Government Contract | New York
Rate and Fiscal Management Consultant

Bid Information

Bid Alert No: 00000499421

Bid Title: Rate and Fiscal Management Consultant

Agency Bid No. Title: 16501

Received Date: 03/03/2016

Close Date: 04/20/2016

Purchase Type: 4 year term

Delivery Point:

Delivery Date: Not Stated

Special Notices: Questions Due By 03/11/2016 05:00 PM


Specifications include, but are not limited to:Through this Request for Proposals (RFP), the New York State (State) Department of Health(DOH) is seeking competitive proposals from financial organizations who can also provide actuarialconsultants to provide services as further detailed in Section 3.0 (Scope of Work). It is the Departmentsintent to award one (1) contract from this procurement.2.1INTRODUCTORY BACKGROUNDA. INTRODUCTIONGeneral Information for Prospective ContractorsThis RFP is to secure Medicaid rate, financial management and actuarial assistance for the Department andits sister agencies (the Office of Mental Health, the Office of Alcoholism and Substance Abuse Services andthe Office of People with Developmental Disabilities) in support of the States existing Medicaid serviceprograms including Mainstream Medicaid Managed Care (MMC), HIV/Special Need Plans (SNPs), Healthand Recovery Plans (HARPs), Managed Long Term Care (MLTC) Partial Capitation, Program All-InclusiveCare for the Elderly (PACE), Medicaid Advantage Plus (MAP), Fully Integrated Dual Advantage (FIDA),Medicaid Advantage (MA), Essential Plan (EP), Fully Integrated Dual Advantage for Individuals withDevelopmental Disabilities and Development Disabilities Individual Support and Care CoordinationOrganization (DISCO). The State is also looking to secure fiscal management and consulting assistancewith other topics such as service based payment programs, value based payments (VBP) and any newmanaged care programs or proposed initiatives during the term of the Agreement resulting from this RFP.The DOH is the single state agency for administration of the New York State Medicaid program. WithinDOH, the Office of Health Insurance Programs (OHIP) was established in January 2007 with the missionof ensuring that eligible New Yorkers are able to get and keep coverage; ensuring quality of care; andadvancing health system reform. Within OHIP, the Division of Health Plan Contracting and Oversight(DHPCO) has responsibility for oversight of the managed care programs described in this RFP. DHPCO isresponsible for monitoring the fiscal soundness of Prepaid Health Service Plans (PHSPs) which arelicensed in NYS to serve government programs, and is jointly responsible with the State InsuranceDepartment (SID) for monitoring Health Maintenance Organizations (HMOs) operating in NYS. Also withinOHIP, the Division of Finance and Rate Setting (DFRS) is responsible for all financial and rate settingactivities, and ensuring the adequacy, reasonableness and cost effectiveness of managed care rates fordesignated programs

Bid Related Documents

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Product Code: 94612

Agency Information

Issuing Agency: State of New York - Department of Health

State: New York

Agency Type: State and Local

Contact: Elizabeth Wood, NYS Department of Health

Phone: 518-474-7896




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