vendor conference presentation

11

Texas Health and Human Texas Health and Human Services Commission (HHSCServices Commission (HHSC))

Medicaid Fraud and Abuse Medicaid Fraud and Abuse Detection System (MFADS)Detection System (MFADS)

Request for Proposals # 529-07-Request for Proposals # 529-07-01640164

Vendor Conference November 17, Vendor Conference November 17, 20082008

22

WelcomeWelcome

IntroductionsIntroductions Katherine Smith, Enterprise Contract and Katherine Smith, Enterprise Contract and

Procurement Services (ECPS)Procurement Services (ECPS) Carlos Balderas, HUB Coordinator, Carlos Balderas, HUB Coordinator,

Administrative Services Development (ASD)Administrative Services Development (ASD) David Brown, Assistant General CounselDavid Brown, Assistant General Counsel Larry Fisher, Senior Financial Analyst, HHS Larry Fisher, Senior Financial Analyst, HHS

System Budget and Fiscal PolicySystem Budget and Fiscal Policy Genie DeKneef, Director, Technology Analysis, Genie DeKneef, Director, Technology Analysis,

Development & Support, Office of Inspector Development & Support, Office of Inspector General (OIG) General (OIG)

Housekeeping ItemsHousekeeping Items

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HHSC Procurement RolesHHSC Procurement Roles

ECPSECPS- Responsible for procurement activity- Responsible for procurement activity HUBHUB- Responsible for HUB activity - Responsible for HUB activity ProgramProgram- Responsible for project scope, - Responsible for project scope,

requirements, performance, results, contract requirements, performance, results, contract management/monitoringmanagement/monitoring

LegalLegal- Questions/answers and legal activity- Questions/answers and legal activity

44

Vendor Conference OverviewVendor Conference Overview

Procurement ActivitiesProcurement Activities

HUB ItemsHUB Items

RFP OverviewRFP Overview

Questions SubmittalQuestions Submittal

Break Break

Preliminary Responses to QuestionsPreliminary Responses to Questions

Closing CommentsClosing Comments

55

Procurement ActivitiesProcurement Activities

Questions & Answers Questions & Answers Sole Contact, Katherine Smith, ECPSSole Contact, Katherine Smith, ECPS Procurement Schedule Procurement Schedule Solicitation Access – Solicitation Access – http://www.hhsc.state.tx.us/about_hhsc/BusOpp/http://www.hhsc.state.tx.us/about_hhsc/BusOpp/

BO_home.shtmlBO_home.shtml

Submission RequirementsSubmission Requirements Solicitation ChangesSolicitation Changes Screening & EvaluationScreening & Evaluation Award InformationAward Information

66

HUB Subcontracting PlanHUB Subcontracting Plan(HSP) Requirements(HSP) Requirements

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Agenda TopicsAgenda Topics

• RFP Section 4.0 Historically Underutilized Business RFP Section 4.0 Historically Underutilized Business

Participation RequirementsParticipation Requirements

• HUB Subcontracting Plan for the RFP is requiredHUB Subcontracting Plan for the RFP is required

• Self Performance HSP Self Performance HSP

• HSP Prime Contractor Progress Assessment ReportHSP Prime Contractor Progress Assessment Report

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• HUB Participation GoalsHUB Participation Goals

• Potential Subcontracting OpportunitiesPotential Subcontracting Opportunities

• Vendor Intends to Subcontract Vendor Intends to Subcontract

• Minority or Women Trade Organizations Minority or Women Trade Organizations

• Self PerformanceSelf Performance

• HSP Changes After Contract AwardHSP Changes After Contract Award

• Reporting and Compliance with the HSPReporting and Compliance with the HSP

RFP Section 4.0 - Historically Underutilized RFP Section 4.0 - Historically Underutilized

Business Participation RequirementsBusiness Participation Requirements

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If HSP is inadequate, response will be rejected

HSP Information Page

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HUB GOALS

Special reminders and instructions

Company Information

1111

If more than 20 subcontracting

opportunities, click the link provided to

continue adding


Enter subcontracting opportunities

Subcontracting

Declaration

1212

One page for each area

subcontracted(listed on page

1)


