This Solicitation opportunity from Virginia was posted on December 19, 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 Appendix A - FAS Service Level Agreement (2024-09-19): This document defines the Service Level Agreement (SLA) for the FAS contract, detailing performance targets, measurement methods, and the calculation of liquidated damages based on monthly invoice allocation percentages. It includes a specific SLA table (FAS-SLA-001 through FAS-SLA-008) covering operational standards, batch job completion, outage notifications, and defect resolution timeframes.
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XLSX, High priority: read this firstspecifications
HighAI Summary for Appendix G - Security Assessment and Governance Map Questionnaire: A security assessment questionnaire (ECOS Assessment) for non-premise based services, specifically for DMAS and VITA. It requires suppliers to provide detailed responses and supporting artifacts regarding cloud classification, access control policies, and account management to ensure compliance with Commonwealth Security Standards.
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XLSX, High priority: read this firstspecifications
HighAI Summary for Appendix H - Operational and Tech Req 20240919: This document is a Requirements Traceability Matrix (RTM) and RFP Threshold Questionnaire for a DMAS procurement. It provides instructions for suppliers to document compliance (Y/F/N) with technical, operational, and cloud oversight requirements, including VITA security standards and contract terms.
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XLSX, High priority: read this firstspecifications
HighAI Summary for RFP18693 Addendum 2 Attachment 3A - Program OPS Stats: This document is an attachment to Addendum 2 of RFP18693, providing detailed operational statistics for a call center and help desk. It includes historical data from July 2023 through October 2024 regarding call volumes, IVR activity, web portal usage, and claims processing metrics (including provider and member call breakdowns, average speed to answer, and talk times).
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PDF, High priority: read this firstamendment
HighAI Summary for RFP 18693 Addendum 2 - Fiscal Agent Services (FAS): Addendum No. 2 dated November 27, 2024, for RFP 18693 (Fiscal Agent Services). Key updates include extending the proposal due date to January 10, 2025, clarifying key personnel resume requirements, adjusting call center volume metrics in the pricing appendix, and updating operational/technical requirements in Appendix H. The document also includes a partial Q&A section (Attachment 3) addressing claim types, reporting, and call center operations.
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PDF, High priority: read this firstamendment
HighAI Summary for RFP 18693 Addendum 3 - Fiscal Agent Services (FAS): Issued December 19, 2024, by the Virginia Department of Medical Assistance Services (DMAS), this addendum modifies RFP 18693 for Fiscal Agent Services. It extends the proposal due date to January 10, 2025, updates technical requirements for the Rules Engine (FAS-RULE-EGN-003), and provides a comprehensive Q&A attachment addressing printing supplies, EFT/check volumes, and ECMS document counts.
DOCX
DOCX, High priority: read this firstspecifications
HighAI Summary for RFP #18693 - Appendix B: Project Milestones and Deliverables: A template for RFP #18693 (VA Fiscal Agent Services) requiring suppliers to define project milestones, associated deliverables, RTM mapping, and estimated payment percentages. It outlines 22 key milestones ranging from project kickoff to operational readiness, including specific timelines and payment terms subject to a 15% CMS certification retainage.
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DOCX, High priority: read this firstsupporting-document
HighAI Summary for RFP #18693 - Appendix C Small Business Subcontracting Plan: A mandatory submission form for RFP #18693 (VA Fiscal Agent Services) used to document a supplier's Small Business Subcontracting Plan. It outlines requirements for DSBSD SWaM certification and provides sections for suppliers to commit specific spend utilization percentages for certified small and micro-businesses to earn evaluation points.
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XLSX, High priority: read this firstspecifications
HighAI Summary for RFP 18693 - Appendix D: FAS Pricing: A pricing template (Appendix D) for RFP 18693 regarding Fiscal Agent Services (FAS) for the Virginia Department of Medical Assistance Services. The document provides structured cost schedules for Design, Development, and Implementation (DDI), as well as annual Operations & Maintenance (O&M) and Call Center costs over a six-year term.
