Consultative Examinations for Medicaid Eligibility

Consultative Examinations for Medicaid Eligibility Request for Proposals #20242 Issued by New York State Department of Health Schedule of Events Issuance of Request for ProposalsDecember 14, 2022Deadline for Submission of Written QuestionsQuestions Due By December 30, 2022 at 4:00 p.m. ETResponses to Written Questions Posted by DOHResponses Posted On or About February 7, 2023Deadline for Submission of ProposalsProposals Due On OR Before March 2, 2023at 4:00 p.m. ETAnticipatedContract Start DateNovember 1, 2023 Contact Information Designated Contact Pursuant to State Finance Law §§ 139-j and 139-k, the Department of Health identifies the following designated contact to whom all communications attempting to influence the Department of Health’s conduct or decision regarding this procurement must be made. Sue Mantica Bureau of Contracts New York State Department of Health Corning Tower, Room 2827 Albany, NY 12237 Phone: 518-402-796 Email:

href="mailto:sue.mantica@health.ny.gov">sue.mantica@health.ny.gov Permissible Subject Matter Contact Pursuant to State Finance Law § 139-j(3)(a), the Department of Health identifies the following allowable contact for communications related to the submission of written proposals, written questions, pre-bid questions, and debriefings. Jenna-Lee Ciota New York State Department of Health Office of Health Insurance Programs 99 Washington Ave, One Commerce Plaza Room 1450 Albany, NY 12210 Telephone 518-473-7005 Email Address: OHIPContracts@health.ny.gov Documents Request for Proposals(PDF) Exhibit 1: Facility Information Form(PDF) Exhibit 2: Consultative Exam Appointment Letter(PDF) Exhibit 3: Third Party Request for Assistance Letter(PDF) Exhibit 4: Consultative Exam Appointment History Report(PDF) Exhibit 5: Third Appointment Progress Report(PDF) Exhibit 6: Authorization to Release Protected Medicaid Applicant/Recipient Information to a Third Party(PDF) Exhibit 7: Specialties Required by SDRU to Perform Examinations(PDF) Exhibit 8: Reporting Requirements for Orthopedic Examinations(PDF) Exhibit 9: Estimated Annual Volume of Mandated Medical Examinations and Ancillary Tests(PDF) Exhibit 10: Consultant Enrollment Form(PDF) Exhibit 11: Conditions Governing Referrals for Consultative Examinations(PDF) Exhibit 12: Technical Proposal Staffing Forms(PDF) Exhibit 13: Technical Proposal Optional Services(PDF) Amendment 1(PDF) Amendment 2(PDF) Questions and Answers(PDF) Amendment 3(PDF) Amendment 4(PDF)