This Solicitation opportunity from Michigan was posted on April 25, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
DOCX, High priority: read this firstspecifications
HighAI Summary for RFP 240000001827 - Attachment A - LTSS Definitions: This document serves as Attachment A to RFP 240000001827 for the Michigan Department of Health and Human Services (MDHHS). It provides a comprehensive glossary of terms and definitions related to Long Term Services and Supports (LTSS), including definitions for Medicaid eligibility, nursing facility levels of care, and specific program acronyms such as CHAMPS, PACE, and PASRR.
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HighAI Summary for RFP 240000001827 - Attachment B - Medicaid Provider Manual: This document is Attachment B of RFP 240000001827, detailing the Nursing Facility Level of Care Determination (LOCD) process for the Michigan Department of Health and Human Services (MDHHS). It outlines eligibility requirements, the authorized professionals permitted to conduct assessments, and the specific criteria used to determine functional eligibility for Medicaid-funded long-term services and supports (LTSS), including the MI Choice Waiver, PACE, and MI Health Link HCBS Waiver programs.
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PDF, High priority: read this firstspecifications
HighAI Summary for RFP 240000001827 - Attachment C - LOCD Field Definitions Guidelines: This document provides detailed field definition guidelines for the Michigan Medicaid Nursing Facility Level of Care Determination (LOCD). It outlines the specific data entry requirements for applicant and provider information (Fields 1-7) and provides clinical coding criteria for Activities of Daily Living (ADL), including Bed Mobility and Transfers, based on a 7-day look-back period.
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HighAI Summary for RFP 240000001827 - Attachment D - Adult Services Manual: Attachment D of RFP 240000001827, providing a detailed Adult Services Manual. The document defines scoring and guidance for assessing Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), including eating, toileting, bathing, grooming, dressing, transferring, mobility, medication, meal preparation, shopping, and laundry.
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HighAI Summary for RFP 240000001827 - Attachment E - Adult Services Comprehensive Assessment: Attachment E for RFP 240000001827 detailing the MDHHS-5534 Adult Services Comprehensive Assessment process. It outlines requirements for face-to-face assessments, the use of the MiAIMS system, functional scale rankings (1-5) for ADLs and IADLs, complex care needs, and time/task allocation for Home Help services.
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HighAI Summary for RFP 240000001827 - Attachment F - Home Help Worksheet Nurse Review: A technical worksheet used for nurse reviews to determine and approve the required minutes and hours per month for home help tasks, including eating, toileting, bathing, and medication administration.
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DOCX, High priority: read this firstspecifications
HighAI Summary for RFP 240000001827 - Attachment I - Action Notices: This document contains template language for 'Adequate Action Notice' and 'Advance Action Notice' regarding Level of Care Determination (LOCD) verification and secondary reviews for Michigan Medicaid Nursing Facility services. It outlines the criteria for disqualification and the process for requesting a Medicaid Fair Hearing.
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HighAI Summary for RFP 240000001827 - Proposal Instructions: Proposal instructions for RFP 240000001827 issued by the State of Michigan's Department of Technology, Management and Budget. The procurement is for Statewide Medicaid Long Term Services and Supports Eligibility and Quality Reviews for MDHHS. The document outlines the RFP timeline (issue date April 4, 2024; deadline May 2, 2024), submission requirements via SIGMA VSS, and a detailed structure of required documentation including the SOW (Schedule A) and Pricing (Schedule B).
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HighAI Summary for RFP 240000001827 - Schedule A - Statement of Work: This document is the Statement of Work (Schedule A) for RFP 240000001827, issued by MDHHS. It outlines the requirements for a contractor to conduct eligibility and quality reviews for Statewide Medicaid Long Term Services and Supports (LTSS), specifically focusing on Level of Care Determination (LOCD) Verification and Secondary Reviews, Expanded Home Help Services (EHHS) reviews, and Home Help quality reviews.
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HighAI Summary for RFP 240000001827 - Schedule B Pricing: This document is the Schedule B Pricing template for RFP 240000001827 regarding Statewide Medicaid Long Term Services and Supports Eligibility and Quality Reviews for MDHHS. It outlines the requirements for submitting price proposals, including a detailed pricing table for Verification Reviews, Secondary Reviews, Appeals, and Home Help reviews, with columns for unit price, one-year pricing, and three-year pricing.
