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					                          STATE OF NEW HAMPSHIRE
                          DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                   125 PLEASANT STREET
                             CONCORD, NEW HAMPSHIRE 03301-6398



                  ADDENDUM # 3                       TO RFP INVITATION # 2010-080

DATE OF BID OPENING:        April 5, 2010                 TIME OF BID OPENING: 2:30 PM


FOR: DHHS RFP 2010-080 State Level Health Information Exchange Assessment, Planning and
     Design Project (SLHIEADP)
      American Recovery and Reinvestment Act of 2009


    1. CHANGE: Appendix G-3 New Hampshire Certificate of Authority or Certificate of Good Standing

       ORIGINALLY READ:

          G-3 New Hampshire Certificate of Authority or Certificate of Good Standing
                (VENDORS NEED TO SUBMIT)
              As a condition of Contract award, the Vendor must furnish a Certificate of Authority/Good
              Standing dated after April 1, 2006, from the Office of the Secretary of State of New Hampshire.
              If your company is not registered, an application form may be obtained from:
                          Secretary of State
                          State House Annex
                          25 Capitol Street
                          Concord, New Hampshire 03301
                          603-271-3244
                 If your company is registered, a Certification thereof may be obtained from the Secretary of State.


       CHANGE TO READ:

           G-3 New Hampshire Certificate of Authority or Certificate of Good Standing
                (VENDORS NEED TO SUBMIT)
              As a condition of Contract award, the Vendor must furnish a Certificate of Authority/Good
              Standing dated after April 1, 2010, from the Office of the Secretary of State of New Hampshire.
              If your company is not registered, an application form may be obtained from:
                          Secretary of State
                          State House Annex
                          25 Capitol Street
                          Concord, New Hampshire 03301
                          603-271-3244
                 If your company is registered, a Certification thereof may be obtained from the Secretary of State.
    2. Questions and Answers


                                              RFP 2010-080
                     Department of Health and Human Services
          HIEPI State Level Health Information Exchange Assessment, Planning and Design Project
                                          Questions & Answers


Q# Page    Section   Question                                Answer
1   21      6.17     I have a quick question on the          Bidders for RFP#2010-080 will not be precluded from
                     subject RFP. We are very interested     bidding on potential future RFPs for related projects
                     but I wanted to know if doing this      because they are selected and perform the work awarded
                     work will preclude companies from       through this RFP process either as the prime contractor
                     bidding on the actual                   or subcontractor. This project is not expected to select a
                     implementation work. Could you          Technology Solution nor create an RFP to select a
                     help with answer this?                  Technology Solution. The vendor selected to perform
                                                             the work of this RFP, either as the Prime Contractor or a
                                                             a subcontractor, will not participate in the
                                                             determination of any technical architecture,
                                                             specifications or requirements for a Technical Solution.
2                    I was referred to you as the contact    Yes, RFP#2010-060 was withdrawn and replaced by
                     for the State Level Health              RFP#2010-080.
                     Information Exchange Assessment,
                     Planning and Design Project RFP #
                     DHHS RFP 2010-060 which was
                     released in February. I noticed this
                     morning that a new RFP # OIT
                     2010-080 was released on March 10,
                     2010. Was RFP#2010-060
                     withdrawn.
3    5       1.5     Do we need to resubmit questions        The period for vendor questions ended on 3/17/2010 as
                     we submitted already for RFP 2010-      listed in the RFP.
                     060 that were not answered? If so,
                     you might make that very clear to
                     folks who are responding to you
                     now.
4   21      6.17     Could you clarify why the 'conflict     To ensure that the all qualified bidders are provided an
                     of interest' clause was removed from    opportunity to bid on RFP#2010-080, the State has
                     the RFP?                                removed special Conflict of Interest conditions.