1313

List Line # and Subcontracting Opportunity


1414

Protégé performing the

work


Skip to Sections

8 and 10

1515

Professional Services Category


1616

Good Faith Efforts to

find/include Texas Certified HUB Vendors


1717

Contact HUB Trade

Organization


1818

Written Notification

Requirements


1919

List 3 HUBs Contacted

for this Subcontractin

g Opportunity


2020

List Subs Selected (HUBs & Non-HUBs)

for this Subcontracting

Opportunity


2121

Reason why HUB was not selected

for this Subcontracting

Opportunity


2222

Self Performanc

e Explanation


Signature Affirms that

True and Correct

Information is Provided

2323

• Required with ALL Pay Requests

• List ALL Sub payments (HUBs & Non-HUBs)

HSP Prime Contractor Progress Assessment Report

ATTACHMENT “E”

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HSP ASSISTANCE FROM TPASS

HUB Subcontracting Plan (HSP) Forms

Step-by-step instructions and an audio on “How to Complete an HSP ” is located on the Comptroller of Public Accounts (CPA) Texas Procurement and Support Services (TPASS) website at:

http://www.cpa.state.tx.us/procurement/prog/hub/hub-forms/

HUB Subcontracting Plan Instructional Video

Play Windows Media Version (7.7 MB download)

Play Quicktime (mp4) version (24 MB download)

Play Macromedia Flash version (10.8 MB download)

Read Video Transcript (.rtf file) (160 K download)

http://www.cpa.state.tx.us/procurement/prog/hub/hub-forms/

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Administrative Services Administrative Services Development HUB Program Development HUB Program

OfficeOffice Robert L. Hall, C.P.M.Robert L. Hall, C.P.M. Director of Administrative Services DevelopmentDirector of Administrative Services Development

- (512) 424-6596- (512) 424-6596- - [email protected]@hhsc.state.tx.us

Carlos A. BalderasCarlos A. Balderas ASD HUB AdministratorASD HUB Administrator


Sherice Williams-PattySherice Williams-Patty ASD HUB AdministratorASD HUB Administrator


Segundo SanchezSegundo Sanchez ASD Procurement/HUB Team LeadASD Procurement/HUB Team Lead


mailto:[email protected]




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RFP Overview

Background Mission Scope of Work Performance Goals Performance Measures Compensation

Medicaid Fraud and Abuse Detection System (MFADS)

2727

Medicaid Fraud and Abuse Detection System Medicaid Fraud and Abuse Detection System

(MFADS)(MFADS) Procurement ScheduleProcurement Schedule

RFP Release Date October 31, 2008RFP Release Date October 31, 2008Vendor Conference November 17, 2008Vendor Conference November 17, 2008Vendor Questions Due December 1, 2008Vendor Questions Due December 1, 2008Letter of Intent Due December 1, 2008Letter of Intent Due December 1, 2008HHSC Posts Responses to Vendor Questions December 12, HHSC Posts Responses to Vendor Questions December 12,

20082008Proposals Due December 29, 2008Proposals Due December 29, 2008Respondent Demonstrations/Oral Presentations February 12, Respondent Demonstrations/Oral Presentations February 12,

20092009Tentative Award Announcement March 16, 2009Tentative Award Announcement March 16, 2009Begin Transition to new MFADS Solution May 1, 2009Begin Transition to new MFADS Solution May 1, 2009Implementation of new MFADS Solution September 1, Implementation of new MFADS Solution September 1,

20092009

2828

BackgroundBackground

Since 1991, the Texas Health and Human Since 1991, the Texas Health and Human Services Commission (HHSC) has overseen Services Commission (HHSC) has overseen and coordinated the planning and delivery of and coordinated the planning and delivery of health and human service programs in Texas. health and human service programs in Texas. HHSC is established in accordance with HHSC is established in accordance with Texas Government Code Chapter 531, and is Texas Government Code Chapter 531, and is responsible for the oversight of all Texas responsible for the oversight of all Texas Health and Human Service agencies (HHS Health and Human Service agencies (HHS agencies). HHSC’s chief executive officer is agencies). HHSC’s chief executive officer is Albert Hawkins, Executive Commissioner of Albert Hawkins, Executive Commissioner of Health and Human Services.Health and Human Services.

