Department for this solicitation:
ServiceMaterialsService & MaterialsPW ConstructionAgency ConstructionReal Estate
MMIS Services for Electronic Data Interchange
A. The Commonwealth is procuring a new MMIS to replace its aging Provider Reimbursement and Operations Management Information System (“PROMISe™”). The new MMIS, known as the MMIS 2020 Platform, will provide a modular enterprise-wide system providing automated support for the Department’s programs in both the fee-for-service (“FFS”) and managed care organization (“MCO”) delivery systems, various waiver programs, the Low Income Energy Assistance Program (“LIHEAP”) and the Medical Assistance Provider Incentive Repository (“MAPIR”). The MMIS 2020 Platform will support almost three (3) million individuals who are enrolled in the Department’s programs. The system must meet all current federal and state regulations and technology standards including the Center for Medicare & Medicaid Services (“CMS”) Conditions and Standards set forth in 42 CFR §433.112, which includes the Medicaid Information Technology Architecture (“MITA”).
The Department has worked with CMS to develop a plan to transition from the current monolithic system to a modular solution. Using multiple contractors, each responsible for providing and supporting separate modular solutions, the MMIS 2020 Platform will conform to CMS’s goal of a loosely coupled service-oriented architecture (“SOA”).
Except for three (3) modules already in place, the Department will use a phased-in and agile implementation strategy to implement various modules of the MMIS 2020 Platform, aligned to Pennsylvania’s Medical Assistance (“MA”) program business operations structure. Selected Offeror(s) will provide modules capable of interfacing with the new MMIS as well as the legacy system (PROMISe™) during the transition period from the legacy system to the modular solution. A systems integrator, referred to as the System Integrator/Data Hub (“SI/DH”) contractor, will be responsible for system interoperability; each module contractor will cooperate with DHS’s Quality Assurance Program; and the entire MMIS 2020 Platform Project is subject to independent verification and validation (“IV&V”) oversight.
To achieve its vision, the Department will issue multiple RFPs to procure the new modules. The new functional modules when coupled with existing functionality will comprise the new MMIS.
Through this RFP, the Department is seeking a qualified Offeror to provide EDI services for the entire MMIS 2020 Platform. The Department will select a single contractor to be responsible for the EDI module. Additional detail is provided in Part III, Technical Submittal, of this RFP.
A block diagram of the MMIS 2020 Platform can be found in Appendix A, MMIS 2020 Platform Block Diagram; a description of the MMIS 2020 Platform Service and Module Contractors can be found in Appendix B, MMIS 2020 Platform Service Contractor and Module Description; the proposed procurement timeline can be found in Appendix C, MMIS 2020 Platform Timeline; and the Department’s MMIS 2020 Platform Governance Plan can be found in Appendix D, MMIS 2020 Platform Governance Plan of this RFP.
3 years with 1 option year
Bids must be received by the purchasing agency on the Solicitation Due Date no later than the Solicitation Due Time as set forth in the solicitation. Any conflict between the dates and/or times contained in the solicitation itself or its attachments and this advertisement shall be resolved in favor of the solicitation.
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Not A Public Bid Opening
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Related Solicitation Files
RFP 24-16 Cover Letter.pdf RFP 24-16 EDI FINAL.pdf Appendix A - MMIS 2020 Platform Block Diagram.pdf Appendix B MMIS 2020 PLATFORM SERVICE CONTRACTOR AND MODULE DESCRIPTION ....pdf Appendix C - MMIS 2020 Platform Timeline.pdf Appendix D - MMIS 2020 Platform Governance Plan.pdf Appendix E - Proposal Cover Sheet.pdf Appendix F - Lobbying Certification.pdf APPENDIX G - CORPORATE REFERENCE QUESTIONNAIRE.pdf APPENDIX H - PERSONNEL REFERENCE QUESTIONNAIRE.pdf Appendix I - Domestic Workforce Utilization Certification.pdf Appendix J - Iran Free Procurement Certification.pdf Appendix L - Trade Secret Confidential Proprietary Information Notice.pdf Appendix N - Model Form of SDB and SB Subcontract Agreement.pdf Appendix O - MMIS 2020 Platform Acronyms.pdf RFP 24-16 Labels.pdf Appendix K - SDB and SB Participation Submittal Form and LOI.xlsx
RFP 24-16 Addendum 1.pdf RFP 24-16 Addendum 2.pdf RFP 24-16 Preproposal Conference FINAL.pdf Sign-in Sheets.pdf RFP 24-16 Addendum 3.pdf RFP 24-16 Addendum 4.pdf RFP 24-16 QA Log.pdf APPENDIX M - COST SUBMITTAL WORKSHEET.xlsx RFP 24-16 Addendum 5.pdf RFP 24-16 QA Log - additional Qs FINAL.pdf RFP 24-16 Addendum 6.pdf Non-Discrimination Sexual Harassment Clause - Contract (August 2018).pdf RFP 24-16 Addendum 7.pdf RFP 24-16 QA Log - 3.pdf RFP 24-16 Addendum 1.pdf RFP 24-16 Addendum 2.pdf RFP 24-16 Preproposal Conference FINAL.pdf Sign-in Sheets.pdf RFP 24-16 Addendum 3.pdf RFP 24-16 Addendum 4.pdf