YH09-0001 Acute Care Bidders Library

General

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Closure Date: March 28, 2008, 3:00P.M. MST
Request for Proposal (RFP) YH09-0001
Offeror Question & Answer Template
Bidder’s Conference Presentation
Bidder’s Conference Technical Interface Presentation

Data Supplement for Offerors

Section A - Data Supplement Instructions and Overview
- Attestation Form
Section B - Program Changes
Section C - Data Book Information
- Introduction

Utilization and Cost Text File (CD)
Member Month Text File (CD)
Utilization and Cost Summary Report (CD)
Member Month Summary Report (CD)
General Trend and Rate Setting Assumptions
Completion Factors
Inpatient Hospital Summary Report

Section D - Service Matrix/Selection Criteria
- Introduction
- Service Matrix/Selection Criteria
Section E - AHCCCS Category of Service, Form Types, Provider Type List of Codes and Descriptions
- Introduction
- AHCCCS Categories of Service
- Form Types
- Provider Types
Section F - Bid Submission Information
- Introduction
- Web Instructions
- CCFR Screen Layouts
- Update Instructions for MEDs
- Updated Bid Submission and Risk Adjustment Information and Revised Reinsurance Offsets
Section G - Crosswalk from Service Matrix to CCFR Layout
- Introduction
- Crosswalk
Section H - Enrollment Information
- Introduction
- H-1 Acute Enrollment by County by Health Plan (CD)
- H-2 Acute Enrollment Mix by GSA (CD)
- H-3 Enrollment by Quarter (CD)
- H-4 Member Growth Projections (CD)
- H-5 Acute Enrollment Activity (CD)
- H-6-AHCCCS Enrollment by Zip Code (CD)
- H-7 Member Months Projections
- H-8 Acute Enrollment Mix Percents NO MED
Section I - Rate Code to Risk Group Matrix
- Introduction
- Matrix
Section J - Financial Information for Prospective Members
- Introduction
- 2005-Financial Information for Prospective Members
- Financial Information (CD)
- Third Party Liability (TPL) Financial Information
- Revenue PMPMs
Section K - Capitation Rates
- Introduction
- Capitation Rates
Section L - Birth/Member Month Analysis - Summary by County
- Introduction
- Birth/Member Month Analysis (CD)
Section M - Reinsurance Payments
- Introduction
- Reinsurance Payments
Section N - Reinsurance Offsets
- Introduction
- Reinsurance Offset Methodology
- Reinsurance Offsets
Section O - Hospital Rate Overview
- Introduction
- Overview
Section P - Health Plan Audited Financial Statements
- Introduction
- Audited Financial Information (CD)
Section Q - Hospice Report
- Introduction
- Hospice Report (CD)
Section R - Maternity Care and Delivery Reports
- Introduction
- Maternity Care and Delivery Reports (CD)
- Delivery Type Report
Section S - Delivery Supplement Payment Rates
- Introduction
- Delivery Supplement Payment Rates
Section T - SOBRA Family Planning Service Reports
- Introduction
- SOBRA Family Planning Service Reports (CD)
Section U - SOBRA Family Planning Capitation Rates
- Introduction
- SOBRA Family Planning Rates
Section V- Prospective MED Capitation Rates
- Introduction
- Prospective MED Rates