2929

BackgroundBackground

This RFP is issued pursuant to Section This RFP is issued pursuant to Section 531.106 of the Texas Government Code. 531.106 of the Texas Government Code. This section requires that HHSC use This section requires that HHSC use learning or neural network technology to learning or neural network technology to identify and deter fraud in the Medicaid identify and deter fraud in the Medicaid program and to contract with a private or program and to contract with a private or public entity to develop and implement public entity to develop and implement the technology.the technology.

The current contract will terminate on The current contract will terminate on August 31, 2009.August 31, 2009.

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MissionMission

The mission of HHSC in this procurement is to The mission of HHSC in this procurement is to improve the early detection of fraud, abuse, and improve the early detection of fraud, abuse, and waste in the Texas Medicaid program and reduce waste in the Texas Medicaid program and reduce financial loss to the State of Texas. HHSC will financial loss to the State of Texas. HHSC will accomplish this mission by contracting with a accomplish this mission by contracting with a vendor that is innovative, responsive to the needs vendor that is innovative, responsive to the needs of HHSC, the Medicaid program, and taxpayers, of HHSC, the Medicaid program, and taxpayers, and responsible for discrete, measurable results. and responsible for discrete, measurable results. The contracted vendor will develop, implement, The contracted vendor will develop, implement, operate, maintain and support an automated operate, maintain and support an automated information system that employs neural network information system that employs neural network or learning technology.or learning technology.

3131

Scope of WorkScope of Work The Health and Human Services Commission (HHSC) Office of Inspector The Health and Human Services Commission (HHSC) Office of Inspector

General (OIG) is mandated as addressed in Government Code 531.106 to General (OIG) is mandated as addressed in Government Code 531.106 to identify and deter fraud, waste and abuse in the Medicaid program. identify and deter fraud, waste and abuse in the Medicaid program. Currently the MFADS and the Surveillance Utilization Review Subsystem Currently the MFADS and the Surveillance Utilization Review Subsystem (SURS) are two distinct systems. HHSC seeks a highly advanced single (SURS) are two distinct systems. HHSC seeks a highly advanced single solution to meet the requirements and objectives of both these systems. solution to meet the requirements and objectives of both these systems. Requirements for the SURS are addressed in the State Medicaid Manual Requirements for the SURS are addressed in the State Medicaid Manual Chapter 11 section 11335. The solution must meet and/or exceed all Chapter 11 section 11335. The solution must meet and/or exceed all federal standards and contain, or exceed all functional capabilities required federal standards and contain, or exceed all functional capabilities required by CMS for certification as a SURS. The federal checklist for the SUR by CMS for certification as a SURS. The federal checklist for the SUR certification requirements can be found at the CMS certification checklists. certification requirements can be found at the CMS certification checklists. The single solution must be designed, at a minimum, to do these critical The single solution must be designed, at a minimum, to do these critical functions: functions:

Identify and deter suspected fraud, waste and abuse across all recipient Identify and deter suspected fraud, waste and abuse across all recipient and provider types, claims, programs and payment systems; and provider types, claims, programs and payment systems;

Utilize monthly Medicaid data extracts from a variety of sources, to Utilize monthly Medicaid data extracts from a variety of sources, to produce and monitor data driven analyses and patterns of suspect produce and monitor data driven analyses and patterns of suspect behavior;behavior;

Generalize from the previous learning experiences and use this experience Generalize from the previous learning experiences and use this experience to identify new fraud, abuse, or waste schemes as they appear; to identify new fraud, abuse, or waste schemes as they appear;

Produce user- friendly reports/tools that increase efficiencies and maximize Produce user- friendly reports/tools that increase efficiencies and maximize results; results;

Provide continuously improved detection capabilities; Provide continuously improved detection capabilities; Be flexible to changing state and federal requirements necessary for Be flexible to changing state and federal requirements necessary for

maintenance of the integrity and performance of the system.maintenance of the integrity and performance of the system.

