DAS Healthcare Navigation Services

The contract pertains to the provision of healthcare navigation services for the State of Ohio, with the primary goal of enhancing the quality of care while reducing overall costs for state employees and members. The solicitation, issued by the Ohio Department of Administrative Services, seeks a contractor capable of delivering solutions that simplify access to healthcare, boost engagement in existing programs, and improve health outcomes through effective navigation support. The contract, with an estimated value ranging from five to fifteen million dollars, emphasizes compliance with Ohio’s IT policies, including secure data transfer standards and privacy requirements, as evidenced by supporting documents such as census files, claims data, and business associate agreements. The scope also includes integrating with existing systems like OAKS, managing sensitive health information, and ensuring secure, standardized data exchanges via protocols like SFTP. Amendment 1 to the contract introduces additional data reporting requirements by adding Exhibit 4, which contains employee census data, and Exhibit 5, which provides quarterly claims data segmented by plan type. These exhibits are intended to support administrative and analytical functions, enabling better management of healthcare benefits and cost analysis. The contract also incorporates detailed technical standards, compliance policies, and cost proposals, ensuring that the selected contractor adheres to state IT and privacy standards while delivering comprehensive healthcare navigation services. The procurement process involves multiple exhibits and documentation to clarify scope, technical requirements, and contractual obligations, all aimed at fostering a streamlined, secure, and effective healthcare support system for Ohio’s public employees and members.