mdw_rfp_questions_and_answers

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Ques.     Vendor          Vendor                                            Vendor                                        QUESTION                                                                                          RESPONSE
            Page        Reference                                       Reference Text
  1     III-1       III-A               Project Approach                                                                  The Department cited the potential addition of immunization registry and vital statistics data    a. The Offerors' Library contains three documents listing new data sources:
                                        “… the addition of new external data sources. …”                                  during the bidders‟ conference.
                                                                                                                                                                                                                              1. New Data Sources - MDW - Phase 1 or 2.doc
                                                                                                                          a. Can the Department identify other data sources and the related technical details for the         2. New Data Sources - MDW - Phase 2.doc
                                                                                                                          data sources you anticipate adding to the MDW?                                                      3. MDW Potential New Data Sources.doc

                                                                                                                          b. Will the Department identify the additional sources and the data storage requirements for      b. During the appropriate phase of the term of the contract, the new data sources will be
                                                                                                                          the data sources and data elements that will be added during the term of the contract?            prioritized, and JAD sessions will be conducted to define the content of the source data, how
                                                                                                                                                                                                                            much data storage is required.
  2     III-2       III-B.1.1           “An integrated project team will be assembled, consisting of the Contractor‟s     Can the Department provide information on the roles of the NYSDOH staff that will be              The NYSDOH staff that will be part of the integrated team will:
                                        key and core project staff (as defined in Section IV.C Project Management         designated for this project?
                                        Staffing Requirements) and NYSDOH staff designated for the project.”




  3     III-2       III.B.1.1.          Project Initiation and Start-up                                                   How soon after the project start date (5/1/2009) must the primary project site to be available The Key and Core staff must be available at the start of the contract.
                                        In Phase 1 the Contractor shall execute project start-up activities.              for occupancy by project staff, including office space and all hardware, software, and         The facility must be occupied within 60 calendar days of contract approval.
                                        “The Contractor must assemble its key and core project staff at the primary       telecommunications links?
                                        project site in preparation for conducting the project tasks”.
                                        and
                                        “The Contractor must secure the facility, ready the office space as defined in
                                        this RFP and supply and install all hardware, software and telecommunication
                                        links for desktop support proposed by the Contractor.”
  4     III-3       III-B.1.1           “During the project start-up, the Contractor will also develop and submit for     a. Will the NYSDOH staff, identified as part of the integrated team, be providing all the         a. Please refer to the answer for Question 2.
                                        NYSDOH approval the detailed planning documents that will define the working      oversight for this project and approvals of project deliverables?
                                        relationship between the Contractor and NYSDOH described in Section III.B.2.1
                                        Project Start-up Deliverables.”                                                   b. Has the State created any governance organization structure to facilitate interaction with     b. Yes.
                                                                                                                          NYSDOH or other organizations?
  5     III-4       B.2.1               3. Provide adequate facility space for Contractor and NYSDOH staff.               How many State staff will require space in the Contractor‟s facility?                             Proposals should include facilities that meet the requirements specified.
  6     III-5       III-B.2.4           “Data Acquisition, Data Access, Data Delivery and Managed Metadata                a. With the apparent RFP contradiction, is the Contractor required to maintain all existing R-    a. R-DUR reporting and functionality must be developed in Phase 1 through a series of JAD
                                        Environment (MME) Deliverables                                                    DUR functionality and reporting or should the Contractor implement and operate a                  sessions. A replacement to the Offerors' Library document "MDW Reports by Phase.xls" named
                                        11. Implement and operate a replacement to the Retrospective Drug Utilization     replacement of the existing R-DUR subsystem?                                                      "MDW Reports by Phase - REVISED 12-19-2008.xls" that corrects the R-DUR Phase will be
                                        Review Subsystem (R-DUR);                                                                                                                                                           posted to the NYSDOH website for this procurement.
                                        and                                                                               b. If so, can the Department provide a detailed description of the existing R-DUR
                                        Subject Area Specific Business Requirements                                       functionality?                                                                                    b. A new Offerors' Library document named "R-DUR Process.doc" that describes the R-DUR
        V-4         D.2.1               The Contractor must:                                                                                                                                                                process will be posted to the NYSDOH website for this procurement.
                                        1. Maintain all existing R-DUR functionality and reporting, and implement
                                        system changes as required by NYSDOH in conjunction with the DUR Board”

  7     III-6       III-C.              Phase 2                                                                           The file provided in the Offeror‟s Library does not list any reports to be converted in Phase 2. All reports not listed as Phase 1 will be developed in Phase 2 through a series of JAD sessions.
                    C.1                 DELIVERABLES                                                                                                                                                                       JAD sessions will determine which of the reports listed will be developed in Phase 2.
                                        “4. Convert the remaining user reports.                                           What reports are to be converted as part of Phase 2?
                    and                 MDW Reports by Phase.xls”
                    Offeror‟s Library
  8     IV-1 to IV- IV-B.1                                                                                                With some of the plans (such as the Project Plan) it does make sense to include a                 The vendor must provide a detailed Project Plan, Schedule and Staffing Plan, in its proposal .
        15          IV-B.2                                                                                                preliminary version of the plan in the proposal and then include a final version as a
                                                                                                                          deliverable during the implementation project; while other plans (such as the Security Plan)      Also, please refer to the proposal requirements in Attachment L Section IV.
                                                                                                                          it makes sense to only include the plan as a deliverable during the implementation project.

