PB RFR ammendment August 27 Friday 6pm

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					                              Public Sector Partners, Inc.




                            Third Amendment to RFR


                                                    for



                     Premium Billing System Solutions


                                     RFR Number
                                    PSP8-2010MH03




                                Date: August 27, 2010




Public Sector Partners, Inc.                              RFR –PSP8-2010MH03 Third Amendment
Request for Response for Premium Billing Services                            8/27/2010
BIDDER NAME: _________________________________________________________________



                                                          Table of Contents

Contents
Section One- Added Submission Requirements ............................................................................................. 3
      5.4 Attachment – Software Product List ................................................................................................ 3
Section Two – Addition in Scope ................................................................................................................... 4
      1.1 Introduction ...................................................................................................................................... 4
            1.7.1 Solution Overview ........................................................................................................... 4
Section Three – Reduction in Scope............................................................................................................... 4
      1.1 Introduction ...................................................................................................................................... 4
      1.8 System Requirements ....................................................................................................................... 5
Section Four - Modifications to RFR ............................................................................................................. 5
      1.1 Introduction ...................................................................................................................................... 5
      1.6 Definitions ........................................................................................................................................ 5
            1.7.1 Solution Overview ........................................................................................................... 6
      1.8 System Requirements ....................................................................................................................... 6
      2.3 Timetable ......................................................................................................................................... 7
      3.15 Contractual Terms .................................................................................................................... 8
            3.1.3 Submission Instructions ................................................................................................... 8
      Section Four Introduction ...................................................................................................................... 9
Section Five – Questions and Answers .......................................................................................................... 9




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Public Sector Partners, Inc.                                                                   RFR –PSP8-2010MH03 Third Amendment
Request for Response for Premium Billing Services                                             8/27/2010
BIDDER NAME: _________________________________________________________________




Section One- Added Submission Requirements

5.4     Attachment – Software Product List
        Please provide a detailed description of the information technology resources and
        software that will be used for this project. If the Bidder is selected as the Contractor
        pursuant to this RFR, it will represent and warrant to PSP and its affiliates that it has
        obtained, or will obtain, all rights, grants, assignments, conveyances, licenses,
        permissions and authorizations necessary or incidental to any materials owned by
        third parties utilized in the provision of services under any contract resulting from
        this RFR.

        Please complete the table below, entitled Software Product List, to provide a
        detailed description of the information technology resources and software that
        Bidder proposes to use to provide services under any contract resulting from this
        RFR (“Software Product(s)”).

        Indicate the name of each Software Product and the functionality that is supported
        by each Software Product.

        Include in this list all tools and any third party software programs needed to provide
        services under the Contract including all necessary electronic data interfaces.

        Identify the owner of each Software Product. If the owner is a party other than the
        Bidder, Bidder shall indicate whether it is Commercial Off-the-Shelf Software
        (“COTS”) that is commercially available for license by its owner to the University in
        the same form as will be employed pursuant to Contractor’s services under any
        contract resulting from this RFR.

        Unless the Bidder states otherwise, PSP and its affiliates require that Bidders grant
        licenses for the Software Products to PSP and its affiliates as a whole that are of
        perpetual duration and enable PSP and its affiliates to facilitate, host, operate,
        maintain, and enhance the Software Product. For each Software Product for which
        the Bidder does not anticipate that such license will be available to PSP and its
        affiliates, the Bidder must submit a copy of the proposed license agreement with
        this clarification.




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Public Sector Partners, Inc.                         RFR –PSP8-2010MH03 Third Amendment
Request for Response for Premium Billing Services    8/27/2010
BIDDER NAME: _________________________________________________________________


                                           Software Product List
        Software           Name of             Description of        Owner of       Is Software
        Product            Software              Software            Software         Product
                           Product               Product             Product          COTS?
                                               Functionality
1.

2.

3.

4.

5.




Section Two – Addition in Scope
1.1      Introduction
         The Successful Bidder shall provide accessibility through a data feed to the PSP IVR to
         allow members to verify their PB account information.

1.7.1    Solution Overview
1.7.1.10 The Successful Bidder shall provide accessibility through a data feed to the PSP IVR to
         allow members to verify their PB account information




Section Three – Reduction in Scope
         The following requirements have been removed from the Scope of the RFR


1.1      Introduction
         The Successful bidder shall provide an outward facing web page (payment site) where
         Members can make payments. PSP and other web sites shall provide links to the
         payment site at the URL specified by the PBS vendor.

