Heritage Health Request for Proposals

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Request for Proposal 112209 O3​

The State of Nebraska, Department of Health and Human Services (DHHS), is issuing this Request for Proposal (RFP) Number 112209 O3 for the purpose of selecting a qualified bidder to provide a full-risk, capitated Medicaid Managed Care program for physical health, behavioral health, pharmacy, and dental services. Opening Date: July 1, 2022, 2:00 PM Central Time.

Written Questions regarding the project for Round 1 are due no later than May 2, 2022.
Written Questions regarding the project for Round 2 are due no later than May 23, 2022.

• Request for Proposal
  
• Attachment 1 - Member Counts by County
  
• MS Excel Format
  
• Attachment 2 - Nebraska Counties Classified by Urban, Rural, & Frontier Status
  
• MS Word Format
  
• Attachment 3 - Policies, Procedures, and Plans
  
• MS Word Format
  
• Attachment 4 - Rating Regions
  
• MS Word Format
  
• Attachment 5 - Insure Kids Now
  
• Attachment 6 - Quality Performance Program Measures
  
• MS Word Form​at
  
• Attachment 7 - Medical Loss Ratio Requirements
  
• MS Word Format
  
• Attachment 8 - Critical Access Hospitals
  
• MS Word Format
• Attachment 9 - 2022 Health Care Acquired Conditions
• MS Word Format
• Attachment 10 - Liquidated Damages
• MS Word Format
• Attachment 11 - Data Exhibits Dental
• MS Excel Format
• Attachment 12 - Example Capitation Rates
• MS Excel Format
• Attachment 13 - Reporting Requirem​ents​
• MS Word Format
• Attachment 14 - Access Standards​
• MS Word Format​
• Attachment 15 - High Cost Drug Pool Risk Corridor
• MS Word Format
• Attachment 16 - Example Base Data Model - Physical and Behavioral
• MS Excel For​mat
• Attachment 17 - Dental Rates State Fiscal Year 2022
  
• Attachment 18 - Nebraska Dental State Fiscal Year 2022 Certification 
• Attachment 19 - Nebraska Heritage Health Calendar Year 2022 Certification
• Attachment 20 - Heritage Health Calendar Year 2022 Capitation Rate Certification Exhibits
• Attachment 21 - Risk Corridor
• Attachment 22 - Fiscal Year 2022 Nebraska Dental Rate Development Summary
• Attachment 23 - Expansion RC and Non-Exp HIPP RC Calculation Examples
  
• Proposal Response Instructions
• MS Word Format
• Optional Services Proposal Response Instructions - Revised​
  
• Optional FFS Cost Proposal
• MS Word Format
• Evaluation Criteria
• MS Word Format​​
• List of PreProposal Conference Attendees
• MS Word Format
• Addendum One - Questions and Answers - Round 1
• ​​Addendum Two - Optional Services Proposal Response Instructions 
• Addendum Three - Questions and Answers - Round 2
• List of Respondents​​​​
• Memorandum to Bidders
• MS Word Format
• Addendum Four
• MS Word Format
• Evaluation Criteria - Corrected
• MS Word Format
• Addendum Five - Revised Schedule of Events
• MS Word Format
  
• ​Addendum Six - Revised Schedule of Events
  
• MS Word Format
• Intent to Award
• ​Final Evaluation Document
• Healthy Blue Proposal
  
• Medica Proposal
  
• Molina Proposal
• Nebraska Total Care Proposal - Part 1​
• Nebraska Total Care Proposal - Part 2
  
• Nebraska Total Care Proposal - Part 3
  
• UnitedHealthcare of the Midlands Proposal
• Healthy Blue Protest
• Memorandum to Bidders - MCO Protest
• DHHS Response to Healthy Blue Protest​
• Molina Response to Healthy Blue Protest​​​
  
• Molina Response Exhibit to Healthy Blue Protest
  
• Nebraska Total Care Response to Healthy Blue Protest​​​​​​
• UnitedHealthCare of the Midlands Response to Healthy Blue Protest​
  
• Renewed Request for Stay of Contract Performance Letter to DHHS
• DHHS CEO Response to Healthy Blue Protest - 12/29/2022​
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