VT posts amendment to QHP RFP - Q&A for Dental

Vermont has posted the questions and answers in regard to Dental for the Qualified Health Plans (QHP) Request for Proposals (RFP).   See:  http://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=9464 for further information.

Have a safe and merry holiday season and new year!

Vermont releases IE RFP Addendum

Good evening and Happy Holidays.   

The State of Vermont and the Agency of Human Services released the Integrated Eligibility (IE) RFP Addendum.  The addendum is located at:  http://bgs.vermont.gov/purchasing/bids/AhsIntegratedEligibility.

* Template revisions are identified
* IE ACCESS Decomposition Scope Statement (v1.0) is added
* Health Services Enterprise Architecture (v6.9) is added
* Addendum #5 is added
* Schedule is:

Vermont releases Radiology Benefit Management RFP

Happy Holidays!!!

The Department of Vermont Health Access is seeking to establish service agreements with one (or more) companies that can provide Radiology benefit management. As part of 2011 Act 156 (SFY'11), the legislature allowed the Department of Vermont Health Access (DVHA) to institute a prior authorization (PA) process for high-tech imaging, including scans such as: computed tomography (CT), computed tomographic angiography (CTA), magnetic resonance imaging (MRI), magnetic resonance angiography (MRA), positron emission tomography (PET), and positron emission tomography-computed. A high-tech imaging prior authorization program was implemented on September 1, 2010 and to date all service performance indicators are positive. The Department of Vermont Health Access is now accepting proposals of Vendors who can provide to the State full radiology benefit management services for the entire Medicaid Fee-for-Service (FFS) population in Vermont, including:

• Management of all prior authorization requests submitted by VT-Medicaid providers on behalf of 

   VT-Medicaid clients including determining medical necessity and quality through application of

   developed, proprietary evidence-based clinical guidelines

• Receipt and use of data files from HP Enterprise (HP), the Medicaid fiscal agent/claims 

   processing agent, for prior authorization processing

• Transmission of prior authorization data files to HP for uploading to the MMIS

• Performance reporting

• Adherence to HIPAA Privacy and Security Regulations and law

• Acceptance testing

The RFP posting can be located here: http://www.vermontbusinessregistry.com/BidPreview.aspx?BidID=9559

Schedule of Events:

RFP Posted	December 21, 2012
Bidder’s Questions Due	January 7, 2013
Dept. Response to Questions	January 11, 2013
Intent to Bid	January 14, 2013
Proposal Due/Closing Date	January 28, 2013
Bid Opening	January 28, 2013
Selection Notification	March 1, 2013
Commencement of Contract	April 1, 2013

All communications concerning this Request for Proposal (RFP) are to be addressed in writing to the attention of:

Meaghan Kelley      Email: meaghan.kelley@state.vt.us  Phone: 802-871-3302

State of Vermont enters contract for HBE work

FOR IMMEDIATE RELEASE

Department of Vermont Health Access
December 14, 2012
Contact: Lindsey Tucker
Contact Phone Number: 802-871-3097
Contact E-mail Address: Lindsey.Tucker@state.vt.us
State Continues to Move Forward to Develop the Health Benefit Exchange Technology. Hires Veteran IT Provider CGI.
WILLISTON – Today, the state of Vermont took another step forward as they signed a contract to ensure that Vermont Health Connect, the state’s health benefit exchange, will open enrollment in October 2013. Global IT provider CGI will build the technology infrastructure for Vermont Health Connect, the marketplace for individuals, families, and small businesses to compare and purchase qualified private health insurance plans, determine eligibility for and enroll in public health insurance plans, and access federal tax credits.
Over the next year, CGI will work with the state of Vermont to leverage and build on technology products and structures the state already has in place. In partnership with the state, CGI will deliver a consumer-friendly, customized exchange that guides Vermonters through the process of finding health coverage. The Vermont Health Connect technology infrastructure will seamlessly complement the state’s premium billing process and the Customer Support Center, which Vermonters can call for help related to finding healthcare plans.
Robin Lunge, the Director of Health Care Reform, said, “Currently, CGI is working to build the federal exchange as well as the exchanges in Hawaii, Colorado, and Massachusetts. Our partnership with CGI will ensure that we are learning from other state’s experiences. Basically, we will not be recreating the wheel. Instead, we will take advantage of existing resources to reduce costs and reuse them in a way that works for our state.”
CGI is well positioned to work with Vermont to develop Vermont Health Connect through an approach that both aligns with federally mandated timelines and serves Vermonters well. CGI has been serving the health industry for over 20 years and their expertise spans the public and private sector healthcare spectrum by delivering solutions to federal, state and local agencies, more than 1,000 health facilities (including 250+ hospitals and departments of health) and 25 health insurance carriers.
“I’m pleased that this is yet another indication that we’re on track to offer Vermonters health coverage—whether public or private—in an accessible, straightforward way. Vermont Health Connect will provide Vermonters with the unique opportunity to make apples-to-apples comparisons of their health coverage options. We’re working to change the insurance market for the better and I’m confident in our ability to succeed,” said Mark Larson, Commissioner of the Department of Vermont Health Access.

Further Clarification on IE RFP Schedule

The IE RFP procurement schedule has been modified to:

• add RSVP for Vendor Conference,  and add
• two days to Proposal Due Date due to Holiday. 

The revised schedule is as follows:

Amendment Issued	12/24/2012
RSVP for Vendor Conference Due	1/4/2013
2nd Round Questions Due	1/4/2013
Vendor Conference (IN PERSON)	1/8/2013
Posted Answers	1/10/2013
Proposals Due	1/23/2013
Orals week of	2/11/2013
Contract Negotiations /BAFO - week of	2/25/2013
Contract award	3/11/2013

IE RFP Update!!

Posted earlier today at http://bgs.vermont.gov/purchasing/bids/AhsIntegratedEligibility:

IE RFP Bidders' Conference Attendee List
IE RFP Round 1 questions and answers
IE RFP Bidders' Conference questions
IE RFP updated timeline (posted on 12/7 as addendum #3) and listed below

IE RFP Bidders Conference Follow-up

Thank you to all the attendees of the Vermont Integrated Eligibility (IE) RFP Bidders' Conference call.  Your participation is an indication of the great work that is going on in VT and we are excited for the future possibilities.  The dynamic business and IT health care environment challenges us every day to be nimble and we appreciate your time and understanding.   

The IE RFP Schedule, Bidders Conf Attendee List, and Q&A to be posted soon - if not by end of the day today then by Monday.

Have a great weekend.

Be Part of Reform! TODAY!

Exciting news and updates will be discussed today on the IE RFP Bidders Conf call!! 

Dial-in w/ family & friends at 1:00pm -

866-579-8110  pass 679877

Be part of the transformative work being done in VT to address health reform!