This Solicitation opportunity from Utah was posted on August 3, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
The contract involves providing comprehensive Member Services and related activities for the Iowa Medicaid and Hawki programs, focusing on assisting Iowans with their healthcare applications and renewals. It also includes Level 1 Help Desk support for the electronic integrated eligibility application system (ELIAS), ensuring efficient and accessible support for users navigating the eligibility process. The project is managed by the Iowa Department of Health and Human Services and aims to enhance consumer assistance, streamline eligibility determinations, and improve overall service delivery for Medicaid and Hawki beneficiaries.
The solicitation, titled "Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and Healthy and Well Kids in Iowa (Hawki)," was posted on August 3, 2024, with a response deadline of January 11, 2025. The contract size ranges from five to fifteen million dollars, reflecting the scope and importance of the services. Proposals are managed under NAICS code 541611, indicating a focus on administrative management and general management consulting services. Interested parties can contact Traci McCaughey via email or phone for further details, and additional information about the solicitation is available through the provided online link.
HighAI Summary for Attachment F - Cost Proposal for Iowa Medicaid and hawk-i Help Desk Services: This document is Attachment F, the Cost Proposal form for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and hawk-i Programs. It instructs bidders to enter monthly firm fixed prices for various service categories and populations served over initial and optional contract years from 2025 through 2030. The proposal must include all costs to meet RFP requirements, with no charges for the transition period prior to operations start. The form automatically calculates subtotals and a grand total used for scoring cost proposals. The document is essential for pricing evaluation in the procurement process.
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XLSX, High priority: read this firstcost-proposal
HighAI Summary for Attachment F - Cost Proposal for Iowa Medicaid and hawk-i Help Desk Services: This document is Attachment F - Cost Proposal for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and hawk-i Programs. It provides instructions to bidders to enter monthly firm fixed prices for various service categories and populations served over initial and optional contract years from 2025 through 2030. The proposal includes all costs to meet RFP requirements, with a grand total used for scoring. The form emphasizes that bidders must include all items in their costs and avoid optional or unpriced items to avoid disqualification. The document is intended to support the cost evaluation of the contract proposal.
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PDF, High priority: read this firstamendment
HighAI Summary for First Amendment to Iowa DHS RFP MED-25-003 Member Management Services: This document is the First Amendment to RFP Number MED-25-003 issued by the Iowa Department of Human Services for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and Hawki. Effective September 6, 2024, it revises contract duration, bidder eligibility, staffing requirements, workflow and quality assurance processes, payment methodology, and procedures for reconsideration of award decisions. Key changes include extending contract terms, adding bidder independence requirements, updating call center staffing experience, modifying payment withholding conditions, and clarifying submission instructions for reconsideration requests.
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PDF, High priority: read this firstrfp
HighAI Summary for RFP MED-25-003 Member Management and Help Desk Services for Iowa Medicaid: This Request for Proposal (RFP) MED-25-003 issued by the Iowa Department of Health and Human Services seeks proposals for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and the Healthy and Well Kids in Iowa (Hawki) program. The contract term is initially 2 years with options to extend for four additional 1-year terms. The document includes a procurement timetable with key dates for submission and questions, acronyms relevant to the scope, and background legal authority under Title XIX of the Social Security Act. The RFP outlines the purpose to support Medicaid and Hawk programs, including application assistance and Level 1 Help Desk support for the electronic eligibility system (ELIAS). The document is dated around mid-2024 with an anticipated service start date of January 1, 2025.
DOCX
DOCX, High priority: read this firstrfp
HighAI Summary for RFP MED-25-003 Member Management and Help Desk Services for Iowa Medicaid and Hawki: This Request for Proposal (RFP) MED-25-003 issued by the Iowa Department of Health and Human Services seeks proposals for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and the Healthy and Well Kids in Iowa (Hawki) programs. The contract is anticipated to have an initial 3-year term with options to extend for three additional one-year terms. The RFP outlines bidder eligibility requirements, procurement timetable with key dates for proposal submission, questions, and contract execution. It includes background information on legal authority under Title XIX and XXI of the Social Security Act, and conditions for broker independence and freedom from conflict of interest as per federal regulations. The document provides acronyms and detailed scope of work related to Medicaid and CHIP program support services.