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HighAI Summary for RFP 240000001827 - Schedule C - Insurance Requirements: This document outlines the mandatory insurance requirements for RFP 240000001827 regarding Statewide Medicaid Long Term Services and Supports Eligibility and Quality Reviews for MDHHS. It specifies minimum coverage limits for Commercial General Liability, Automobile Liability, Workers' Compensation, Employers Liability, Cyber Liability, and Professional Liability (E&O), along with requirements for insurer ratings, additional insured endorsements, and proof of insurance submission.
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HighAI Summary for RFP 240000001827 - Schedule D - Service Level Agreement: This document is Schedule D of RFP 240000001827, detailing the Service Level Agreement (SLA) for hybrid purchases. It defines key performance metrics, including a 99.98% Availability Requirement for Hosted Services, software response time thresholds (under 2 seconds for 98% of transactions), and protocols for scheduled downtime and service availability reporting.
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DOCX, High priority: read this firstsow
HighAI Summary for RFP 240000001827 - Schedule E Data Security Requirements: Schedule E to RFP 240000001827 outlining data security requirements for hybrid purchases. It defines security terms and sets contractor obligations for privacy, information security, acceptable use, FedRAMP/FISMA/NIST compliance, hosting and data residency requirements, subcontractor controls, and safeguards for State Data. The schedule also references security accreditation, audit expectations, and State IT policy compliance.
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DOCX, High priority: read this firstspecifications
HighAI Summary for RFP 240000001827 - Schedule F - HIPAA Business Associate Agreement: This document is a HIPAA Business Associate Agreement (BAA) associated with RFP 240000001827. It establishes the legal obligations for a contractor (Business Associate 2) regarding the protection, use, and disclosure of Protected Health Information (PHI) on behalf of the Michigan Department of Health and Human Services and the Department of Technology, Management and Budget, ensuring compliance with HIPAA Rules.
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DOCX, Low priorityq-and-a
LowAI Summary for RFP 240000001827 - Answers to Bidder Questions: This document contains a series of questions and official state responses regarding RFP 240000001827. The content focuses on clarifying the Statement of Work (SOW) for Level of Care Determination (LOCD) verification reviews, secondary reviews, Home Help EHHS and Quality Reviews, staffing requirements for RNs, and technical access to state systems.
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DOCX, Low priorityother
LowAI Summary for RFP 240000001827 - Attachment G - Policy Decision Document: A template or sample Policy Decision document from the State of Michigan Department of Health and Human Services regarding the approval of Expanded Home Help Services (EHHS) for a customer.
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DOC, Low priorityother
LowAI Summary for RFP 240000001827 - Attachment H - Hearing Request: A form used by Medicaid, PACE, or waiver applicants to request an impartial review (hearing) of a decision made by the Michigan Department of Health and Human Services (MDHHS) or its contract agencies. It includes sections for client information, reasons for the appeal, representative details, and agency information.
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PDF, Low prioritysupporting-document
LowAI Summary for RFP 240000001827 - Attachment J - Administrative Hearing Pamphlet: A 2019 version of the Administrative Hearing Pamphlet for the Michigan Office of Administrative Hearings and Rules (MOAHR) and the Department of Health and Human Services (DHHS). The document provides guidance on the hearings process, delegation of authority for Administrative Law Judges, and definitions regarding Medicaid Managed Care beneficiary grievances and appeals.
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DOCX, Low priorityspecial-notice
LowAI Summary for RFP 240000001827 - Important Notice: A notice to bidders for RFP 240000001827 stating that the SIGMA system will be unavailable from April 18th through April 23rd, preventing proposal submissions. It advises bidders to download the answers to questions by April 17th.
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DOCX, Low prioritycontract-document
LowAI Summary for RFP 240000001827 - Standard Contract Terms: Standard contract agreement between the State of Michigan and a Contractor. The document outlines terms for an effective date of October 3, 2024, with a term ending December 31, 2027. It defines contractor duties, administration, intellectual property rights, and subcontracting requirements.
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Timeline
PhaseClosed
Posted
Solicitation
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Submission Closed
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AgencyMichigan → Technology, Management and Budget