5                    Please confirm the final list of sub-   The State has provided information on sub teams in the
                     teams and the function of each?         RFP as supplemental information: page 207. Document
                                                             available at the following State website:
                                                             http://admin.state.nh.us/purchasing/specRFP.asp?rfpID=
                                                             5300.
6    37     C-3.4     The operational plan will contain a       The selected vendor will develop the Operational Plan.
                      detailed implementation cost              Specific solutions will be identified during the State
                      estimate. Are you looking for your        Level Health Information Exchange Assessment,
                      selected vendor to create a number        Planning and Design Project. An important role of the
                      of cost options, for example creating     selected vendor is to assist the State with assessing
                      a dedicated NH solution or                solutions in collaboration with stakeholders and
                      exploiting that of a neighboring          neighboring states.
                      state, or to focus on a single
                      preferred approach. At the vendor
                      briefing you had indicated you were
                      interesting in the option of working
                      with a neighboring state.
7                     Could you confirm if we need to           See the answer to question#3.
                      resubmit our original questions also
                      or if you are still planning to answer
                      them?
8          Multiple   What is the level of facilitation in       The State encourages bidders to offer creative and cost
                      Segment 1 (Plan Creation) vs.             effective solutions for facilitation of stakeholders in
                      Segment 2 (Plan Refinement)               their proposals for Segment 1 & 2. These facilitation
                                                                solutions need to conform with the RFP's time line and
                                                                price limitations. Please refer to the following Sections:
                                                                1) Section 1.3, Contract Term, page 4, 2) Section 1.6,
                                                                Modification of Original Approach, page 6 and Section
                                                                6.13 Pricing, page 20.




9                     What are the anticipated dates for        Bidders should assume the start of the project is June 1,
                      contract finalization and notice to       2010: refer to Section C-1.5 Modified Project Approach,
                      proceed (assuming schedule of             page 29. Dates for contract finalization and notice to
                      events occur as noted in RFP)?            proceed are To Be Determined.


10                    Any page limits for RFP Response          The page limits for narrative response is listed in
                      Sections II and III?                      Section D, Topics for Mandatory Narrative Responses,
                                                                Page 41. Bidders are encouraged to provide concise
                                                                narratives that clearly describe proposed solutions.


11   39-     C-3      Does RFP Response Section III             The Table C-3, Deliverables (pages 39-40) is for bidders
     40               include only completion of provided       to indicate whether or not they can meet requirements
                      tables and inclusion of project work      and deliverables, and there is a space on the table to
                      plan? What other narrative, if any,       leave brief comments. Narratives are to be addressed as
                      is expected?                              listed in Section D, starting on page 41.


12   14      5.1      Is Section III scored as part of the 35   The scoring for Proposed Solution only applies to
                      points for “Proposed Solution”?           Segment 1: refer to Section 5.1, Proposal Scoring Scale,
                                                                page 14.
13                    What is the time commitment               Full time.
                      expected from the Project Manager?
14              What is the expectation of the staff    Full time staff is expected to be on site 4 days per week.
                to be on-site?                          State expects staff to be on site while engaging with
                                                        State Project Team and Stakeholders. Bidders may
                                                        propose arrangements using full-time, part-time, on-site
                                                        and offsite staff.


15   45   E-1    What other information can be          Addendum #2 addresses this issue.
                provided in place of audited
                financial statements?
16              Does Medicaid plan to use/obtain        The State deems this question outside of the scope of
                federal MITA funding?                   this RFP.
17              What is the status of the Regional      No entity has applied for the REC in NH. Maine,
                Extension Center in NH?                 Massachusetts and Vermont REC applicants have
                                                        expressed an interest and we will engage as our project
                                                        progresses.

18              What level of planning is required      Bidders are directed to include proposals that meet the
                for the REC?                            requirements for planning listed in Section C-3.3
                                                        Strategic Plan Deliverables Defined, starting on page 33.
                                                        Guidance on deliverables is listed in this Section.


19              Are you willing to pay the additional   Bidders are encouraged to provide cost effective
                fees required to have a consensus       solutions that meet the requirements of the RFP.
                project, not just a plan report?
20              What resources will be provided for     Bidders are encouraged to propose creative solutions
                doing surveys, market research, and     that meet RFP requirements.
                financial modeling
21              Will DHHS share the names of            No. The State is committed to maintaining the
                the companies that attended the         confidentiality of bidders during the procurement
                bidder’s conference?                    process and will not be supplying lists of bidders.


