Div of Medical Services Health Home Recipient Monthly Attribution

Agency:	State Government of South Dakota
State:	South Dakota
Type of Government:	State & Local
Category:	Q - Medical Services
Posted:	Mar 7, 2024
Due:	Apr 3, 2024
Solicitation No:	24RFP10472
Publication URL:	To access bid details, please log in.

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Entity Name: South Dakota State Government

Event Number: 10472

Event ID: 24RFP10472

Event Name: Div of Medical Services Health Home Recipient Monthly Attribution

Requested By: Missy Schuetzle

Created By: Missy Schuetzle

Due By Date: 04/03/2024 05:00 PM Central Time

Q&A Cutoff Date: 03/07/2024 10:09 AM Central Time

Invitation Type: Invitation Only

Assigned Commodities: 918-78 Medical Consulting; 946-10 Accounting and Billing Services (Including Payroll

Services, 3rd Party Reimbursement for Medicare, Medicaid, Private Insurance, etc);

961-16 Claims Processing Services; 953-27 Claims Processing Services

Allow Supplier Terms and Conditions: No

Public Responses: No

Display Awardee: Display

Posting Board Status: Published

Event Status: Ready for Responses

Section #: Name:

1 Section 1 - 24RFP10472

Do not submit responses through ESM Sourcing; please submit your response as specified in the RFP document.

The Invitation Type for this RFP, designated as "Invitation Only," indicates that vendors who have chosen the applicable NIGP codes for the requested

services will receive an autogenerated system email notification. The Invitation Only designation does not impose exclusivity or restrictions on access;

it does not limit who can respond. Also, the RFP document is accessible to all interested parties for download via the Central Bid Exchange on OPM’s

website: https://sourcing.esmsolutions.com/postingboard/entities/3444a404-3818-494f-84c5-2a850acd7779.

All vendors are encouraged to download the RFP and submit their proposals following the instructions outlined in the RFP document.

1.0 GENERAL INFORMATION

1.1 PURPOSE OF REQUEST FOR PROPOSAL (RFP)

The purpose of this RFP is to select a vendor to conduct a monthly review of claims and then deem Medicaid recipients eligible for the Health Home

Program. The vendor will also determine the Tier and continuity of Care provider of the recipients using the CDPS system. The vendor will provide a

monthly file to DSS with the results.

DSS requires other reports as outlined in the SCOPE in section 3.0.

1.2 ISSUING OFFICE AND RFP REFERENCE NUMBER

The Division of Medical Services is the issuing office for this document and all subsequent addenda relating to it, on behalf of the State of South Dakota,

Department of Social Services. The reference number for the transaction is RFP10472. Refer to this number on all proposals, correspondence, and

documentation relating to the RFP.

Please refer to the Department of Social Services website link http://dss.sd.gov/keyresources/rfp.aspx for the RFP, any related questions/answers,

changes to schedule of activities, amendments, etc.

1.3 SCHEDULE OF ACTIVITIES (SUBJECT TO CHANGE)

RFP Publication March 6, 2024

Offeror Questions March 20, 2024

Responses to Offeror Questions March 27, 2024

Request for SFTP Folder April 2, 2024

Proposal Submission April 3, 2024

Site visits Scheduled as needed April 22-26, 2024

Anticipated Award Decision/Contract Negotiation April 30, 2024

1.4 SUBMITTING YOUR PROPOSAL

All proposals must be completed and received in the Department of Social Services by the date and time indicated in the Schedule of Activities.

Proposals received after the deadline will be late and ineligible for consideration.

Proposals maybe submitted as PDFs via Secured File Transfer Protocol (SFTP). Offerors must request an SFTP folder no later than April 3, 2024 by 5

PM CST, by emailing Kirsten Blachford at the email indicated on page one. The subject line must be RFP10472 SFTP Request. The email should

contain the name and the email of the person who will be responsible for uploaded the document(s).

Please note, offeror will need to work with their own technical support staff to set up an SFTP compatible software on offeror’s end. While the State of

South Dakota can answer questions, State of South Dakota is not responsible for the software required.

No proposal may be accepted from, or any contract or purchase order awarded to any person, firm or corporation that is in arrears upon any obligations

to the State of South Dakota, or that otherwise may be deemed irresponsible or unreliable by the State of South Dakota.

Terms and Conditions

ESM Sourcing Terms

None

General Terms and Conditions

None

Event Specific Terms and Conditions

See attached RFP document.

This is the opportunity summary page. You are currently viewing an overview of this opportunity and a preview of the attached documentation. For more information, please visit the Publication URL Web page.

	Attachments
	RFP Document.pdf

Div of Medical Services Health Home Recipient Monthly Attribution

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See also