Mississippi Medicaid System Upgrade RFP
The Mississippi Division of Medicaid seeks a Vendor to host and maintain the New MEDS Eligibility system to provide quality health coverage for vulnerable Mississippians. The project involves a takeover of the current system, including hosting the code base and operating a Print Center. Vendor participation in the conference is mandatory. Experienced and financially sound Vendors are invited to submit proposals for consideration.
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RFP No. 20220401 New MEDS Eligibility Takeover Thursday, April 14, 2022 OFFICE OF THE GOVERNOR | DIVISION OF MEDICAID 550 HIGH STREET SUITE 1000 JACKSON MISSISSIPPI 39201 Responsibly providing access to quality health coverage for vulnerable Mississippians 1
Agenda AGENDA Welcome First Roll Call Project Background Project Overview Procurement Guidelines Questions and Answers La Chelle Heard Jill Chastant Stephen Oshinsky Jill Chastant Answers to Vendor questions during this conference are not official unless and until submitted to DOM in writing. Closing Comments Final Roll Call - Conclusion Jill Chastant La Chelle Heard & Jill Chastant Responsibly providing access to quality health coverage for vulnerable Mississippians 2
Welcome First Roll Call Vendor participation is mandatory for the entire conference. Someone representing each participating Vendor must be present for the final roll call. Please send an email that contains your signature block to: itprocurement@medicaid.ms.gov. Attendees https://medicaid.ms.gov/resources/procurement/ will be posted to the DOM website Responsibly providing access to quality health coverage for vulnerable Mississippians 3
Project Background The Mississippi Division of Medicaid (DOM) has just over 1,000 employees located throughout one central office, 30 regional offices, and over 70 different outstations serving the members. DOM is charged with administering multiple Medicaid health benefits programs to those who qualify. DOM wishes to contract with a single Vendor to host and maintain the New MEDS Eligibility system. DOM requests proposals from experienced, responsive, responsible, and financially sound Vendors prepared to carry out all services detailed in this RFP. Responsibly providing access to quality health coverage for vulnerable Mississippians 4
Project Overview Due to the modern modular nature of New MEDS and the critical role it plays, DOM desires a takeover of the current system rather than a replacement system. This takeover includes two main areas. Taking over the New MEDS code base owned by DOM for the New MEDS system as a cloud-based service or hosted in the Vendor s Data Center including operations and maintenance of the system via monthly releases. Operating a Print Center to produce eligibility notices and correspondence to applicants and beneficiaries, including providing mass produced pamphlets and other Medicaidmember communications, assembling information packets, and delivering outbound mail to the US Mail service in a solution that can be performed by the Vendor s subcontractor or by the Vendor s own infrastructure and staff. Responsibly providing access to quality health coverage for vulnerable Mississippians 5
Project Overview The New MEDS system is the focus of this takeover RFP. The New MEDS system has evolved over time and today it is a distinct module. Prior to the Affordable Care Act (ACA), eligibility was determined using two systems: MEDS (for Aged, Blind, and Disabled) and Medicaid Determination System Expansion (MEDSX for Families and Children). Between 2012 and 2016 the current New MEDS system was created to comply with the new ACA eligibility rules, to determine eligibility for both Families and Children using the new ACA Modified Adjusted Gross Income methodology, and the Aged, Blind, and Disabled populations. As a result, the MEDS and MEDSX systems were retired. New MEDS is one of only a handful of integrated eligibility systems in the United States that can process all categories of eligibility for the State. Responsibly providing access to quality health coverage for vulnerable Mississippians 6
Separation of New MEDS from current MMIS Claims & Encounters Processing Third Party Liability Management Provider Management Member Management New MEDS Eligibility System Provider & Claims Document Repository Provider & Claims Outbound Mail Financial Management & Reporting Pharmacy Management Eligibility Notices & Outbound Mail RFP In-scope for Takeover, Extract from Current MMIS (Current Conduent instance will be decomissioned) Out-of-scope (Remaining Conduent MMIS) Responsibly providing access to quality health coverage for vulnerable Mississippians 7