22              Will DHHS share the names of            See the answer to question #21.
                the companies that submit a letter
                of intent to respond to the RFP?
23              Can DHHS provide copies of the          The State will provide a text copy of RFP#2010-080 to
                Transmittal Form Letter and key         bidders on request. Please contact Grant Beckman by
                tables that need to be completed        email to request a Microsoft Word version:
                (C-2, C-3B, F-1, F-2, F-2/S, F-         gbeckman@dhhs.state.nh.us.
                2/O) in MS-Word format to
                facilitate completion?
24              Did NH apply for a Regional             No.
                Extension Center award in Round
                2? If so, by what organization?
25              Were there any Beacon                   The State does not have knowledge of a Beacon
                Community applications made             Community application from New Hampshire.
                from NH? If so, by whom?
26   20     6.13     Does DHHS have an expected           The RFP#2010-080 lists Price Limitations in Section
                     budget range for this project to     6.13, Pricing, page 20.
                     help us gauge an appropriate
                     level of effort?
27                   Who is the State HIT Coordinator     William Baggeroer, DHHS CIO, is serving as New
                     and what is his/her role in          Hampshire's interim State HIT Coordinator until the
                     DHHS?                                open job position is filled. A job description is listed on
                                                          the State's website:
                                                          www.dhhs.state.nh.us/DHHS/HUMANRESOURCES/L
                                                          IBRARY/Career+Opportunities/default.htm.




28                   Did the HIE Project Kickoff          The HIE Project Kickoff did take place as stated in the
                     meeting take place in November,      RFP. A Project Overview and Kickoff Meeting
                     2009, and is there a project         Presentation are located on the DHHS website at
                     charter we can see?                  http://www.dhhs.nh.gov/DHHS/DHHS_SITE/hie.htm.