         The Successful Bidder shall provide a database and API connector(s) to interface with
         an Interactive Voice Response (IVR) system to allow users to check their PBS account
         status in order to check balances, make payments, etc., from the PSP Telephony IVR
         system.


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Public Sector Partners, Inc.                             RFR –PSP8-2010MH03 Third Amendment
Request for Response for Premium Billing Services        8/27/2010
         BIDDER NAME: _________________________________________________________________


         1.7.1.8 The Successful bidder shall provide an outward facing web page (payment site) where
                 Members can make payments. PSP and other web sites shall provide links to the
                 payment site at the URL specified by the PBS vendor.

         1.7.1.9 The Successful Bidder shall provide a database and API connector(s) to interface with an
                 Interactive Voice Response (IVR) system to allow users to check their PBS account
                 status in order to check balances, make payments, etc., from the PSP Telephony IVR
                 system.


         1.8     System Requirements

PBS-33           Global           Contractor shall provide a browser
                                  based user interface [UI] to offer
                                  Members self-service options for
                                  premium payments, etc. through a
                                  with website or portal.
PBS-34           Global           Contractor shall provide a database
                                  and API connectors[s] to interface
                                  with an interactive voice response
                                  IVR system for members to check
                                  their PB account status in order to
                                  check balances, make payments,
                                  etc,. from the PSP telephony IVR
                                  system.




         Section Four - Modifications to RFR

         1.1     Introduction
                 Public Sector Partners, Inc. (PSP) is issuing this Request for Response (the “RFR”) in
                 order to procure a Premium Billing System (PBS) solution and/or necessary related
                 services, on behalf of our client, Mass Health, a large health insurer with approximately
                 40,000 Premium Billing Members.

                 The PBS solution must interface with Massachusetts State vendors to accept their
                 information regarding Member payments submitted by mail and credit card. PBS must be
                 able to compare Member addresses against the National Change of Address Database
                 (NCOA) per United States Post Service (USPS) guidelines.


         1.6     Definitions
                 “Key Personnel – Those individuals on the Contractor’s staff who will perform functions
                 described in this RFR at a Supervisor level or higher level.”



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         Public Sector Partners, Inc.                              RFR –PSP8-2010MH03 Third Amendment
         Request for Response for Premium Billing Services        8/27/2010
BIDDER NAME: _________________________________________________________________


1.7.1 Solution Overview
1.7.1.1 Public Sector Partners, Inc. (PSP) is issuing this Request for Response (the “RFR”) in
        order to procure a Premium Billing System (PBS) solution and/or necessary related
        services, on behalf of our client, MassHealth a large health insurer with approximately
        40,000 Premium Billing Members.

 1.7.1.4 The PBS solution must interface with Massachusetts State vendors to accept their
         information regarding Member payments submitted by mail and credit card. PBS must
         be able to compare Member addresses against the National Change of Register Database
         (NCOA) per United States Postal Service (USPS).


1.8     System Requirements

       Premium Billing System Requirements
       Requirement Topic       Description                        Meets   Requires       Requires       Capability
                                                                          minor          significant    does not
                                                                          modification   modification   exist
       PBS 7            Global    Shall use unique
                                  identifiers that are already
                                  established to lookup
                                  Member information.




        2.1.7    Key Personnel and Staffing
                 2.1.7.1 Detailed resumes for all key personnel, where identified. The resumes
                         shall contain information regarding education, background, and relevant
                         work experience. The Bidder should highlight experience with specific
                         related projects




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Public Sector Partners, Inc.                                     RFR –PSP8-2010MH03 Third Amendment
Request for Response for Premium Billing Services            8/27/2010
BIDDER NAME: _________________________________________________________________



2.3     Timetable
        RFR Release Date:                           August 9, 2010

        Registration deadline
        for Pre-Bidder’s Conference
        [or Teleconference]:                        August 13, 2010

        Questions Due Date:                         August 17, 2010
                                                    @ 5:00 P.M EST

        Answers to Selected Questions:              August 20, 2010
        (anticipated date)

        Conference:                                 August 20, 2010
                                                    @10:00 A.M. EST

        Follow-up Questions Due Date                August 23, 2010
                                                    @ 5:00 P.M. EST

        Answers to Selected Questions:              August 27, 2010
        (anticipated date)

        Response Due Date:                          September 3, 2010
                                                    @ 11:00 A.M. EST