Procurement Guidelines Evaluations Overview Evaluation Team, Categories, and Possible Points(Section VII. No. 19) Stage 1 Selection of Responsive/Valid Proposals (Section VII. No. 19.2.1) Stage 2 Non-cost Evaluation (Section VII. No. 19.2.2) Stage 3 Cost Evaluation (Section VII. No. 19.2.3) Stage 4 Selection of the successful Vendor (Section VII. No. 19.2.4) On-site Demonstrations and Interviews (Section VII. No. 19.2.4.1) Site Visits (Section VII. No. 19.2.4.2) Final Quantitative Evaluation (Section VII. No. 19.2.5) Responsibly providing access to quality health coverage for vulnerable Mississippians 8
Technical Evaluations Possible Points The scoring methodology is explained in Section VII, Number 19. Category Non-Cost Categories Vendor Requirements: Project Work Plan Section VII, Item 10 Certain technical specifications are mandatory. Vendors may not take exception mandatory specification. items in the 10 Project Requirements: Current Environment and Take Over Requirements Section VII, Item 5 Project Duration Section VII, Item 7 to a 20 Technical Requirements: Testing Section VII, Item 12 Security and Privacy Section VII, Item 13 Proposals that do not meet all mandatory specifications are subject to immediate disqualification. 20 Maintenance & Operations: Maintenance and Operations Section VII, Item 15 15 Proposals meeting fewer than 80% of the non-cost requirements eliminated from consideration. Total Non-Cost Points 65 Cost 35 may be further Maximum Possible Points 100 Responsibly providing access to quality health coverage for vulnerable Mississippians 9
SharePoint Submission Process Vendor must submit its RFP response electronically through a SharePoint site maintained by DOM. It is the responsibility of the Vendor to ensure timely submission of its proposal. Access will be given to the Vendor through one (1) email address, which must be included in the Vendor s mandatory Letter of Intent. For the purposes of accessing the Division s SharePoint site that will be used for submission of proposals, the Vendor must include a name, title, phone number, and email address on the mandatory Letter of Intent for the person responsible for uploading the Vendor s proposal to the SharePoint site. Vendor may upload test documents to the SharePoint site that will not be evaluated. Name these files clearly, using a file name such as TEST DOCUMENT or similar so that the Office of Procurement will not include these documents with evaluation. Test documents may not be deleted due to retention policies, but if named TEST DOCUMENT or similar, it will not be included with the documents for evaluation. If Christopher.Reiser@medicaid.ms.gov and cc itprocurement@medicaid.ms.gov on those communications. you experience issues, contact Christopher H. Reiser at Responsibly providing access to quality health coverage for vulnerable Mississippians 10
Additional Information Vendors must review Exhibit A, Standard Contract, and if necessary, take exception. If a Vendor takes no exceptions, the State assumes that these terms are agreeable and cannot be negotiated after the award. Answers to questions asked during this vendor conference are not official until and unless the questions are submitted to the Procurement Officer in writing before 2:00 p.m. CST on Wednesday, April 27, 2022. Vendors are required to submit a written Letter of Intent to Bid. A Vendor that does not submit a Letter of Intent will not be eligible to submit a proposal in response to the procurement. Vendors should continue to check the DOM website for updates related to this RFP. Access the DOM website at: https://medicaid.ms.gov/resources/procurement/. Upcoming Dates Deadline for Vendor Questions and Letter of Intent Wednesday, April 27, 2022 Responses to Vendor Questions Friday, May 13, 2022 Proposal Due Date Monday, June 6, 2022 Responsibly providing access to quality health coverage for vulnerable Mississippians 11
Questions and Answers Vendor Questions Open Floor Answers to vendor questions during this conference are not official unless and until submitted to DOM in writing. Responsibly providing access to quality health coverage for vulnerable Mississippians 12
Conclusion Final Roll Call Please send an email that contains your signature block to: itprocurement@medicaid.ms.gov. Attendees will be posted to the DOM website https://medicaid.ms.gov/resources/procurement/ Thank you for your participation. Please make sure I have acknowledged your company s participation on the web conference. Responsibly providing access to quality health coverage for vulnerable Mississippians 13