29         Section   The RFP indicates that, “Work        See answer to question #14.
           6.12.1  shall be primarily performed ‘on
                   site’ at the NH DHHS State Offices
                   located at 129 Pleasant Street,
                   Concord, New Hampshire.” Will
                   DHHS consider a bidders successful
                   model of primarily off-site work
                   supplemented by on-site visits ?
30         Section The RFP indicates that, “Vendor        The contract is a firm fixed price contract that would
           6.12.1, must assume the cost of all travel     include all expenses including travel.
          Appendix related expenses.” Table F-1 has a
          F, Table line item for travel expenses. Does
             F-1   this mean that vendor travel
                   expenses will, or will not, be
                   reimbursed if included in the budget
                   presented in Table F
31        Appendix With respect to the timetable,         The State anticipates that the selected bidders duties will
             C,    DHHS indicates that Segment 1          include providing assistance on responding to ONC
           Section will end on October 31, yet the        inquires regarding the submitted plan to achieve plan
             1.5   submission date for the Plans is       approval. Bidders are encouraged to offer suggestions
                                                          of additional work they would perform during this
                   August 31. What kinds of
                                                          period.
                   activities does DHHS anticipate
                   taking place between September
                   1 and October 31 – while we are
                   awaiting
32        Appendix Can DHHS specify exactly which         Bidders can use their discretion to determine the most
             E,    Dun & Bradstreet report is             useful Dun & Bradstreet report for their respective
           Section desired?                               company.
           E-1.1.2
33   4      E-1    We are a small business without           See the answer to question #15.
                   audited financial statements. Are
                   copies of our Federal income tax
                   returns an acceptable substitute?
                   If so, can they be excluded from
                   open disclosure under NH law?
34   47   Appendix There are two sub-tables here,            Yes, the summary of labor cost in Table F-2 needs to
             F     one for the Strategic Plan                reconcile to the respective line in Table F-1. All of the
                   deliverables and one for the              bidders labor costs need to be detailed in Table F-2.
                   Operational Plan deliverables. Do         Please reference Section F, starting on page 47.
                   the labor total included here need
                   to sum to the labor entries in
                   Table F-1? If so, what about
                   labor not related to either of the
                   two
35                   Regarding the Modified Project          The State anticipates that the selected bidders duties will
                     Approach, C-1.5, Segment 1, Plan        include providing assistance on responding to ONC
                     Creation is Fixed Price and intended    inquires regarding the submitted plan to achieve plan
                     to start on June 1. NH DHHS hopes       approval. Bidders are encouraged to offer suggestions
                     to have their Plan submitted to ONC     of additional work they would perform.
                     by August 31. What is not clear is
                     what your expectation of availability
                     for the Contractor after this date?
36                   Will the winning bidders be             See the answer to question #1.
                     precluded from responding to
                     subsequent RFP’s for the HIE
                     implementation?
37                   Your RFP references a request to        Bidders may propose solutions that include
                     review what is happening in             collaboration with any state that would support the
                     'neighboring states' that include       State's project.
                     Vermont, Maine and Massachusetts.
                     Is there any reason you would not
                     look at what other states in the
                     Northeast are doing such as
                     Connecticut?
38                   With the actions of the Federal         The purpose of the project is to evaluate options and
                     Government in the release of the        determine the Technical Infrastructure the State wishes
                     NHIN Connect Code into the open         to seek. All technical options will be assessed.
                     source community, is there any
                     reason that New Hampshire is not
                     specifically asking for bids from
                     bidders offering open source
                     technology?
39                   Is there any prohibition of a           See the answer to question #1.
                     technology solution provider placing
                     a bid as the Prime Contractor on this
                     planning RFP and also bidding on
                     theresulting HIE build project? What
                     about as a subcontractor?
40   14       5       How important is it to New              The State will use criteria for scoring as listed in Section
                      Hampshire that there be a clear self    5, Proposed Evaluation Process, page 14.
                      sustainability plan (reference SP-
                      8.2)for HIE and how does it play
                      into the referenced vendor scoring?
                      In other words, which category in
                      Section 5.1 is it part of and how
                      much is it worth?
41                    Regarding slide 9, can the state be     See the answer to question #35.
                      more specific as to what work the
                      consultant may need to accomplish
                      during phase 1 b. What is the
                      contractor expected to do, if
                      anything?
42   29     C-1.5     If the plan is to be finalized by the   The selected vendor is responsible for creating a Plan
                      31st of August, why can’t Segment       that is approved by the Office of the National
                      2 begin as soon as the plan approval    Coordinator for a firm fixed firm price in Segment 1.
                      is received?                            Modification of the Plan may be required by the Vendor
                                                              after it is submitted before it is approved. Once
                                                              approved, Segment 2 begins.


43   48    Appendix   On the page 48 pricing table for        Yes, the State is expecting Daily Rates for the bidders
              F       segment 2, is the state is expecting    project team. Reference Table F-2, page 48.
                      rates?
44                    Regarding T&M, is the                   The 8/31/10 submittal date for the State plan is fixed,
                      implementation phase not part of the    but ONC has agreed that states may need to provide
                      10% cap and, if this is the state's     additional refinement once the state plan is approved.
                      intention, has the ONC agreed?          Refinement, if needed, will occur during the
                                                              implementation phase of the project


45                    Does the state anticipate any delay     No such difficulties are expected.
                      in the start date of the contract due
                      to state level approvals?
46                    Given the abbreviated timeline, are     The State is committed to supporting the project and to
                      state staff available to help the       provide sufficient resources to meet those state duties as
                      selected consultant complete the        detailed in the RFP 2010-080.
                      plan by the 8/31 deadline?

47   39-   Appendix   Regarding section 3 of appendix C,      The Table C-3, Deliverables (pages 39-40) is for bidders
     40       C       does it state expect narrative          to indicate whether or not they can meet requirements
                      descriptions of the requirements and    and deliverables, and there is a space on the table to
                      deliverables to be addressed in this    leave brief comments. Narratives are to be addressed as
                      table space?                            listed in Section D, starting on page 41.


