Quality Improvement Organization

13 September 2022 Quality Improvement Organization Quality Improvement Organization 13 September 2022 Open 8/5/2022 4:00 PM MDT Type Request for Proposal Close 10/7/2022 5:00 PM MDT Number RFP20221334 Currency US Dollar Sealed Until 10/11/2022 10:30 AM MDT Payment Terms 0% 0, Net 30 13 September 2022 Contacts Bob Morlan bob.morlan@adm.idaho.gov 13 September 2022 NIGP Codes NIGP Code Description 946-10 Accounting and Billing Services/Payroll, Medicaid, etc 13 September 202213 September 202213 September 202213 September 202213 September 202213 September 202213 September 2022 mailto:bob.morlan@adm.idaho.gov The Division of Purchasing (DOP), on behalf of the Idaho Department of Health and Welfare, Division of Medicaid, is seeking proposals from qualified vendors to provide Quality Improvement Organization (QIO) activities. These activities include utilization

management (UM), case management (CM), and external quality reviews (EQR). NOTE: THE FULL SOURCING EVENT IS ONLY AVAILABLE BY LOGGING INTO IPRO AT https://solutions.sciquest.com/apps/Router/SupplierLogin?CustOrg=StateofIdaho. SUPPLIERS THAT ONLY VIEW THE DOCUMENTS AVAILABLE FROM THE PUBLIC WEBSITE, AND DO NOT LOGIN TO IPRO, MAY NOT HAVE ACCESS TO ALL DOCUMENTS (INCLUDING ATTACHMENTS, Q AND A, AND MORE). IT IS THE SUPPLIER’S SOLE RESPONSIBILITY TO ENSURE ACCESS TO THE FULL SOURCING EVENT BY LOGGING INTO IPRO; THE STATE WILL NOT BE RESPONSIBLE FOR A SUPPLIER’S INABILITY TO ACCESS INFORMATION THAT IS AVAILABLE BY LOGGING IN. Description https://solutions.sciquest.com/apps/Router/SupplierLogin?CustOrg=StateofIdaho Required to View Event Prerequisites Required to Enter Bid 13 September 2022 1. Please download and acknowledge receipt of the attached Solicitation Instructions to Vendors. 2. Please download and acknowledge receipt of the RFP Administration documentation. 3. Please download and acknowledge receipt of the attached Terms and Conditions. 4. Please download and acknowledge receipt of the attached Insurance Requirements. Note: Suppliers that do not currently hold the type/level of insurance required are strongly encouraged to contact an insurance representative to obtain a quote prior to submitting a proposal. An awarded contractor’s inability to obtain the required insurance may be grounds for termination of the contract for cause and may affect the evaluation of that supplier’s responsibility on future sourcing events. 5. Download and fill out the Cover Form in it's entirety. Upload Cover Form when completed to the Suppliers Attachment section of this Sourcing Event 6. Download the attached Signature Page, complete and sign, and upload completed form under Supplier Attachments. 13 September 202213 September 202213 September 202213 September 202213 September 2022 Buyer Attachments 1. ATTACHMENT+1+PRE-PROPOSAL+CONFERENCE+REGISTRATION+FORM (1).docx 2. ATTACHMENT+2+OFFEROR+QUESTIONS (2).docx 3. ATTACHMENT+3+MODIFICATION+AND+EXCEPTION+FORM Amended.docx 4. APPENDIX+A+IDAHO+TERMS+AND+CONDITIONS+BACKGROUND+AND+LIMITATIONS (2).docx 5. Reports_QIO_Final.docx 6. Readiness Review Checklist.pdf 13 September 202213 September 202213 September 202213 September 2022 https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1048643-1292872384ATTACHMENT%2B1%2BPRE-PROPOSAL%2BCONFERENCE%2BREGISTRATION%2BFORM%20%281%29.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1726148103&Signature=rj7IanvJNomGY%2Fzg%2BcStJ9qc3M0%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1048643-1292874929ATTACHMENT%2B2%2BOFFEROR%2BQUESTIONS%20%282%29.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1726148103&Signature=TxLCHYhMGNM85HmhWqz8BrDjqgM%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1048643-1310990412ATTACHMENT%2B3%2BMODIFICATION%2BAND%2BEXCEPTION%2BFORM%20Amended.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1726148103&Signature=skuqPUmcDMG9HZ1NBRu6rOWBvCg%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1048643-1292877735APPENDIX%2BA%2BIDAHO%2BTERMS%2BAND%2BCONDITIONS%2BBACKGROUND%2BAND%2BLIMITATIONS%20%282%29.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1726148103&Signature=3dtKBAFdmMdYI7NYQdMBpe8o4So%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1048643-1292899739Reports_QIO_Final.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1726148103&Signature=gsaI%2B%2BuM8ytVtXLz%2FhMpXKmyQHY%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/1048643-1310990109Readiness%20Review%20Checklist.pdf?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1726148103&Signature=0LXf%2BLcTu4eWJCeGj19QDN0AIz0%3D Questions Required Questions Group 1: Business Information Instructions: 1.1 (M) Organizational Chart - Provide a copy of your organizational chart, including detail of any relationships with parent and subsidiary organizations. 1.2 Please acknowledge the following: Disclosure of Abortion Related Matters. The State is subject to the No Public Funds for Abortion Act, Idaho Code title 18, chapter 87 (the “Act”) and State employees who intentionally violate the provisions of the Act are subject to criminal prosecution. This provision is included in the Solicitation to aid in compliance with the Act. The State requests that Offeror disclose, unless Offeror is within one of the exemptions provided in the Act, if it or an affiliate is or becomes, during the term of the Contract (if Offeror is the awarded Contractor), an abortion provider and if it will use State facilities or public funds to provide, perform, participate in, promote or induce, assist, counsel in favor, refer or train a person for an abortion related activity. Please refer to the Act for definitions of the terms used in this section. Group 2: Organization & Staffing Instructions: 2.1 You may submit a resume for the Project Manager, key management, customer service, and other roles to fulfill the Contract. Group 3: Scope of Work Instructions: 3.1 Download the attached Scope of Work and indicate your understanding and willingnessto comply. 3.2 Offer must upload the completed scope of work Group 4: Cost Proposal Instructions: 4.1 Download the attached Cost and Billing document. Group 5: Amendment Instructions: 5.1 Download and acknowledge Amendment one. 5.2 Download and acknowledge Attachment 2 Offeror Questions. 13 September 202213 September 202213 September 2022