                                                                                                                          For each of the plans identified as deliverables in the RFP, will the Department identify
                                                                                                                          which ones require a preliminary version in the proposal and which ones are only required
                                                                                                                          as a deliverable during the implementation project?

  9     IV-2        IV-B.1.1            “The Contractor must describe its standard estimation methodology that will be    a. Are there any currently employed State methodologies that meet the approval criteria and The Contractor must describe its best solution to this requirement.
                                        used for all project estimates throughout the Contract term. This methodology     that will be required for this project?
                                        will be reviewed and approved by NYSDOH.”
                                                                                                                          b. If there are, can the Department define the methodologies that meet the approved criteria
                                                                                                                          and which will be required for this project?
 10     IV-16       IV-C.2              DATA WAREHOUSE STAFF ROLES, QUALIFICATIONS AND                                    a. Will the Department confirm that, with the exception of the Project Manager position,     Project Manager is the only core or key staff role that is a dedicated, full-time position. The
                                        RESPONSIBILTITIES                                                                 none of the key staff positions and none of the core staff positions are required to be      remaining key and core staff roles must be dedicated (i.e. duties and responsibilities associated
                                        “The Contractor may assign a staff resource to cover several roles if those       dedicated, full-time positions?                                                              with the roles can not be shared across individuals) but can be part-time roles.
                                        roles are deemed to be part-time in nature. When the Contractor proposes to
                                        have one individual fill more than one role, the Contractor must submit to        b. If not, can the Department identify those positions that require full-time, dedicated staff?
                                        NYSDOH their current resume and the rationale for this assignment. However,
                                        none of the key or core staff positions may be shared across multiple staff. In
                                        addition, the Project Manager must be a full-time role filled by a single,
                                        dedicated person.”
 11     IV-20       IV-C.2.1            Pricing approach                                                                  a. Should this be interpreted to mean that the 27,000 hours per year are above and beyond         a. Yes.
                                        “3. Tracking and reporting of hours spent on individual system change projects    the staff included in the fixed administrative fee?
                                        by staff paid through the fixed administrative fees (identified in the above                                                                                                        b. No The 27,000 hours must be available to the NYSDOH from Day 1.
                                        organization chart as “FAP”, or fixed administrative price) is mandatory. These   b. Do the 27,000 hours per year commence upon completion of the implementation?
                                        hours are to be considered in each system change project's estimated and
                                        expended hours. However, these hours have no impact on monthly System
                                        Change Management-priced payments based on Pricing Schedules D.1
                                        through D.5 or meeting the 27,000 hours. Annual fixed administrative fee
                                        pricing and budgets must be developed in these schedules with this in mind; “

 12     V-2         V-C                 GLOBAL BUSINESS REQUIREMENTS                                                      a. Will the Department accept a solution that provides potentially differing response times       a. - b. The response times and performance must be the same for all 25 years of historical
                                        “1. Provide access to twenty-five (25) years of historical claims data over the   depending on the age of data being accessed (e.g., the quickest response time for Year 1          claims data. All references to 25 years of claims which must be stored in the MDW refers to 25
                                        term of the contract”                                                             through Year 10 data and a potentially slower response time for Year 16 through Year 25           years of paid claims, 10 years of denied claims, and 20 years of encounters.
                                                                                                                          data (the year breakdowns are exemplary only)?

                                                                                                                          b. If the Department will accept a solution with different performance based on the number
                                                                                                                          of years of claims data being accessed, how many years of claims data would be the
                                                                                                                          minimum requirement for the highest category of performance?




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Ques.    Vendor       Vendor                                        Vendor                                              QUESTION                                                                                         RESPONSE
          Page      Reference                                   Reference Text
 13     V-2       V-C           GLOBAL BUSINESS REQUIREMENTS                                                            a. Must twenty-five (25) years of historical claims data be on-line, or may some subset of       a. - b. All 25 years of historical claims data must be online.
                                “1. Provide access to twenty-five (25) years of historical claims data over the         the twenty-five (25) years of historical claims data be stored on near-line storage and
                                term of the contract”                                                                   reloaded to on-line storage temporarily upon request?