3232

Scope of WorkScope of WorkThe vendor will present a strategy that includes the following:The vendor will present a strategy that includes the following: Features and detection tools and methods that cover all Features and detection tools and methods that cover all

provider types, claims, and payment systems;provider types, claims, and payment systems; Detection tools that increase detection by increasing the Detection tools that increase detection by increasing the

frequency and rate of identification of suspects;frequency and rate of identification of suspects; Detection tools that greatly reduce the amount of manual, Detection tools that greatly reduce the amount of manual,

pre-investigative research and analysis currently required; pre-investigative research and analysis currently required; Detection tools that increase provider and recipient Detection tools that increase provider and recipient

awareness and education of program regulations and awareness and education of program regulations and requirements; andrequirements; and

Detection tools that assist HHSC-OIG in the implementation Detection tools that assist HHSC-OIG in the implementation of necessary policy, procedural, and claims of necessary policy, procedural, and claims payment/processing changes that are identified as the payment/processing changes that are identified as the result of analyzing the data.result of analyzing the data.

3333

Scope of WorkScope of WorkThe vendor’s solution must also include:The vendor’s solution must also include: Targeted Queries (conversion of existing TQs and Targeted Queries (conversion of existing TQs and

development of new TQs)development of new TQs) Online Inquiry RequirementsOnline Inquiry Requirements Output Requirements/Ad hoc reportsOutput Requirements/Ad hoc reports Record RetentionRecord Retention Federal CertificationFederal Certification Case Management componentCase Management component Hospital Utilization Review and Nursing Facility Utilization Hospital Utilization Review and Nursing Facility Utilization

Review componentsReview components Limited Program/Recipient Utilization Control componentLimited Program/Recipient Utilization Control component System OperationsSystem Operations

3434

Performance GoalsPerformance GoalsHHSC will monitor the performance of the contract issued HHSC will monitor the performance of the contract issued

under this under this RFP. All services and deliverables under the contract shall be RFP. All services and deliverables under the contract shall be

providedprovidedat an acceptable quality level and in a manner consistent withat an acceptable quality level and in a manner consistent withacceptable industry standards, custom, and practice. Failure acceptable industry standards, custom, and practice. Failure

to to produce deliverables in such a manner could result in produce deliverables in such a manner could result in

remedies as remedies as outlined in Section 2.3outlined in Section 2.3

3535

Financial ApproachFinancial Approach

The State has chosen to utilize a FIXED PRICE The State has chosen to utilize a FIXED PRICE APPROACH to the administrative services APPROACH to the administrative services included in the Medicaid Fraud and Abuse included in the Medicaid Fraud and Abuse Detection System Request for Proposal (MFADS Detection System Request for Proposal (MFADS RFP).RFP).

The objective of the Financial Approach is to The objective of the Financial Approach is to describe the financial components that will describe the financial components that will enable the State to achieve the Mission enable the State to achieve the Mission Objectives described in Section 1.5 of the RFP.Objectives described in Section 1.5 of the RFP.

3636


Allowable and non-allowable direct and indirect Allowable and non-allowable direct and indirect costs, wherever applicable to any payments to costs, wherever applicable to any payments to the successful Vendor, will be governed by the the successful Vendor, will be governed by the principles set forth in the following regulations principles set forth in the following regulations and documents (as they may be amended during and documents (as they may be amended during the term of the contract):the term of the contract):

Title 48 CFR, Chapter 1, Part 31, Title 48 CFR, Chapter 1, Part 31, Contract Cost Principles and Procedures.Contract Cost Principles and Procedures.

Title 48 CFR, Chapter 1, Part 30, Title 48 CFR, Chapter 1, Part 30, Cost Accounting Standards Administration.Cost Accounting Standards Administration.

Title 48 CFR Chapter 99–Cost Accounting Title 48 CFR Chapter 99–Cost Accounting Standards. Standards.