        Formal Presentation                         September 13, 2010

        Site Visit (at discretion of PSP)           September 14, 2010

        Selection of Bidder for Negotiation:        September 15, 2010
        (anticipated date)

        Signing Contract:                           October 1, 2010

        Contract Start Date                         October 1, 2010

        Formal Testing:                             November 01, 2010

        System Available to go Live:                December 27, 2010

        Live Start Date:                            January 03, 2011
        (anticipated date)




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Public Sector Partners, Inc.                         RFR –PSP8-2010MH03 Third Amendment
Request for Response for Premium Billing Services   8/27/2010
BIDDER NAME: _________________________________________________________________



3.15 Contractual Terms
        3.15.1 Intellectual Property
                PSP shall obtain on behalf of the Commonwealth all right, title, interest, in whole
                or in part, to any and all intellectual property created during the performance on
                the Contract entered into as a result of this RFR, including but not limited to
                works of copyright, software, source code, operational methodologies and
                concepts, manuals, reports, and publications.


The following are address changes:

        3.1.3    Submission Instructions
                 One (1) original and ten (10) copies of the request for Business Response,
                 Program Response, and Cost Response must each be included in a three ring
                 binder. Each RFR response must be submitted in a separate sealed envelope or
                 package.

                     All sealed envelopes must be sent to:
                        Mr. Philip Vantassel, C.P.M.
                        Procurement Manager
                        Public Sector Partners, Inc.
                        3 Centennial Drive
                        Grafton, MA 01545




5.1 Attachment, the Transmittal Letter address has been modified as follows:

             Mr. Philip Vantassel, C.P.M.
             Procurement Manager
             Public Sector Partners, Inc.
             3 Centennial Drive
             Grafton, MA 01545


6.1.1 Attachment, Agreement for Services the address has been modified as follows:

             Notices to PSP shall be addressed as follows:
             Public Sector Partners, Inc.
             Attention: Gary Sclar, Esq.
             3 Centennial Drive
             Grafton, MA 01545



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Public Sector Partners, Inc.                           RFR –PSP8-2010MH03 Third Amendment
Request for Response for Premium Billing Services      8/27/2010
BIDDER NAME: _________________________________________________________________


In Sections 6.1.1 Attachment - Agreement for Services, 6.1.2 Attachment – Attachment “A” to
Contract for Services and Attachment – Attachment “B” to Contract for Services, the address has
been modified as follows:

             James Hooley
             Interim Managing Director
             Public Sector Partners, Inc
             3 Centennial Drive
             Grafton, MA 01545


        Section Four Introduction

                                         Cost Proposal:
Bidders bidding on full response should fill out cost sheets in 4.1 and 4.2.
If bidder is bidding on less than full response, bidder must make clear which
service they are bidding on and complete a cost proposal that reflects this.




Section Five – Questions and Answers
    1. What type of health plan is the subject matter of this procurement?
        Answer: Public Sector Partners (“PSP”) has issued this RFR in order to procure a premium
        billing system and related services on behalf of the MassHealth program (“MassHealth”).
        MassHealth is the Massachusetts Medicaid program, which is a joint state and federal
        program that provides health care benefits and premium assistance for over 1,000,000 low-
        income and uninsured families, disabled individuals, children, long-term unemployed
        adults, and seniors. MassHealth’s mission is to help the financially needy obtain high –
        quality health care that is medically necessary, clinically appropriate, affordable, promotes
        independence, and provides customer satisfaction. EOHHS is the single state agency
        responsible for the administration of MassHealth, including billing MassHealth members for
        premium amounts, as part of its customer service functions. All MassHealth programs and
        functions, including premium billing, are governed by state and federal laws and regulations
        applicable to state Medicaid programs.

    2. How will member service calls regarding premium billing be handled?
        Answer: All member service calls regarding premium billing will be handled through the
        PSP call center. The selected Bidder will not handle member calls.



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Public Sector Partners, Inc.                           RFR –PSP8-2010MH03 Third Amendment
Request for Response for Premium Billing Services      8/27/2010
BIDDER NAME: _________________________________________________________________


    3. Do the functions described in the requirements section of the RFR currently
       exist in the PBS? Who are performing these functions and on what type of
       system?
        Answer: Yes these requirements are currently being performed by a vendor for MassHealth.
        The current vendor uses a web based oracle database for the financial system that they
        own. This system can be accessed by MassHealth through the use of a web browser.