48                    Is there a state Medicaid HIT plan      The State is in the process of completing its Medicaid
                      available for review?                   HIT plan. The plan will be made available as soon as it
                                                              is public information.
49                   Please state exactly which Dunn &          See the answer to question #32.
                     Bradstreet reports are required to be
                     submitted with a proposal.
50   45   Appendix   Which financial reports are                See the answer to question #15.
             E       required?
51   7      4.1      How will the State respond to              The State is providing answers to bidders questions in
                     vendor questions?                          this document.
52                   Are there other sources of                 Bidders are encouraged to review supplemental
                     information that would be useful to        information located on the following State website:
                     bidders for RFP 2010-080?                  http://www.dhhs.nh.gov/DHHS/DHHS_SITE/hie.htm.



53                   Will the State provide a text version      See the answer to question #23.
                     of RFP#2010-080?
54                   Has NH submitted a planning                See answer to question #44.
                     advance planning document (P-
                     APD) to CMS for the State
                     Medicaid HIT Plan (SMHP)?
55                   Has NH drafted a SMHP?                     See answer to question #44.
56   11     4.19     On page 11 of the RFP you list             The correct RFP listing is 2010-080.
                     information that must be included on
                     the Cover Page. The RFP number
                     on the page is 2060-080. Should
                     that be 2010-080?
57                   Is there a specific target date that the   No.
                     State wants the Strategic and
                     Operational Plans submitted for
                     Leadership Team / Steering
                     Committee review and approval?
58                   Will the State publish a list of           See the answer to question #21.
                     individuals and bidders who
                     attended the bidders conference on
                     March 15, 2010?
59                   Has the State worked with other            No.
                     bidders in the HIE space, and if so,
                     who and in what capacity?
60                   Are all members of the Steering            The State is committed to supporting the project through
                     Committee available to the vendor          ensuring that the selected vendor has appropriate access
                     team or are there key members of           to State managers.
                     this committee committed to support
                     the vendor team services?
61                   In what capacity do the teams on the       The State is continuing to develop Sub-Teams and plan
                     team list meet (i.e. is there a steering   to complete formation in April 2010. Additional
                     committee meeting every month?             information is available in the RFP, Project Narrative,
                     Leadership team meetings?                  starting on page 170.
                     Stakeholder meetings for each type
                     of stakeholder?) How frequently
                     and how long have these groups
                     been meeting? Are there agenda’s
                     and meeting minutes available?
62                    Will the vendor be expected to write      See the answer to question#1.
                      any additional RFPs for
                      implementation or perform any
                      evaluation of bidders for
                      implementation? If not, why is the
                      vendor precluded from doing
                      implementation work?
63                    How many trips to neighboring             State anticipates less than 5 trips in total to neighboring
                      states are anticipated: 0-5, 5-10 or      states per Segment and bidders are encouraged to
                      10-20?                                    document their assumptions.


64                    Is it reasonable for members of the       Bidders are encouraged to develop proposals that
                      sub-teams to be assigned to draft         effectively engage stakeholders within the RFP timeline
                      sections of the Strategic and             and price limitations.
                      Operational plans?
65                    How much time will sub-team               See the answer to question#64.
                      members commit to the strategic and
                      operational planning efforts?
66                    Is there any existing work on             See the answer to question #52.
                      statewide HIE planning that can be
                      incorporated and used to reduce the
                      vendor’s cost of developing plans:
                      a. Are there specific task forces,
                      committees, etc. and what relevant
                      information have they produced?
                      b. What is the format of this
                      information (e. g., PDF, Word,
                      Excel)
67                    How frequently does the State             See the answer to question#64.
                      anticipate the sub-teams will meet?
68                    Is there a vendor assisting the State,    See the answer to question #16.
                      or has there been one involved with
                      evaluating incentive Medicaid
                      Payments to providers?