3737


In addition to costs that are unallowable pursuant In addition to costs that are unallowable pursuant to the above accounting principles, the State has to the above accounting principles, the State has deemed some of the allowable costs to be deemed some of the allowable costs to be specifically unallowable for the contract resulting specifically unallowable for the contract resulting from this RFP. The list of additional unallowable from this RFP. The list of additional unallowable costs is included in Section 2.4.2.2 of the RFP.costs is included in Section 2.4.2.2 of the RFP.

3838


The Vendor must maintain an accounting system The Vendor must maintain an accounting system that provides an audit trail containing sufficient that provides an audit trail containing sufficient financial documentation to allow for the financial documentation to allow for the reconciliation of billings, reports, and financial reconciliation of billings, reports, and financial statements with all general ledger accounts and statements with all general ledger accounts and specific business functional areas within the specific business functional areas within the applicable components.applicable components.

3939

Financial ApproachFinancial Approach The awarded Vendor must provide authorized The awarded Vendor must provide authorized

governmental representatives of HHSC and the governmental representatives of HHSC and the federal government full access to all financial and federal government full access to all financial and accounting records related to the performance of accounting records related to the performance of the resulting contract, including all requested the resulting contract, including all requested subcontractor financial and accounting records.subcontractor financial and accounting records.

4040

Financial ApproachFinancial Approach The Vendor must provide quarterly financial The Vendor must provide quarterly financial

statements, including an income statement, statements, including an income statement, depicting the Vendor’s operation under the depicting the Vendor’s operation under the resulting contract no later than the twentieth resulting contract no later than the twentieth calendar day following the end of the previous calendar day following the end of the previous state fiscal year quarterly period. state fiscal year quarterly period.

Transition costs to meet the requirements of the Transition costs to meet the requirements of the RFP will be paid on a fixed fee basis. RFP will be paid on a fixed fee basis.

4141

Financial ApproachFinancial Approach Operational costs to meet the requirements of the Operational costs to meet the requirements of the

RFP will also be paid on a fixed fee basis. The RFP will also be paid on a fixed fee basis. The Operational fixed fees will be subject to the Operational fixed fees will be subject to the Retrospective Cost Settlement provisions Retrospective Cost Settlement provisions documented in Section 2.4.7.3 of the RFP.documented in Section 2.4.7.3 of the RFP.

Operational and/or Transition costs in excess of Operational and/or Transition costs in excess of the final fixed price amount(s) included in the the final fixed price amount(s) included in the contract resulting from this RFP will not be paid contract resulting from this RFP will not be paid by the State.by the State.

4242


Separate Fixed administrative fees will be Separate Fixed administrative fees will be proposed for each 12 – month operational period proposed for each 12 – month operational period of a resulting contract (and any applicable of a resulting contract (and any applicable operational period less than 12 months). operational period less than 12 months).

All fees will be paid to the Vendor retrospectively.All fees will be paid to the Vendor retrospectively.

4343


Actual expenditures for Pass-Through Items made Actual expenditures for Pass-Through Items made on the State’s behalf will be paid without on the State’s behalf will be paid without allocation of any indirect charges (general & allocation of any indirect charges (general & administrative expenses, overhead, etc.) or any administrative expenses, overhead, etc.) or any administrative service fee (profit).administrative service fee (profit).

A complete listing of expenditures designated as A complete listing of expenditures designated as Pass-Through Items are documents at Section Pass-Through Items are documents at Section 2.4.7.2 of the RFP.2.4.7.2 of the RFP.

4444


Administrative fees paid to the Vendor Administrative fees paid to the Vendor during each Operational Contract Year during each Operational Contract Year will consist of: will consist of: (i) (i) the Fixed Administrative Fees; the Fixed Administrative Fees; (ii) (ii) the Variable Administrative Fees; the Variable Administrative Fees; (iii) (iii) the Administrative Fees for the the Administrative Fees for the

Additional Periodic Activities; and Additional Periodic Activities; and (iv) (iv) the Administrative Fees for the the Administrative Fees for the

Additional Recurring Activities. Additional Recurring Activities. The sum of the four Fee components will The sum of the four Fee components will

be referred to as the be referred to as the “Fee Ceiling”“Fee Ceiling”..

