YH18-0001 - ALTCS E/PD BIDDERS’ LIBRARY

• Major Decisions as of 11/07/2016
• Major Decisions as of 10/04/2016
• Major Decisions as of 09/30/2016
• Major Decisions as of 09/22/2016
• Major Decisions as of 08/25/2016
• Major Decisions as of 06/24/2016

March 1, 2016
AHCCCS received numerous public comments to the ALTCS E/PD YH18-0001 Request for Proposal (RFP). The document entitled “Public Comment Common Themes” highlights the common themes presented by the public in their feedback regarding the RFP. AHCCCS also received public comments regarding other important areas of the AHCCCS Program which are outside of the scope of the RFP. The public comments which are beyond the scope of the RFP are not listed in the “Public Comment Common Themes” document, however, AHCCCS will review those issues and address them as appropriate.

• ALTCS E/PD RFP YH18-0001 - Public Comment Common Themes

January 13, 2016
From January 13th, 2016 through February 15th, 2016, the AHCCCS Administration is inviting the public to submit comments regarding the ALTCS E/PD YH18-0001 Request for Proposal. Comments furnished by the public, including those submitted at the Stakeholder Forums as well as comments received via the ListServ, will be published to the AHCCCS website. Because input received by the public will be posted to the AHCCCS website, please ensure comments do not include confidential or protected health information or contain information that the commenter would not wish to share in a public setting.

• Comment Period Ended: February 15th, 2016 5 p.m.

March 15, 2017
AHCCCS has established a Constant Contact email notification as a courtesy to allow interested parties to subscribe for notification of information regarding the ALTCS E/PD Request for Proposal (RFP). However, subscribers/interested parties should not rely solely on this Constant Contact email notification for up-to-date information. In order to ensure that subscribers/interested parties have access to all information pertaining to the RFP, it is the responsibility of the subscriber/interested party to regularly visit the AHCCCS Website. To subscribe click the sign up button below:

The AHCCCS Administration received inquiries from external parties that may not pertain to the RFP. The AHCCCS Administration has provided the following responses to these inquiries as they may be relevant for interested parties.

• External Inquiries
  Date posted: December 5, 2016

• Summary of Proposals
  Date posted: February 13, 2017

• Amendment 1: Solicitation Amendment Signature Page
• Amendment 2: Solicitation Amendment Signature Page and Q&A
• Amendment 3: Solicitation Amendment Signature Page and Q&A (Updated 01/06/17)
• Amendment 4: Solicitation Amendment Signature Page and Q&A (Updated 01/06/17)
• Amendment 5: Solicitation Amendment Signature Page - IT Demo Calendar
• Amendment 6: Solicitation Amendment Signature Page

• ALTCS E/PD Request For Proposal Solicitation
  [Sections: A-F, H, I (Exhibits C, D, and E), and J]

• Section G: Representations and Certifications of Offeror
  • Section G-2: Disclosure Information Template

• Section I: Exhibits
  • Exhibit A: Offeror’s Checklist
  • Exhibit B: Offeror's Bid Choice Form
  • Exhibit F: A.R.S. §35-393.01 Attestation

Policies, Guides and Manuals

AHCCCS Medical Manual (AMPM)
• AMPM Policy 310-TBD - End of Life Care
• AMPM Policy 310-J - Hospice Services
• AMPM Policy 1240-A - Direct Care Services
• AMPM Policy 1240-E - Habilitation Services
• AMPM Policy 1250-A - Behavioral Health Services
• AMPM Policy 1250-B - Hospice Services
• AMPM Policy 1250-D - Respite Services
• AMPM Policy 1610 - Guiding Principles and Components of ALTCS Case Management
• AMPM Policy 1620-A - Case Manager Standards
• AMPM Policy 1620-B - Needs Assessment Care Planning Standard
• AMPM Policy 1620-D - Service Planning Standard
• AMPM Policy 1620-E - Service Plan Monitoring and Reassessment Standard
• AMPM Policy 1620-G - Behavioral Health Standards
• AMPM Policy 1620-L - Case File Documentation Standard
• AMPM Policy 1630 - Administrative Standards