                                                                                                                        b. If near-line storage can be used, what is the maximum number of years of historical
                                                                                                                        claims data that are required to be online at any one time?
 14     V-2       V-C           GLOBAL BUSINESS REQUIREMENTS                                                            Must all twenty-five (25) years of historical claims data be maintained at a detailed            All 25 years of historical claims data must be maintained at a detail transaction level. Any
                                “1. Provide access to twenty-five (25) years of historical claims data over the         transaction level, or is the requirement to maintain a certain number of years at a detailed     references to 25 years of claims which must be stored in the MDW refers to 25 years of paid
                                term of the contract”                                                                   transaction level and to maintain all prior years at a summary level?                            claims, 10 years of denied claims, and 20 years of encounters.
 15     V-2       V-C           GLOBAL BUSINESS REQUIREMENTS                                                            a. Must the Contractor maintain on-line copies of the raw claims data before any cleansing       a. The Contractor must maintain copies of the source claims data before any cleansing and
                                “1. Provide access to twenty-five (25) years of historical claims data over the         and edits are applied? (This is sometimes a requirement of Fraud and Abuse Prosecutions)?        edits are applied.
                                term of the contract”
                                                                                                                        b. If yes, how many years of raw claims data should be maintained on-line?                       b. Proposed solutions should include sufficient ETL and Backup/Recovery strategies that allow
                                                                                                                                                                                                                         for the reprocessing of source data resulting from an error/exception in the ETL process back
                                                                                                                                                                                                                         one (1) year.
 16     V-2       V-C           GLOBAL BUSINESS REQUIREMENTS                                                            a. Is historical data required to be maintained for changing dimensional data such as            a. All masterfiles files will be required to have historical data.
                                “1. Provide access to twenty-five (25) years of historical claims data over the         changes in address for Clients and Providers?
                                term of the contract”                                                                                                                                                                    b. Masterfiles are listed in the Offerors' Library.
                                                                                                                        b. If yes, is there a list of what Data Sources and/or data elements will require a history of
                                                                                                                        changes?
 17     V-2       V-C           GLOBAL BUSINESS REQUIREMENTS                                                            Although the 25 years of data requirement is not a specific MARS requirement, how many           The NYSDOH does not create back dated MARS reports. The Contractor must maintain a
                                “1. Provide access to twenty-five (25) years of historical claims data over the         years of claims service data should be available to create back dated MAR reports?               library of MARS reports.
                                term of the contract”
 18     V-4       V-D.2.1       Subject Area Specific Business Requirement                                              It is our understanding that R-DUR reporting is currently outsourced to a Third Party. Will      The Offeror should provide the solution it believes will best fit the requirements indicated. A
                                “1. Maintain all existing R-DUR functionality and reporting, and implement              the R-DUR Process continue to be outsourced?                                                     new Offerors' Library document named "R-DUR Process.doc" that describes the R-DUR
                                system changes as required by NYSDOH in conjunction with the DUR Board; “                                                                                                                process will be posted to the NYSDOH website for this procurement.

 19     V-5       V-D.3         MANAGEMENT AND ADMINSITRATIVE REPORTING (MARS) AND FINANCE                              a. Does the existing MMIS System generate internal usage data on claims and other            a. Yes the current MMIS System does facilitate the MARS Reporting.
                                “…..As part of this procurement, NYSDOH intends to migrate all MARS                     dimensional data to specifically facilitate MARS Reporting?                                  b. MDW Offerors may want to utilize the legacy MMIS-based MARS reporting system in their
                                calculations and functionality to the MDW. The MDW Contractor will be                                                                                                                development of a new MDW-based MARS reporting system developed during Phase 2, but
                                required to utilize data from the MMIS including paid and denied claims history         b. Will the MDW Contractor be required to continue to utilize the information generated from they are not obligated to do so. That design decision will be based on the various solutions
                                files, provider files, member files, procedure files, drug files, and diagnosis files   the existing MMIS Systems through the term of the MMIS Contract?                             being offered by each vendor. The current MARS reporting will continue to be produced as part
                                that will then be correlated to produce MARS and other finance-related reports.                                                                                                      of the legacy MMIS contract during Phase 1. Legacy MARS reports can and should be used to
                                The accuracy and content of the MARS calculations and reporting are heavily             c. Will the function that generates internal usage data be migrated to the MDW from the      verify the accuracy and completeness of the new MDW based MARS report totals. Any
                                dependent upon the data made available from these data sources.”                        MMIS System, or will this internal usage data continue to be created by the MMIS system?     discrepancies between the two systems will need to be accounted for by the new MDW
                                                                                                                                                                                                                     contractor.
                                                                                                                                                                                                                     c. JAD sessions will determine the source and definition of MARS internal usage data.