69                    Are vendor(s) selected for the            See the answer to question #1.
                      SLHIEAPD precluded from bidding
                      on the implementation phase of the
                      SLHIE funding?
70   28-   Appendix   Does the state have specific              See answer to question #14.
     40       C       expectations with regard to full-time
                      dedicated staff, and with regard to
                      sitting of project staff?
71   53      G-3      For the Certificate of Attestation, the   Bidders are not required to provide a Certificate of
                      RFP indicates the Certificate must        Authority or a Certificate of Good Standing with their
                      be dated after April of the current       proposals. The documents are required from the
                      year". Is the "current year" defined      Selected Vendor with the final contract documentation.
                      as 2009 or 2010?
72                   Regarding the requirement for            The State does not have any specific restrictions.
                     "creating a strategic plan in concert    Bidders are encouraged to offer creative and cost
                     with key stakeholders" as defined in     effective solutions that will engage stakeholders within
                     Section 1.4, does DHHS have any          the RFP timeline and price limitations.
                     restrictions on the formats (e.g.
                     internet, public forums, etc.) used to
                     gain this input? If so, what are those
                     restrictions
73                   Please provide expectations or           See the answer to question #64.
                     minimum requirements, if any, that
                     DHHS has established regarding
                     listening tours or "town hall"
                     meetings? Please provide a listing
                     of existing venues commonly used
                     by DHHS for communications in
                     mass with key stakeholders as well
                     as a schedule of existing provider,
                     consumer or other stakeholder
                     meetings.
74                   The information contained in the         See the answer to question #16.
                     RFP did not indicate the status of
                     NH broadband initiative. Can you
                     provide us with some background
                     and status of this initiative?

75   25   Appendix   Section A-3, Related Documents           The documents in Section A-3 are required as listed in
            A-3      Required, lists items that are           the RFP.
                     required. However, Appendix K,
                     Summary of Proposal Documents to
                     be Submitted by Vendor, does not
                     list these documents. Please confirm
                     that they are required to be included
                     with our proposal.
76                   The RFP indicates that the Initiation    The State has provided information on the project's
                     phase has been in process for several    progress that is available as supplemental information to
                     months. Can you share with us the        the RFP. Documents are available at the following
                     results and status of the Initiation     State website for the RFP:
                     phase?                                   http://admin.state.nh.us/purchasing/specRFP.asp?rfpID=
                                                              5300.


77                   Also reference NHHIEPI, sec.1, p.4;      The State of New Hampshire is having a continual
                     During the Initiation phase have         dialogue with the neighboring states.
                     discussions continued with regional
                     States to possibly leverage and
                     coordinate a NE HIE?
78                        Also Reference: NHHIEPI, Sec. 1,        The State deems this question outside of the scope of
                          p.2; We understand the UNH              this RFP.
                          Surveys will be released in May and
                          June 2010, but the HNNIEPI
                          references a NHHA provider
                          technology survey that has been
                          completed but not released. Is the
                          NHHA document available?
79                        Our company does not require a          Bidders are required to conform with the terms and
                          resolution from our board to enter      conditions listed in the RFP.
                          into a contract with a client. Please
                          confirm that the Sample Certificate
                          of Vote is not required to be
                          included in our proposal.
80                        We noted in your RFP that there are     See the answer to question#1
                          “no special Conflict of Interest
                          conditions” associated with this
                          RFP. Can you please clarify this
                          statement? Given that in all
                          likelihood an implementation RFP
                          will be forthcoming after completion
                          of the this assessment, planning and
                          design project, how would the firm
                          (its subsidiaries or affiliates) be
                          allowed to deliver both services to
                          the State when the results of the
                          assessment, planning and design
                          project will clearly influence the
                          implementation RFP?
81      11    4.19.1      This section indicates the RFP          The correct RFP listing is 2010-080.
                          number on vendor’s cover page
                          should be 2060-080, which differs
                          from the number of the RFP on the
                          title page of 2010-080. Is this a
                          typo?
82     53    Appendix     Will the State accept a “pending        Bidders are required to conform with the terms and
                G         status” in lieu of the Certificate of   conditions listed in the RFP. The Certificate of Good
                          Good Standing as we are waiting for     Standing is due at Contract award time.
                          tax clearance from the New
                          Hampshire Department of Revenue?
                          The Certification Request Form and
                          check were submitted on March 5,
                          2010.




     CONTACT:           Grant Beckman, Contract Administrator
     TEL. NO.:          (603) 271-7101



     BIDDER_______________________________________ ADDRESS _____________________________________
     (Company name)

BY ___________________________________________ TITLE _________________________________________
 (Signature)

 _____________________________________________ TEL. NO.______________________________________
 (Type or print name)

				
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Description: Rfp Model Letter Company Presentation Website Design document sample