Hospital-Determined Presumptive Eligibility RFA
Active
BD-14-1039-1039C-1039L-00000000533State & LocalResponse Deadline
Contract Overview
Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.
General Info
Agency
Massachusetts → 1039CONVD - Executive OfficeView Agency
NAICS
N/A
Place of Performance
Boston, MA, 02111, USSet-Aside
NONE
Documents
(9)Massachusetts Executive Order 504 Contractor Certification Form Appendix C
DOCX•contractor-certification-form
AI Summary for Massachusetts Executive Order 504 Contractor Certification Form Appendix C: This document is Appendix C of a contract from the Commonwealth of Massachusetts Executive Office of Health and Human Services. It is the Executive Order 504 Contractor Certification Form requiring contractors with access to personal information to certify compliance with Executive Order 504 and Massachusetts IT security policies. The form outlines contractor responsibilities for protecting personal information, reporting unauthorized access, and consequences of breaches. It includes signature and date fields for contractor certification. The version is refreshed as of 3/22/10.
HPE Training Overview Instructions
DOCX•training-overview
AI Summary for HPE Training Overview Instructions: This document provides instructions for accessing the Hospital Determined Presumptive Eligibility (HPE) Training Overview materials. It is intended to help hospitals understand the HPE process. The materials include a webinar, transcript, and presentation from a May 1, 2014 conference call. Access is via the MassHealth Learning Management system with provided login credentials. The document emphasizes that only qualified hospitals contracted with EOHHS can perform HPE and must ensure compliance with training and policies. Contact information for questions is also included.
Massachusetts HPE RFA Q&A 2 BD-14-1039-1039C-1039L-00000000533
DOCX•q-and-a
AI Summary for Massachusetts HPE RFA Q&A 2 BD-14-1039-1039C-1039L-00000000533: This document is the second set of responses to applicants' questions for the Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid Request for Applications (RFA) for Hospital-Determined Presumptive Eligibility (HPE), bid number BD-14-1039-1039C-1039L-00000000533. It clarifies policies on HPE determinations, eligibility criteria, retroactive coverage, required forms, authorized representatives, and procedural questions. The document updates the Hospital HPE Training and Toolkit and provides detailed guidance on HPE application processes, coverage types, and hospital responsibilities.
HPE Request for Applications Amendment 1
DOCX•amendment
AI Summary for HPE Request for Applications Amendment 1: This document is Amendment 1 to the Request for Applications (RFA) for Hospital-Determined Presumptive Eligibility issued by the Executive Office of Health and Human Services, Commonwealth of Massachusetts. Effective May 19, 2014, it updates the original RFA issued on March 21, 2014. Key changes include removal and separate issuance of Appendix A (Contract), replacement of Appendix B (Application for Participation) with an updated version, and revisions to submission instructions and COMMBUYS eProcurement system guidance. Hospitals that submitted original documents are not required to resubmit updated versions.
HPE RFA Appendix B Application for Participation
DOCX•application-for-participation
AI Summary for HPE RFA Appendix B Application for Participation: This document is Appendix B of the Hospital-Determined Presumptive Eligibility (HPE) Request for Applications (RFA). It is an Application for Participation that hospitals must complete and sign to elect to make presumptive eligibility determinations under EOHHS policy and federal/state regulations including 42 CFR 435.1110. The application requires hospital identification, contact information, and agreement to comply with training and procedural requirements for presumptive eligibility determinations. It also includes acknowledgements regarding the accuracy and completeness of submitted information under penalty of perjury. This form is essential for hospitals to participate in the HPE program as outlined in the RFA.
Massachusetts EOHHS Hospital-Determined Presumptive Eligibility RFA Amendment 14CBEHSHPERFA
DOCX•rfa
AI Summary for Massachusetts EOHHS Hospital-Determined Presumptive Eligibility RFA Amendment 14CBEHSHPERFA: This document is an Amended and Restated Request for Applications (RFA) issued by the Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS) for Hospital-Determined Presumptive Eligibility under MassHealth. Originally issued on March 21, 2014, and amended on May 22, 2014, it solicits applications from hospitals to perform presumptive eligibility determinations for individuals potentially eligible for MassHealth coverage under the Affordable Care Act (ACA). The RFA includes definitions, provider qualifications, application instructions, compliance requirements, and contract terms. It aims to establish non-financial contracts with qualified hospitals to make temporary Medicaid eligibility determinations, with provisions for termination and disqualification. Appendices include the contract, application, and certification documents.
MassHealth Hospital-Determined Presumptive Eligibility Contract Appendix A
DOCX•contract-document
AI Summary for MassHealth Hospital-Determined Presumptive Eligibility Contract Appendix A: This document is Appendix A of the MassHealth Hospital-Determined Presumptive Eligibility Contract between the Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS) and a Qualified Hospital. It outlines the agreement terms for hospitals electing to make presumptive eligibility determinations for Medicaid coverage under federal and state laws, including 42 CFR 435.1110 and 130 CMR 450.110. The contract specifies requirements for using trained Certified Application Counselors, compliance with policies, record-keeping, and performance standards. It prohibits delegation of eligibility determination authority and payment acceptance from applicants. The document includes obligations for application assistance, use of the Navigator/CAC Portal, obtaining applicant consent, and adherence to performance metrics with potential corrective actions for non-compliance.
Massachusetts HPE RFA Q&A Document 14CBEHSHPERFA
DOCX•q-and-a
AI Summary for Massachusetts HPE RFA Q&A Document 14CBEHSHPERFA: This document is a Question and Answer (Q&A) response related to the Request for Applications (RFA) for Hospital-Determined Presumptive Eligibility (HPE) issued by the Commonwealth of Massachusetts Executive Office of Health and Human Services, Office of Medicaid. Document number 14CBEHSHPERFA. It provides detailed clarifications on the HPE application process, training requirements, submission procedures, eligibility criteria, and coverage verification. The Q&A addresses hospital participation, application forms, income qualification methods, submission methods, coverage identification, and provider billing. It also clarifies that HPE coverage will not be retroactively terminated and outlines responsibilities regarding erroneous eligibility determinations. The document supports applicants in understanding the HPE program and contractual obligations.
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Timeline
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Organization & Contact Information
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AgencyMassachusetts → 1039CONVD - Executive Office
Contacts1 person available
OfficeBoston, MA, 02111, US
Office AddressBoston, MA, 02111, US
Contacts
Carl BoydPurchaser