4545


The total maximum cost of the Services The total maximum cost of the Services and Deliverables supplied by the Vendor and Deliverables supplied by the Vendor to HHSC during each Operational Contract to HHSC during each Operational Contract Year will not exceed the lesser of: Year will not exceed the lesser of:

(a) the Vendor’s Fees (Fee Ceiling) or (a) the Vendor’s Fees (Fee Ceiling) or

(b) the sum of the Allowable Costs (b) the sum of the Allowable Costs incurred by the Vendor plus the allowable incurred by the Vendor plus the allowable administrative service fee during the administrative service fee during the subject Operational Contract Year.subject Operational Contract Year.

4646


On a quarterly basis, the state and the On a quarterly basis, the state and the Vendor will reconcile the amounts Vendor will reconcile the amounts disbursed to the Vendor with the Vendor’s disbursed to the Vendor with the Vendor’s allowable costs plus the allowable allowable costs plus the allowable administrative service fee.administrative service fee.

Additional details related to the Additional details related to the Retrospective Cost Settlement provision Retrospective Cost Settlement provision included in the RFP are located in Section included in the RFP are located in Section 2.4.7.3.2.4.7.3.

4747

Pricing OverviewPricing Overview

Forms substantially similar to those Forms substantially similar to those described in the RFP must provide the described in the RFP must provide the component costs of the Firm Fixed Prices component costs of the Firm Fixed Prices quoted for providing the services and quoted for providing the services and deliverables set forth in the MFADS RFP.deliverables set forth in the MFADS RFP. Attachment A, Appendix A-1 contains Attachment A, Appendix A-1 contains

Transitional Pricing Schedules, Transitional Pricing Schedules, Attachment A, Appendix A-2 contains Attachment A, Appendix A-2 contains

Operational Pricing Schedules, and Operational Pricing Schedules, and Attachment A, Appendix A-3 contains the Attachment A, Appendix A-3 contains the

formal Price Summary Sheets.formal Price Summary Sheets.

4848


The prospective Vendor must structure its pricing The prospective Vendor must structure its pricing quotation to allow HHSC a method to map the quotation to allow HHSC a method to map the proposed costs for the cost proposal submitted proposed costs for the cost proposal submitted back to the Vendor’s Detailed Work Plan for the back to the Vendor’s Detailed Work Plan for the initial term of the Contract. initial term of the Contract.

The Vendor must provide separate Transitional The Vendor must provide separate Transitional Costs through the proposed transition period. Costs through the proposed transition period.

The Vendor must provide the required projected The Vendor must provide the required projected monthly costs for the entire operations period. monthly costs for the entire operations period.

The pricing quotations for each specific The pricing quotations for each specific component must agree with the Firm Fixed Prices component must agree with the Firm Fixed Prices proposed by the Vendor.proposed by the Vendor.

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Transition Pricing SchedulesTransition Pricing Schedules

The prospective Vendor’s transitional The prospective Vendor’s transitional cost proposal sheets must include cost proposal sheets must include the “Key Milestones” the Vendor the “Key Milestones” the Vendor must accomplish during the must accomplish during the Transitional period (Appendix A-1). Transitional period (Appendix A-1). Key Milestones are listed in Section Key Milestones are listed in Section 3.17.3.3 of the RFP.3.17.3.3 of the RFP.

5050


The prospective Vendor’s operational cost The prospective Vendor’s operational cost proposal sheets must be delineated by the proposal sheets must be delineated by the primary business functional areas primary business functional areas (“functional area”) for the Operational (“functional area”) for the Operational period(s) (Attachment A, Appendix A-2) period(s) (Attachment A, Appendix A-2) also listed in Section 3.17.3.3 of the RFP.also listed in Section 3.17.3.3 of the RFP.

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Instructions for completing each schedule Instructions for completing each schedule are included in the RFP. are included in the RFP.

Summary forms should be supported by Summary forms should be supported by the detailed information contained on the detailed information contained on monthly schedules. monthly schedules.

