24, 2018 @ 1:30pm 

RFP #03410-330-18: Contingency Plan


The Department of Vermont Health Access (hereinafter called DVHA), is seeking to establish service agreements with one (or more) companies that can develop a Contingency Plan per Vermont H.901, found here: to be used if DVHA and the Vermont Information Technology Leaders (VITL) are unable to implement the recommendations from the Act 73 Health Information Technology Evaluation Report. The Act 73 Evaluation Report is available here:

RFP POSTED: March 16, 2018
RESPONSE BY: March 26, 2018
PROPOSAL DUE: March 30, 2018

RFP #03410-315-18: Medicaid Reimbursement and Payment Reform Consulting Services

DVHA is seeking to establish contracts with one or more companies that can provide planning services related to consulting for Medicaid payment systems.

ISSUE DATE: March 8, 2018
PROPOSALS DUE: April 9, 2018 @ 11am

Notice of Application: RFP #03410-310-18: Provider Reimbursement Grants for Healthcare Organization (HCO) Connections to the VHIE

DVHA is seeking to select Health Care Organizations (HCOs) that have a signed Project Charter Plan with Vermont Information Technology Leaders, Inc. to deploy HCO interface connections that securely receive or transmit immunizations reports, laboratory results, encounter reports, radiology reports, transcribed reports, and other clinical data between the HCO's electronic health record system and the Vermont Health Information Exchange (VHIE).
NOTICE POSTED: February 9, 2018
BIDDER QUESTIONS BY: Rolling as asked
RESPONSE BY: Rolling, within 2 weeks of Q asked


Bidder Questions and State Responses 3/23/2018

RFP #03410-300-18: Medicaid Physician Review and Consulting Services

AHS through DVHA is soliciting proposals to contract with an actively licensed physician to provide medical oversight, prior authorization case review and medical necessity determinations in a Medicaid Managed Care environment.

ISSUE DATE: October 30, 2017
PROPOSAL DUE: November 13, 2017

RFP# 03410-295-18: Vermont Health Connect CMS Program Integrity Audit

AHS through DVHA is soliciting proposals to contract a CPA firm independent of State Medicaid Agency and subject Vermont Health Connect, a State Based Exchange (SBE), to perform a Program Integrity audit for SFY17 as implemented in the Centers for Medical Services final rule (9957-F) issued August 30, 2013 and in accordance with Program Integrity Rule Part II 45 CFR 144.1200 (c).

ISSUE DATE: October 9, 2017
PROPOSAL DUE: November 6, 2017

The State is seeking to award funds to Federally Qualified Health Centers (FQHCs) in Vermont to support the adopting and alignment with evidence-based guidelines to improve workflow and patient outcomes in Diabetes HbA1C, Hypertension Control, Colorectal Cancer Screening, and other priority areas. Quality improvement initiatives that follow the Plan-Do-Study-Act (PDSA) cycle performed by the State's Vendor, Bi-State Primary Care Association, have been adopted to assist the State in achieving improved workflow and patient outcomes. The State will reimburse FQHCs for actual staff time spent focused on the Quality Improvement PDSA cycle activities performed by the FQHC, up to the maximum award for $2,000
ISSUE DATE: September 11, 2017
RESPONSE BY: Rolling, within 2 weeks of Qs being asked
PROPOSAL DUE: Rolling, until May 1, 2018

RFP #03410-270-18: Clinical Criteria

DVHA is seeking a qualified vendor to provide legally defensible and nationally recognized accepted evidence-based medical criteria for clinical reviews and utilization management activities. 


ISSUE DATE: August 4, 2017
BIDDER QUESTIONS BY: August 18, 2017
RESPONSE BY: August 25, 2017
PROPOSAL DUE: September 8, 2017
 Question and Answers State Response (posted 8/25/2017)

 RFP #120-18: New England States Consortium System Organization (NESCSO)

NESCSO is seeking qualified bidders for an asset verification program (AVP). AVP is a mechanism to verify assets for purposes of determining or re-determining Medicaid eligibility for aged, blind and disabled or long-term care Medicaid applicants or recipients. This tool/service will provide further automation of the business processes and improve the operational effectiveness of determining eligibility assets. This tool/service will provide further automation of the business processes and improve the operational effectiveness by use of data analytics and services. This service will enhance the State’s ability to make more accurate financial eligibility determinations. NOTE: NESCSO, not DVHA, is administering this RFP. DVHA is a member of NESCSO. No reliance or expectation should be made that DVHA or the State of Vermont will contract with NESCSO for AVP services, nor shall any representations or inferences be made as to DVHA or the State of Vermont contracting with NESCSO for AVP services by virtue of DVHA posting this hyperlink to NESCSO’s website.  

