CMS & Medicare Consulting

State of Maine Procurement Justification Form PJF Page 1 of 3 Rev. 3/3/2020 PART I: OVERVIEW Department Office/Division/Program: DHHS Riverview and Dorothea Dix Psychiatric Centers Department Contract Administrator or Grant Coordinator: Matt Galletta/Kristen King (If applicable) Department Reference #: DRPC-22-004 Amount: (Contract/Amendment/Grant) $38,000.00 Advantage CT / RQS #: 10A 20210423*2916 CONTRACT Proposed Start Date: 7/1/2021 Proposed End Date: 6/30/2022 AMENDMENT Original Start Date: Effective Date: Previous End Date: New End Date: GRANT Project Start Date: Grant Start Date: Project End Date: Grant End Date: Vendor/Provider/Grantee Name, City, State: Baker, Newman & Noyes PO Box 507 Portland, Maine 04112 Brief Description of Goods/Services/Grant: CMS & Medicare consulting including the preparation and submission of the Medicare Cost Report for SFY 2021. PART II: JUSTIFICATION FOR VENDOR SELECTION Mark an “X” before the justification(s) that applies to this request.

(Check all that apply.) A. Competitive Process G. Grant B. Amendment H. State Statute/Agency Directed X C. Single Source/Unique Vendor I. Federal Agency Directed D. Proprietary/Copyright/Patents J. Willing and Qualified E. Emergency K. Client Choice F. University Cooperative Project L. Other Authorization PART III: SUPPLEMENTAL INFORMATION Please respond to ALL of the following: 1. Provide a more detailed description and explain the need for the goods, services or grant to supplement the response in Part I. State of Maine Procurement Justification Form PJF Page 2 of 3 Rev. 3/3/2020 PART III: SUPPLEMENTAL INFORMATION For Riverview & Dorothea Dix Psychiatric Center’s SERVICE # 1: Consultation Consultative services for review of inpatient and outpatient billing procedures, regulations and guidance provided to the Department of Health and Human Services personnel. Provide on-site guidance relative to the documentation requirements at the two psychiatric hospitals and their clinics. SERVICE # 2 Medicare Report For review and impact analysis of Medicare and Medicaid settled cost reports; on-site assistance as needed for Medicare field audits and various reimbursement meetings related to Medicare and Medicaid reimbursement activities. SERVICE # 3 Research Provider will research potential additional Medicare and Medicaid cost report reimbursement opportunities for which the facilities operated by DHHS may qualify. The research will include research from previous years. At the conclusion of this phase, the provider will present an executive summary of the findings for information and planning. This service is separate and distinct from any other contracted activities provided to the State of Maine including MaineCare. 2. Provide a brief justification for the selected vendor to supplement the response in Part II. Medicare Part A cost reports specific to State psychiatric hospitals (IMD’s) are only submitted by Riverview Psychiatric Center and Dorothea Dix Psychiatric Center. No other State agency or department has any involvement with these specific services beyond the two facilities and the DHHS Service Center. There are no local, state or federal agencies that produce Medicare Part A cost reports for State psychiatric hospitals. The Department does not have sufficient staffing, resources or expertise to provide these services. Baker Newman Noyes has extensive experience successfully developing and submitting Medicare Cost Reports for State run mental health facilities. They are the only consulting firm in Maine submitting these unique cost reports for both State facilities (RPC & DDPC) and private psychiatric hospitals (Spring Harbor Hospital. This vendor has been working in tandem with Riverview Psychiatric Center, Dorothea Dix Psychiatric Center and the Department on not only current Medicare Cost Reports but the resubmission of prior year reports as well. Their in-depth knowledge of the hospital’s prior cost reports is needed to assess the applicability for these resubmissions. The Department needs to draw upon the Vendor’s knowledge/experience that is specific to the State psychiatric hospitals. 3. Explain how the negotiated costs or rates are fair and reasonable; or how the funding was allocated to grantee. The contract budget for this year is based on the previous agreement. The required hours needed to complete these services are considered the minimal necessary. The vendor is already familiarized with DDPC and RPC accounts which reduces needed preparation time and associated costs. 4. Describe the plan for future competition for the goods or services. The Department does not intend to RFP these services. 6/15/2021 Kathy Paquette