AHCCCS Contractor Operations Manual (ACOM)
• ACOM Policy 104 - Continuity of Operations and Recovery Plan
  • Policy 104 Attachment A
• ACOM Policy 305 - Performance Bond and Equity Per Member Requirements
  • Policy 305 Attachment A
• ACOM Policy 404 - Member Information
  • Policy 404 Attachment A
  • Policy 404 Attachment B
  • Policy 404 Attachment C
  • Policy 404 Attachment D
• ACOM Policy 415 - Provider Network Development and Management Plan Periodic
  • ACOM Policy 415 Attachment A - Network Attestation Statement
  • ACOM Policy 415 Attachment B - Network Development and Management Plan Checklist
  • ACOM Policy 415 Attachment C - ALTCS-EPD Contractor Supplement
  • ACOM Policy 415 Attachment D - Provider Terminations Due to Rates
  • ACOM Policy 415 Attachment E - Providers that Diminished Their Scope of Service and or Closed Their Panel Due to Rates
  • ACOM Policy 415 Attachment F - Agency with Choice Roster
  • ACOM Policy 415 Attachment Ga - DDD Therapeutic Services Network Gap Reporting Roster
  • ACOM Policy 415 Attachment Gb - HCBS Services Network Gap Reporting Roster
• ACOM Policy 416 - Provider Network Information
• ACOM Policy 436 - Network Standards
  • Policy 436 Attachment A

Other Guides, Manuals and Policies
• Arizona DRG Payment Policies and APR-DRG Calculator
• AHCCCS Reinsurance Policy Manual

• Introduction
• Provisions
• Calendar (Updated 01/11/2017)
• Q&A Process Provisions
• Q&A Template
• Q&A Responses

Conference Information

(Please note, hard copy handouts will not be made available at the Conference.)

(Please note, a conference dial-in phone number will not be provided.)

Prospective Offerors' Conference Presentation Materials
• Agenda
• Presentation
• Sign-In Sheet

Prospective Offerors' Technical Interface Meeting Presentation Materials
• Agenda
• Presentation
  Presentation revised 11-10-2016
• Sign-In Sheet

ALTCS EPD RFP CYE’18 Data Supplement Table of Contents

• Section A – Data Supplement Instructions
  • Data Supplement Instructions and Overview
  Section B – Program Changes and Fee Schedule Changes (Updated 12/19/16)
  Section C – Databook Information
  • Databook Introduction
  • Prospective Member Month Summary Report (SFTP)
  • Prospective Member Month Text File (SFTP)
  • Prospective Utilization and Cost Summary Report (SFTP)
  • Prospective Utilization and Cost Text File (SFTP)
  Section D – Service Matrix/Selection Criteria
  • Introduction
  • ALTCS EPD Service Matrix
  Section E – AHCCCS Category of Service, Form Types, Provider Type and Descriptions
  • Introduction
  • AHCCCS Category of Service
  • AHCCCS Form Types
  • AHCCCS Provider Types
  Section F - Bid Submission Information
  • Capitation Rate Ranges and Rate Setting Information
  • Capitation Bid Template/Tool Overview
  • Capitation Bid Template/Tool (SFTP)
  • Case Management Model Template (SFTP)
  • HCBS Mix Percentages
  • Medical Component Ranges
  • HCBS Historical Mix Percentages (Added 01-05-17)
  Section G – Enrollment and Placement Information
  • Introduction
  • AHCCCS ALTCS Enrollment
    • AHCCCS ALTCS Enrollment 2012
    • AHCCCS ALTCS Enrollment 2013
    • AHCCCS ALTCS Enrollment 2014
    • AHCCCS ALTCS Enrollment 2015
  • AHCCCS ALTCS Enrollment By County By Health Plan
  • AHCCCS Population By Health Care Contractor
  • Member Placement By Program Contractor (SFTP)
  • Member Placement By Program Contractor Non-Acute Care (SFTP)
  • Member Placement Comparison By Program Contractor (SFTP)
  • Annual Enrollment Choice Statistics
  • ALTCS Maricopa County and Pima County Auto-Assignment
  • ALTCS Maricopa County and Pima Choice Statistics
  • Members By County, Age and Gender (SFTP)
  • Length of Enrollment by GSA
  • Member Discontinuance (SFTP)
  • Initial Placement Information (SFTP)
  Section H – Financial Information
  • Introduction
  • AHCCCS Contracted Health Plan Audited Financial Information
  • Unaudited Financial Information (SFTP)
  Section I – AHCCCS Contractor Capitation Rates
  • Contractor Capitation Rates
  Section J – Reinsurance and Share of Cost Information
  • Introduction
  • Historical RI Payments
  • Historical RI Offsets
  • Historical SOC Payments
  • Historical SOC Offsets
  • Share of Cost Reconciliation Results

• Email address: AHCCCSRFP-SFTP@azahcccs.gov as noted in the Instructions to the SFTP which was previously not working is now available for use. (11-15-2016)
  
  Instructions to Secured File Transfer Protocol (SFTP)
• RFP Questions and Responses Template