Amounts shown on the monthly schedules Amounts shown on the monthly schedules must agree with the cumulative amounts must agree with the cumulative amounts shown on the summary forms. shown on the summary forms.

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In addition to paper copies of the Vendor’s In addition to paper copies of the Vendor’s Cost Proposal and Price Summary sheets, Cost Proposal and Price Summary sheets, Vendors must submit electronic versions in an Vendors must submit electronic versions in an MS Excel format. MS Excel format.

Any electronic version of the pricing forms Any electronic version of the pricing forms must contain any and all formulas used to must contain any and all formulas used to calculate pricing information contained on the calculate pricing information contained on the forms and include any and all links to other forms and include any and all links to other worksheets / forms included in the Vendor’s worksheets / forms included in the Vendor’s Cost Proposal.Cost Proposal.

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Price Summary Sheet 1 shows the fixed Price Summary Sheet 1 shows the fixed administrative fees for the transitional administrative fees for the transitional period by Key Milestone. The total fixed period by Key Milestone. The total fixed fees by Key Milestone on this sheet must fees by Key Milestone on this sheet must be consistent with the detailed Transitional be consistent with the detailed Transitional Pricing Schedules in Appendix A-1.Pricing Schedules in Appendix A-1.

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Price Summary Sheet 2 shows the fixed Price Summary Sheet 2 shows the fixed administrative fees for each operational administrative fees for each operational period. The total fixed fees for each 12 period. The total fixed fees for each 12 month operational period (or portion month operational period (or portion thereof) must be consistent with the more thereof) must be consistent with the more detailed Operational Pricing Schedules in detailed Operational Pricing Schedules in Appendix A-2.Appendix A-2.

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Price Summary Sheet 3 shows the all-inclusive Price Summary Sheet 3 shows the all-inclusive hourly labor rates and the proposed fixed hourly labor rates and the proposed fixed annual inflator used to show costs associated annual inflator used to show costs associated with additional non-recurring and/or periodic with additional non-recurring and/or periodic activities to be performed by the Vendor by activities to be performed by the Vendor by different types of service categories. different types of service categories.

The maximum fees associated with additional The maximum fees associated with additional non-recurring and/or periodic activities to be non-recurring and/or periodic activities to be performed by the Vendor will be based on performed by the Vendor will be based on explicit fixed prices proposed for Vendor inputs explicit fixed prices proposed for Vendor inputs and the actual number of hours worked on the and the actual number of hours worked on the specific modification by the Vendor’s staff specific modification by the Vendor’s staff and/or the staff of a Vendor’s subcontractor.and/or the staff of a Vendor’s subcontractor.

5656


The prospective Vendor must submit a The prospective Vendor must submit a Financial Operations Plan that shows how Financial Operations Plan that shows how the Vendor will fulfill all financial the Vendor will fulfill all financial requirements contained in the contract requirements contained in the contract resulting from this RFP.resulting from this RFP.

5757


The cost proposal should include any The cost proposal should include any business, economic, legal, programmatic, business, economic, legal, programmatic, or practical assumptions that underlie the or practical assumptions that underlie the Cost Proposal. HHSC reserves the right to Cost Proposal. HHSC reserves the right to accept or reject any assumptions.accept or reject any assumptions.

5858

Texas Health and Human Texas Health and Human Services Commission (HHSCServices Commission (HHSC))

Questions SubmittalQuestions SubmittalFollowed by BreakFollowed by Break

5959

Medicaid Fraud and Abuse Detection System (MFADS)Medicaid Fraud and Abuse Detection System (MFADS)

Non-binding verbal answers to vendor Non-binding verbal answers to vendor questions are provided.questions are provided.

Binding responses are posted on the Binding responses are posted on the procurement website by December 12, procurement website by December 12, 2008.2008.

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Closing CommentsClosing Comments

Office of General CounselOffice of General Counsel

Collusion Collusion

Conflict of InterestConflict of Interest

Permissible contactsPermissible contacts

vendor conference presentation

Education

hsp assistance

work hsp information

rejectedhsp information

hsp rfp section

hub coordinator

correct information

balderas asd hub administrator

texas health