XLSX
XLSX, High priority: read this firstspecifications
HighAI Summary for RFP 18693 - Appendix D: FAS Pricing: Updated pricing template (Appendix D) for RFP 18693 regarding Fiscal Agent Services (FAS) for the Virginia Department of Medical Assistance Services. The document provides detailed cost schedules for Design, Development, and Implementation (DDI), as well as Operations and Maintenance (O&M) and Call Center costs over a six-year term, including labor and non-labor cost categories.
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PDF, High priority: read this firstsupporting-document
HighAI Summary for RFP #18693 Appendix E - State Corporation Commission Form: A mandatory submission form for RFP #18693 (VA Fiscal Agent Services) requiring suppliers to certify their registration status with the Virginia State Corporation Commission (SCC) or provide legal justification for out-of-state status.
DOCX
DOCX, High priority: read this firstrfp
HighAI Summary for RFP #18693 - Appendix F: Supplier Exceptions to Contract: A proposal submission template for RFP #18693 (VA Fiscal Agent Services) used by suppliers to list and explain any exceptions to the DMAS Standard Contract (Appendix L) and Cloud Services Additional Contract Terms and Conditions (Appendix M).
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XLSX, High priority: read this firstspecifications
HighAI Summary for RFP18693 Appendix H - Operational and Tech Req: This document is an updated Requirements Traceability Matrix (RTM) and threshold questionnaire for RFP18693, dated 2024-11-27. It provides instructions for suppliers to document compliance with technical and operational requirements, specifically focusing on VITA cloud oversight, security standards (NIST, FedRamp), and standard agreement terms.
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PDF, High priority: read this firstspecifications
HighAI Summary for RFP #18693 Appendix J - FAS Interfaces: Appendix J for RFP #18693 (VA Fiscal Agent Services) detailing the data interfaces used by the Fiscal Agent Services (FAS) solution. It specifically lists the batch file exchanges facilitated by the Integration Services Solution (ISS) and Managed File Transfer Service (MFTS), including a comprehensive table of over 110 specific data exchange types between FAS, DMAS, and other trading partners.
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PDF, High priority: read this firstspecifications
HighAI Summary for RFP #18693 - Appendix K: Integration Services Solution (ISS): Appendix K of RFP #18693 for VA Fiscal Agent Services (FAS) provides the technical specifications for the Integration Services Solution (ISS). It details the central coordinator for information flow within the MES, including the public portal, intranet connectivity, Enterprise Service Bus (ESB) for real-time and near real-time data exchange, Managed File Transfer Solution (MFTS) for batch exchanges, and the Identity Credentials and Access Management (ICAM) solution for Single Sign-On (SSO) integration.
DOCX
DOCX, High priority: read this firstspecifications
HighAI Summary for RFP #18693 - Appendix M: Cloud Services Terms: Appendix M for RFP #18693 (VA Fiscal Agent Services) detailing additional contract terms and conditions for Cloud Services/SaaS. It defines roles, responsibilities, service levels, data privacy, security, and escrow requirements for suppliers providing cloud-based solutions to the Department of Medical Assistance Services (DMAS).
DOCX
DOCX, High priority: read this firstspecifications
HighAI Summary for RFP #18693 - Appendix N: DMAS License Agreement Addendum: This document is a License Agreement Addendum (LAA) for RFP #18693 regarding VA Fiscal Agent Services (FAS). It serves as a mandatory addendum that suppliers must execute and submit with their proposal if their solution requires an End User License Agreement (EULA). The LAA establishes that Commonwealth of Virginia law governs the agreement and explicitly voids 26 specific standard contract clauses (such as non-Virginia jurisdiction, indemnification of the supplier, and arbitration) that are incompatible with state law.
