INDIANA DEPARTMENT OF ADMINISTRATION MEDICAID RATE SETTING LTC AUDITING SERVICES REQUEST FOR PROPOSAL on behalf of the Family and Social Services Administration

INDIANA DEPARTMENT OF ADMINISTRATION GENERAL INFORMATION Attendee Sign-In Sheet Sign-In Sheet and PowerPoint will be posted on State’s Solicitation Website

INDIANA DEPARTMENT OF ADMINISTRATION RFP QUESTIONS AND ANSWERS Questions answered verbally today are not official nor binding and should be submitted in writing if it will affect your proposal response (Q/A Template). All questions must be submitted using the Question and Answer Template provided by 3:00 PM Eastern Time on April 9, Fax:

INDIANA DEPARTMENT OF ADMINISTRATION ACCESSING RFP DOCUMENTS

INDIANA DEPARTMENT OF ADMINISTRATION ACCESSING RFP Documents

INDIANA DEPARTMENT OF ADMINISTRATION

KEY RFP DATES

INDIANA DEPARTMENT OF ADMINISTRATION PURPOSE AND SCOPE OF RFP gsdfgsdfg The purpose of this RFP is to select a vendor(s) that can satisfy the State’s need for Medicaid Rate Setting and LTC Audit Services. It is the intent of the OMPP to contract with a vendor or vendors that provide specific experience and demonstrated success. Medicaid Rate Setting The Medicaid Rate Setting vendor shall provide the following: -General -Transition -Code Set Analytical Support -Long Term Care Rate Setting -Hospital Desk Review, Audit and Cost Report Maintenance -Determination of Disproportionate Share Hospital (DSH) and Medicaid Supplemental Payments -Federally Qualified Health Centers (FQHC) and Rural Health Clinic (RHC) Rate-Setting -In-patient and Out-patient Rate Setting and Consulting -Physician, Dental, Other Practitioner, DME and Medical Supply Fee Maintenance and Consulting -Psychiatric Residential Treatment Facility Desk Reviews and Rate- Setting -Child Protective Services (CPS) Quarterly Settlements -Adjustment of Pharmacy Dispensing Fees (Compliance with IC ) -Other FSSA Program Consulting Services -Optional Responsibilities (services only to be performed subject to a separate contract amendment setting out the cost and specific timelines)

INDIANA DEPARTMENT OF ADMINISTRATION PURPOSE AND SCOPE OF RFP (cont.) gsdfgsdfg LTC Audit The LTC Audit vendor shall provide the following: -General -Transition -Risk Assessment and Desk Review Process -Medicaid LTC AUP Contractor’s Responsibilities for Compliance Reviews and Enhanced Desk Reviews -Compliance Reviews of State Owned ICFs/IID -Minimum Data Set Audits Note: The RFP will be scored separately for both Medicaid Rate Setting and LTC Audit services. However, the State reserves the right to award both contracts to one vendor or to award each contract to separate vendors.

INDIANA DEPARTMENT OF ADMINISTRATION RFP OUTLINE

INDIANA DEPARTMENT OF ADMINISTRATION RFP OUTLINE (Cont.)

INDIANA DEPARTMENT OF ADMINISTRATION BUSINESS PROPOSAL Company Financial Information (Section 2.3.3) Confidential information must be kept separate from the proposal in both hard and soft copy. Vendors proposing both services need only to fill out one business proposal.

INDIANA DEPARTMENT OF ADMINISTRATION COST PROPOSAL Project Directly on Screen There are separate cost proposals for Rate Setting and LTC audit.

INDIANA DEPARTMENT OF ADMINISTRATION TECHNICAL PROPOSALS There are separate technical proposals for Rate Setting and LTC audit.

INDIANA DEPARTMENT OF ADMINISTRATION MINORITY AND WOMEN’S BUSINESS ENTERPRISE Complete Attachment A, MWBE Form - Include sub-contractor letters of commitment Goals for this RFP: - 8% Minority Business Enterprise - 8% Women’s Business Enterprise There are separate MWBE forms for Rate Setting and LTC audit.

INDIANA DEPARTMENT OF ADMINISTRATION MINORITY AND WOMEN’S BUSINESS ENTERPRISE $$$$$ $ There are separate MWBE forms for Rate Setting and LTC audit. This amount comes from Attachment E.1 or E.2. Only include Total Bid Amount for each form’s relevant SoW (Medicaid Rate Setting or LTC Audit). Do not combine the bid amounts for both services.

INDIANA DEPARTMENT OF ADMINISTRATION INDIANA VETERANS’ BUSINESS ENTERPRISES SUBCONTRACTOR COMMITMENT (ATTACHMENT A1) Complete Attachment A1, IVBE Form - Include sub-contractor letters of commitment Goal for this RFP: 3% There are separate IVBE forms for Rate Setting and LTC audit.

INDIANA DEPARTMENT OF ADMINISTRATION $$$$$ $ This amount comes from Attachment E.1 or E.2. Only include Total Bid Amount for each form’s relevant SoW (Medicaid Rate Setting OR LTC Audit). Do not combine the bid amounts for both services. INDIANA VETERANS’ BUSINESS ENTERPRISES SUBCONTRACTOR COMMITMENT (ATTACHMENT A1) There are separate IVBE forms for Rate Setting and LTC audit.

INDIANA DEPARTMENT OF ADMINISTRATION INDIANA ECONOMIC IMPACT The State defines FTE as a measurement of an employee's productivity on a specific project or contract. A FTE of 1 would mean that there is one (1) worker fully engaged on a project; forty (40) hours a week, fifty- two (52) weeks a year. If there are two (2) employees each spending 1/2 of their working time, 20 hours per week, on a project that would also equal 1. $$$$$ $ There are separate IEI forms for Rate Setting and LTC audit.

INDIANA DEPARTMENT OF ADMINISTRATION RFP SCORING AND EVALUATION

INDIANA DEPARTMENT OF ADMINISTRATION QUESTIONS AND ANSWERS

INDIANA DEPARTMENT OF ADMINISTRATION ADDITIONAL INFORMATION IDOA PROCUREMENT LINKS AND NUMBERS BUYIN (8946) For Vendor Registration Questions For Inquiries Regarding Substantial Indiana Economic Impact A.Link to the developing “one stop shop” for vendor registry with IDOA and Secretary of State. B.Secretary of State of Indiana: Can be reached at (317) for registration assistance. C.Vendor Handbook: Online version available at D.Minority and Women Owned Business Enterprises: for table of IDOA certified MBEs and WBEs. For more WBE’s information E.RFP posting and updates: Go to (select “State of Indiana Opportunities” link) Drag through table until you find desired RFP/RFI number on left-hand sidehttp:// and click the link.