ISSUE DATE: June 19, 2017

RFP #03410-260-17: Blueprint for Health Medication Assisted Treatment Program Learning Sessions

DVHA is seeking proposals from eligible applicants to provide comprehensive services for the organization, coordination, facilitation, and delivery of the Blueprint-sponsored Medication Assisted Treatment Program learning sessions.

ISSUE DATE: May 25, 2017
RESPONSE BY: June 6, 2017
PROPOSAL DUE: June 13, 2017


RFP #03410-235-17: Blueprint for Health Self Management Programs

DVHA is seeking the procurement of services from a contractor which will include providing technical assistance, training, facilitation (i.e. coaching for regional coordinators and workshop faculty), health promotion and educational outreach, additional support, and program evaluation (i.e. data collection, aggregation, reporting) services to promote program expansion through building upon the expertise and momentum of established statewide self-management programs.

ISSUE DATE: May 16, 2017
RESPONSE BY: May 31, 2017

PROPOSAL DUE: June 5, 2017 

RFP #03410-255-17: VHC Customer Satisfaction and Experience Evaluation

DVHA is seeking to establish service agreements with one or more companies that can provide Customer Satisfaction and Experience Evaluation

ISSUE DATE: April 20, 2017
RESPONSE BY: April 27, 2017
PROPOSAL DUE: May 5, 2017

RFP #03410-240-17: Evaluation of Vermont’s Health Information Technology Activities

The Department of Vermont Health Access (DVHA) invites the submission of proposals from qualified vendors to assist the State of Vermont in conducting a comprehensive review of the State’s Health-IT Fund established by 32 V.S.A. § 10301, Health Information Technology Plan established by 18 V.S.A. § 9351, and Vermont Information Technology Leaders established by 18 V.S.A. § 9352. The State requires the vendor to develop a report on this evaluation which DVHA will present as a report to the Vermont State Legislature no later than November 15, 2017.

ISSUE DATE: April 5, 2017
RESPONSE BY: April 19, 2017
PROPOSAL DUE: April 28, 2017

The Vermont Agency of Human Services (AHS) is seeking proposals from qualified entities to conduct an evaluation of the Global Committment to Health 1115 research and demonstration waiver. AHS is soliviting bids that meet the specifications for all activities listed in sections 2.3 and 2.4 of this RFP.
ISSUE DATE: March 15, 2017 May 19, 2017 
BIDDER CONFERENCE: April, 19, 2017 at 2pm EST
QUESTIONS DUE BY: April 12, 2017
PROPOSALS DUE BY: May 19, 2017

Vendors who can provide to the State full radiology benefit management services for the entire Medicaid Fee-for-Service (FFS) population in Vermont.

ISSUE DATE: February 27, 2017
RESPONSE BY: March 20, 2017
PROPOSAL DUE: March 31, 2017

Questions & Answers  

RFP #03410-225-17: Blueprint for Health Patient Experience Survey  

DVHA is seeking a qualified bidder to serve as the executor of the Patient Experience Survey, supporting the provision of information about a broad range of key consumer issues, such as overall satisfaction, average wait times, physician availability, obstacles to receiving care, and parents’ impressions of their children’s care to consumers, purchasers, and practices.

ISSUE DATE: February 24, 2017
RESPONSE BY: March 15, 2017
PROPOSAL DUE: March 20, 2017


RFP #03410-215-17: Blueprint for Health Designated Regional Housing Organizations

DVHA is seeking qualified bidders to service as the designated regional housing organization (DRHO) for the Support and Services at Home (SASH) program.

ISSUE DATE: January 20, 2017

BIDDER QUESTIONS BY: January 25, 2017

RESPONSE BY: January 27, 2017

PROPOSAL DUE: February 6, 2017


Addendum #1


RFP #03410-205-17: Blueprint for Health Quality Improvement Practice Facilitators 

Seeking qualified bidders to serve as “quality improvement (QI) facilitators” supporting quality improvement activities in primary care practices, women’s health practices and providers, integrated care teams within communities and specialty addictions and mental health programs under the Blueprint for Health (Blueprint) Division to develop a learning health system and seamless services for Vermonters.

ISSUE DATE: December 1, 2016



PROPOSAL DUE: Open until filled


Question and Answers- State Response  

Addendum #1 


RFP #03410-210-17: Cost Report Auditing and Cost Settlement Services

The Vermont Department of Vermont Health Access (herinafter called DVHA) is seeking to establish service agreements with one company that can provide Cost Report Auditing and Cost Settlement Services.


ISSUE DATE: November 22, 2016

BIDDER QUESTIONS BY: November 30, 2016

RESPONSE BY: December 2, 2016

PROPOSAL DUE: December 8, 2016 at 2pm EST


Cost Settlement Q & A Response