YH19-0001 – AHCCCS COMPLETE CARE BIDDERS’ LIBRARY
Disclaimer
The Bidders’ Library is a site to assist Offerors with information and resources regarding the AHCCCS Complete Care RFP. The information in the Bidders’ Library is not intended to be comprehensive. It is the responsibility of the Offeror to obtain and review all pertinent information relating to the AHCCCS Complete Care RFP. To access RFP award information: Procurement File Page – YH19-0001
Post-Release Information
- IT Readiness Demo Introduction
- IT Readiness Demo Provisions
- IT Demo Calendar
- IT Readiness Demo QA Process Provisions
- IT Demo Final Ranking
During the month of May through the first week of June, Successful Offerors were required to participate in a mock Information Systems scenarios exchange which required the receipt of data files from AHCCCS and submission of responses by the Successful Offeror. The outcomes of this process are outlined below.
| AZ Complete Health | Banner University | Care1st | Magellan | Mercy Care | Steward Health Choice | United |
|---|---|---|---|---|---|---|
| 2 | 7 | 5 | 6 | 1 | 4 | 3 |
- Listing of Offerors Date Posted: January 25, 2018
Pre-Release Information
03/07/2017
AHCCCS has established a Constant Contact email notification as a courtesy to allow interested parties to subscribe for notification of information regarding the AHCCCS Complete Care 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:
- Anticipated Procurement Timeline (Updated 11/08/17)
AHCCCS invites public comment on this request for information regarding integrated health plan contractors. AHCCCS believes that health care delivery system design is essential to improving outcomes for our members while assuring the care provided is cost effective and easy for members and families to access. Integrated health plan contractors able to address the whole health needs of our state’s Medicaid population are key to reducing the fragmentation that exists in our health care system and improving service delivery to AHCCCS members.
As part of the contracting cycle which begins with Contract Year 2019 (CYE 19), starting on October 1, 2018, AHCCCS is proposing to offer fully integrated contracts to manage behavioral health (including mental health and substance use disorder) and physical health services to children (including children with CRS conditions) and adult AHCCCS members not determined to have SMI. AHCCCS is also proposing to preserve the RBHAs as a choice option and provide a mechanism for affiliated contractors to hold a single contract with AHCCCS for non-ALTCS members.
AHCCCS is hosting community meetings across the state to gather feedback from stakeholders including members and their families, advocates and providers, to support and inform its efforts to develop integrated health plan contracts. Please RSVP to Sherri.Moncayo@azahcccs.gov as session capacity is limited.
For more information, please visit the General News section of the AHCCCS News & Updates page.
The AHCCCS Administration received inquiries from external parties that may 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: 10/23/2017
Request For Proposal
- Section A – Data Supplement Instructions
- Section B – Program Changes and Fee Schedule Changes
- Section C – Data Book Information
- Introduction
- Member Month Summary Report (SFTP)
- Member Month Text File (SFTP)
- Services Summary Report (SFTP)
- Services Text File (SFTP)
- Section D – Data Book Service Matrix
- Section E – AHCCCS Reference Tables
- Section F - Rate Development Information
- Introduction
- Rate Development Documentation
- Non-Benefit Costs Bid Requirements amended 11/30/17
- Non-Benefit Costs Bid Submission (SFTP) amended 11/30/17
- Section G- Financial Information
- Section H –Enrollment Information
- Introduction
- AHCCCS Acute Care and CRS Enrollment (SFTP)
- AHCCCS Acute Care and CRS Enrollment By County By Contractor (SFTP)
- o AHCCCS Acute Care and CRS Projected Member Months (SFTP)
- AHCCCS Complete Care Member Count by Zip Code (SFTP)
- Section I – AHCCCS Contractor Capitation Rates
- Section J – Reinsurance Information
- Section K – Number of Births to Member Months
- Introduction
- Number of Births to Member Months (SFTP)
- Section L – Behavioral Health Utilizer Information
- Introduction
- Behavioral Health Utilizer Information (SFTP)
- Request for Proposal Solicitation
[Sections: A-F, H, and I (Exhibit C and G)] - Section A: Solicitation and Offer Page
- Section G: Representations and Certifications of Offeror
- Section G: Representations and Certifications of Offeror
- Section G-1: Disclosure Information Template
- Section I: Exhibits
- Exhibit A: Offeror's Checklist (Updated: 12-20-17)
- Exhibit B: Offeror's Bid Choice Form
- Exhibit C: Narrative Submission Requirements (See RFP Solicitation Document)
- Exhibit D: A.R.S. §35-393-.01 Attestation
- Exhibit E: Affiliated Organization Attestation
- Exhibit F: State Only Pregnancy Termination Agreement
- Exhibit G: Transition Requirements (See RFP Solicitation Document)
- Draft Policies, Guides and Manuals
- AHCCCS Medical Manual (AMPM)
- AMPM Policy 330, Covered Conditions and Services for the Children's Rehabilitative Services (CRS) Program
- AMPM Policy 520, Member Transitions
- AMPM Policy 520, Attachment A, Enrollment Transition Information (ETI) Form
- AMPM Policy 520, Attachment B, Out of Service Area Placement Request
- AMPM Policy 560, CRS Care Coordination and Service Plan Management
- AMPM Policy 1060, Training Requirements for RBHAs and Behavioral Health
- AHCCCS Contractor Operations Manual (ACOM)
- ACOM Policy 107, Advantage Organization Dual Eligible Special Needs Plans
- ACOM Policy 313, Certification of MAO
- ACOM Policy 314, Auto-Assignment Algorithm
- ACOM Policy 402, Member Transition for Annual Enrollment Choice and Eligibility Changes
- ACOM Policy 407, Workforce Development
-
ACOM Policy 415, Provider Network Development and Management Plan
- ACOM Policy 415, Attachment A, Network Attestation Statement
- ACOM Policy 415, Attachment B, NDMP Checklist
- ACOM Policy 415, Attachment C, ALTCS E/PD Contractor Supplement
- ACOM Policy 415, Attachment D, Provider Terminations Due to Rates
- ACOM Policy 415, Attachment E, Providers that Diminished their Scope of Services 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 415, Attachment H, E/PD and DDD Customized Wheelchair, Customized Hospital Bed and Augmentative Communication Device Timeline Report
- ACOM Policy 426, Children's Rehabilitative Services Referrals, Designations and Coverage
- ACOM Policy 432, Benefit Coordination and Fiscal Responsibility for Behavioral Health Services and Physical Health Services
- ACOM Policy 436, Network Standards
- ACOM Policy 449, Behavioral Health Services for Children in Department of Child Safety Custody and Adopted Children
Prospective Offerors' Conference and Technical Interface Meeting
Please note, hard copy handouts will not be made available at the Conference and a conference dial-in phone number will not be provided.
- Offerors' Conference - Morning Session Agenda (Updated: 11-06-17)
- Presentation (Updated: 12-01-17)
- Sign-In sheet (Posted: 11-09-17)
- Offerors' Conference - Technical Interface Agenda - Afternoon Session (Updated: 11-09-17)
- Presentation (Updated: 12-01-17)
- Sign-In sheet (Posted: 11-09-17)
- Autism Spectrum Disorder (ASD) Resources
- Instructions to SFTP
- Pain Management COE Model
- RFP Questions and Responses Template
- Targeted Investment Provider Listing (SFTP) – (posted to SFTP 01/17/2018)
Contact
Questions about Solicitations, Contracts and Purchasing should be directed to Meggan LaPorte, Chief Procurement Officer:
- Email: procurement@azahcccs.gov