DOCX
DOCX, High priority: read this firstrfp
HighAI Summary for RFP MED-25-003 Member Management and Help Desk Services for Iowa Medicaid and Hawki: This Request for Proposal (RFP) MED-25-003 issued by the Iowa Department of Health and Human Services seeks proposals for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and Healthy and Well Kids in Iowa (Hawki). The contract is anticipated to have an initial 3-year term with options to extend for three additional one-year terms. The RFP outlines bidder eligibility requirements, procurement timetable, and background information including legal authority under Title XIX and Title XXI of the Social Security Act. The document includes acronyms, scope of work, and compliance requirements for independence and freedom from conflict of interest as per 42 C.F.R. § 438.810. Key dates include proposal submission by October 4, 2024, and anticipated service start date of January 1, 2025.
DOCX
DOCX, High priority: read this firstq-and-a
HighAI Summary for RFP MED-25-003 Vendor Questions and Agency Responses: This document contains vendor questions and agency responses related to Request for Proposal MED-25-003 for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and Healthy and Well Kids in Iowa (Hawki). Dated August 30, 2024, it addresses inquiries about call volumes, training, telephony systems, staffing, and contract requirements. Some information is pending and will be posted in the Bidder's Library or updated in an upcoming RFP amendment. The document clarifies agency policies on remote work, training periods, incumbent vendors, and data security requirements.
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PDF, High priority: read this firstq-and-a
HighAI Summary for RFP MED-25-003 Vendor Questions and Agency Responses: This document contains vendor questions and agency responses related to Request for Proposal MED-25-003 for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and Healthy and Well Kids in Iowa (Hawki). Dated September 20, 2024, it addresses clarifications on contract requirements, submission instructions, staffing roles, call volume data, and system access. The document supports bidders in preparing their proposals by providing detailed answers to inquiries received by the agency.
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PDF, High priority: read this firstamendment
HighAI Summary for Second Amendment to RFP MED-25-003 for Iowa DHS Help Desk Services: This document is the Second Amendment to the Iowa Department of Human Services Request for Proposal (RFP) Number MED-25-003, effective September 20, 2024. It amends various sections of the original RFP related to Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and Healthy and Well Kids in Iowa (Hawki). Key revisions include updates to telephone system requirements, call center reporting obligations, support operations for IHAWP and DWP programs, and removal of a specific RFP section. The amendment specifies detailed technical and reporting requirements to enhance service delivery and compliance.
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PDF, Low prioritynotice-of-intent-to-award
LowAI Summary for Notice of Intent to Award RFP MED-25-003 Iowa Medicaid Help Desk Services: This document dated October 31, 2024, is a Notice of Intent to Award for Request for Proposal (RFP) number MED-25-003 issued by the Iowa Department of Health and Human Services. It announces the agency's intent to award the contract for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and Healthy and Well Kids in Iowa (Hawki) to Conduent State Health Care, LLC. The notice clarifies that the award is subject to contract execution and does not constitute a binding contract. It also outlines the process for bidders to request reconsideration of the award decision within five calendar days, including submission instructions and appeal rights.
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PDF, Low priorityspecial-notice
LowAI Summary for Notice Regarding RFP MED-25-003 Question Submission Deadline Change: This document is a notice dated September 10, 2024, from the Iowa Department of Health and Human Services regarding RFP MED-25-003 for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and Healthy and Well Kids in Iowa (Hawki). It informs bidders that the deadline to submit Round 2 Questions has been extended to 3:00 PM on Wednesday, September 18, 2024. The rest of the RFP timeline remains unchanged.
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PDF, Low priorityspecial-notice
LowAI Summary for Notice Regarding RFP MED-25-003 Timeline Change: This document is a notice from the Iowa Department of Health and Human Services regarding the RFP MED-25-003 for Member Management, Consumer Assistance, and Eligibility Help Desk Services for Iowa Medicaid and Healthy and Well Kids in Iowa (Hawki). It announces a change in the timeline, specifically the Notice of Intent to Award date moving from October 25, 2024, to October 31, 2024. All other dates remain unchanged. The notice is dated October 22, 2024, and is issued by Traci McCaughey, the Issuing Officer.
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AgencyUtah → Department Of Health And Human Services
The Agency is seeking proposals to perform Member Services functions and other related activities for the Iowa Medicaid and Hawki programs. Additionally, to provide support related to assisting Iowans in their applications and renewals for health care coverage, as well as Level 1 Help Desk support for the electronic integrated eligibility application system (ELIAS).
More opportunities from Utah → Department Of Health And Human Services