    4. What is the main driver in seeking this solution?
        Answer: MassHealth is transitioning its customer service operations from the current
        vendor to PSP this includes the premium billing functions.

    5. Please describe the integration requirements and methods for delivering data
       to the PB (and any other system) and preference of format for data exaction
       files including reporting.
        Answer: The data deliver method to the PBS and other systems will be by Secure FTP or
        Communications Bridge this includes the lockbox vendor as well. The record layouts and
        interface design between these systems will be provided once the vendor is selected. The
        format of the data extract files must meet the specific specifications that they are given.
        They will most likely be in flat file, csv or XML format. The Vendor chosen will be required
        to have the appropriate hardware and connectivity capability to interface with a secure
         telecom circuit through which all feeds and transmissions will flow, to and from the MA
        State systems. This circuit will be initiated by the MA state IT division and the chosen
        vendor should have previous experience in utilizing this type of connectivity and have the
        necessary IT resources to assist in the creation and testing of this circuit.

    6. Is there an expectation that PBS update CRM or other work-flow management
       system?
        Answer: There is currently no expectation that the PBS will update the CRM or other
        workflow management system.

    7. Will PSP or other responsible party assign staff to be readily available
       throughout the implementation to provide process information and
       interpretive guidance relevant to proper configuration, integration of system
       and processes? Who is responsible of the integration and readiness of the
       solution?
        Answer: Yes, PSP will have operations and technical staff available throughout the
        implementation. It is the plan that PSP will share responsibility for the integration and
        readiness of the solution with the selected vendor.

    8. Describe the scope of the lasering and mailing function for premium billing.
        Answer: The vendor will be expected to generate and mail approximately 40,000
        statements to premium billing members each month. All statements are mailed and are not
        available electronically for members although members do have a payment option via IVR
        or website to make a credit card payment. About 21% of member utilize this option each
        month.. The statements are black and white and will include a return envelope. The vendor
        will not need to utilize the USPS Intelligent Mail Barcode for delivery tracking .We ask that
        the vendor presort to receive the greatest postal discount but not to co-mingle the mailings.
        The format of the data will be determined upon selection of a vendor. Besides statements,

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Public Sector Partners, Inc.                            RFR –PSP8-2010MH03 Third Amendment
Request for Response for Premium Billing Services       8/27/2010
BIDDER NAME: _________________________________________________________________


        the vendor will mail notifications of accounts that are in arrears. These notifications are
        also in black and white. Statements and notifications should be made available in both
        English and Spanish. Once the data file is received the statements and notices should be
        postmarked no later than 3 business days. Final termination notifications will go to
        members directly from MassHealth. An electronic file transfer of all statements and notices
        will be required to be sent to our imaging vendor for indexing and storing. The vendor
        maintains a postage escrow account.

    9. Do you foresee any trend in enrollment?
        Answer: Enrollment levels are expected to remain consistent, with no peak enrollment
        periods. The average membership turnover (enrollment and disenrollment) is
        approximately 10% a month.

    10. What percentages of members are involved in payment plans, hardship
        requests and the state intercept program?
        Answer: Members involved in payment plans are approximately 8% of the membership.
        Members involved in hardship waivers are <1%, and members involved in the state
        intercept is <2%.

    11. The RFR specifies a testing period for the Premium Billing solution. Please
        specify timelines and testing period for integrated, end-to-end “smoke-
        testing” of the comprehensive solution
        Answer: Smoke-Testing, System and UAT would need approximately 3-4 weeks to
        complete. Timelines are TBD depending on Vendor's ability to prepare for testing. The
        Contractor must ensure that testing is completed to adhere to the timeline for a fully
        operational Premium Billing function by December 27, 2010.

    12. Which regulations or code govern this procurement?
        Answer: The regulations governing this procurement include but are not limited to 130
        CMR 506, 815 CMR 9, and all applicable state and federal Medicaid and Treasury laws and
        regulations.

    13. Please provide more information regarding the lockbox.
        Answer: There is one lockbox vendor, which is the Bank of America. Regulations and
        applicable policies governing the lockbox include but are not limited to:

http://www.mass.gov/Aosc/docs/policies_procedures/accounts_receivable/po_ar_l
ockbox.doc
http://www.mass.gov/Aosc/docs/policies_procedures/accounts_receivable/po_ar_c
ash_recognition.pdf




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Public Sector Partners, Inc.                           RFR –PSP8-2010MH03 Third Amendment
Request for Response for Premium Billing Services     8/27/2010

				
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