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PDF, High priority: read this firstsupporting-documents
HighAI Summary for RFP #18693 - Appendix Q: Business Associate Agreement: This document is Appendix Q of RFP #18693 for Virginia Fiscal Agent Services (FAS). It is a Business Associate Agreement (BAA) between the Virginia Department of Medical Assistance Services (Covered Entity) and a supplier (Business Associate). The agreement establishes the legal requirements for the privacy and security of Protected Health Information (PHI) in compliance with HIPAA, the HITECH Act, and other applicable federal and state laws.
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PDF, High priority: read this firstamendment
HighAI Summary for RFP 18693 Fiscal Agent Services - Addendum No. 1: Issued November 4, 2024, by the Virginia Department of Medical Assistance Services (DMAS), this addendum modifies RFP 18693 for Fiscal Agent Services. It includes a pre-proposal conference registration list (Attachment 1), a transcript (Attachment 2), and a Q&A document (Attachment 3). Vendors must sign and acknowledge the addendum as part of their proposal submission.
DOCX
DOCX, High priority: read this firstcontract-document
HighAI Summary for RFP #18693 - VA Fiscal Agent Services (FAS) Contract Template: Appendix L of RFP #18693, providing the DMAS Standard Contract template for Virginia Fiscal Agent Services (FAS). The document outlines the legal terms and conditions, including period of performance, software licensing, warranties, payment procedures, and termination clauses. Suppliers are required to submit any exceptions in redline format.
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PDF, High priority: read this firstrfp
HighAI Summary for RFP 18693: Virginia Fiscal Agent Services (VA-FAS): Issued on 09/19/2024 by the Virginia Department of Medical Assistance Services (DMAS), this Request for Proposals (RFP 18693) seeks a contractor to provide Fiscal Agent Services (FAS) and call center services to replace legacy systems. The project includes a six-year period of performance for Operations and Maintenance (O&M) following Design, Development, and Implementation (DDI), with options for three 24-month renewals. The solicitation emphasizes modernization through AI, low-code development, and API interoperability, and includes detailed requirements for functional/technical specifications, pricing, and SWaM subcontracting.
DOCX
DOCX, Low prioritypast-performance
LowAI Summary for RFP #18693 - Appendix I: Supplier References: A reference collection form for RFP #18693 (VA Fiscal Agent Services). It requires suppliers to provide three customer references with contact details, contract numbers, and project descriptions to allow DMAS to evaluate the supplier's ability to perform services similar in scope to the requirements.
DOCX
DOCX, Low priorityother
LowAI Summary for RFP #18693 - Appendix O: Supplier Proprietary Information: A template form for RFP #18693 (VA Fiscal Agent Services) used by offerors to identify and justify proprietary or trade secret information within their proposal to prevent unauthorized public release.
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PDF, Low prioritysupporting-documents
LowAI Summary for RFP #18693 - Appendix P: Glossary and Abbreviations: Appendix P of RFP #18693 for VA Fiscal Agent Services (FAS), providing a detailed glossary of term definitions and acronyms used throughout the solicitation and related documents, including definitions for DMAS, DDI, and other technical and administrative terms.
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Timeline
1 update
PhaseClosed
Posted
Solicitation
Notice updated
Response deadline changed from Dec 20, 2024 to Jan 10, 2025. NAICS code changed from 561422 to 561320.
Response Deadline
Deadline has passed
Submission Closed
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AgencyVirginia Department of Medical Assistance Services
The Department of Medical Assistance Services (âDMASâ) is issuing this Request for Proposals (âRFPâ) to obtain one Contractor for âFiscal Agent Services (FAS)â (previously known and referred to as the âMedicaid Management Information System (MMIS)â Solution) and call center services to address inquiries from Medicaid members and providers. DMAS desires a Solution that will transform business processes and replace legacy FAS services. The Solution should position DMAS to further enhance its operational capabilities as future advances become available in both technology and business processes recommended by CMS, DMAS or industry. Interested Suppliers are encouraged to review the attached documents for further details and requirements associated with this solicitation.
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