 20     V-5       V-D.3         “As part of this procurement, NYSDOH intends to migrate all MARS                      Is it correct to assume that information generated from the MMIS System to help facilitate         Yes, the current MARS reporting system uses custom legacy MMIS information.
                                calculations and functionality to the MDW. The MDW Contractor will be                 MARS Reporting includes internally developed codes and values that would not be utilized
                                required to utilize data from the MMIS including paid and denied claims history by the COTS MARS Reporting System?
                                files, provider files, member files, procedure files, drug files, and diagnosis files
                                that will then be correlated to produce MARS and other finance-related reports.
                                The accuracy and content of the MARS calculations and reporting are heavily
                                dependent upon the data made available from these data sources.”

 21     V-6       V-D.3.1.4     . . . and the New York City (NYC) Budget Office (A sample of MARS reports,              a. The reports crosswalk lists more reports than the list of examples. Which constitutes the  a. The sample MARS reports were only given to illustrate some report formats and in no way
                                and a listing and description of all MARS can be found in the Offeror‟s Library);       Offeror‟s Library list of MARS reports?                                                       constitute a complete set of all MARS reports. The crosswalk should be the guideline followed
                                                                                                                                                                                                                      by Offerors in determining the number of MARS reports to be developed in the replacement
                                                                                                                        b. The MARS Reports Crosswalk Summary lists reports by „front-end or DW‟. Are the „front- MDW.
                                                                                                                        end‟ reports to be created out of the MMIS source system?                                     b. Offerors should disregard the front-end or DW column contained in the MARS Reports
                                                                                                                                                                                                                      Crosswalk Summary. Currently all reports are created on the 'front end' MMIS source system.
                                                                                                                        c. Are the „DW‟ reports to all be created out of the MARS sub-system?                         For the replacement MDW, the MARS reporting function will be part of the MDW system.
                                                                                                                                                                                                                      c. Please refer to State response in 21B.
                                                                                                                        d. The MARS Reports Crosswalk Summary lists reports by JAD User Group including               d. The MARS Reports Crosswalk Summary actually makes reference to several different user
                                                                                                                        „Operational‟ and „Program‟. Are these different user groups requiring different deliverables groups. These MARS user groups are: Budget/Finance, Operational, Program, Federal/Other
                                                                                                                        and on site JAD sessions?                                                                     Reporting Needs and Audit. Each user group would be responsible to identify the SME(s) they
                                                                                                                                                                                                                      want to send to JAD meetings.

 22     V-6       V-D.3.1.6        “6. Work with DOB Staff to integrate paid claims with fund, account                  Will the Department define the funds, account structures, and appropriations data sources        These requirements will be defined by subject matter experts during the JAD process. However,
                                   structures and appropriations”                                                       and associated data volumes?                                                                     it is expected that data volume will be minimal and used mainly for testing, reporting and minor
                                                                                                                                                                                                                         finance functions.
 23     V-6       V-D.4         “Early and Periodic Screening and Diagnostic Treatment                                  a. Can the Department describe the existing EPSDT functionality and identify the reports          a. - d. JAD sessions will determine the EDPSDT reporting requirements.
                  V-D.4.1       The Contractor must:                                                                    that must be maintained?
                                1. Maintain all EPSDT functionality and reports according to Federal and State
                                requirements;                                                                           b. What reporting tool(s) (product name and version number) was(were) used to develop the
                                2. Modify ESPDT functionality and reports as directed by NYSDOH to reflect              existing EPSDT reports?
                                changing information needs and changes in the NYS Medicaid program; and
                                3. Generate all mandated EPSDT reports on a NYSDOH-defined schedule.”                   c. How many reports need to be maintained?

                                                                                                                        d. How many reports does the Department expect to be modified and with what frequency
                                                                                                                        will modifications be required?
 24     V-7       V-D.5         MANAGED CARE                                                                            a. Will the Department provide documentation describing the functionality and operation of       a. - c. JAD sessions will determine the Managed Care reporting requirements.
        V-8       V-D.5.1       “Subject Area Specific Business Requirements                                            the existing Managed Care reporting functionality that must be maintained, including how
                                The Contractor must:                                                                    many reports need to be maintained and which reporting tool(s) (product name and version
                                1. Maintain all Managed Care reporting functionality according to Federal and           number) was(were) used to develop these reports?
                                State requirements;
                                2. Modify Managed Care functionality and reports as directed by NYSDOH to               b. How many reports are expected to be modified, at what frequency, and during which
                                reflect changing information needs, changes in the NYS Medicaid program and             project phase?
                                changes in the status of contracts between NYSDOH and the MCO‟s; and
                                3. Produce and distribute all mandated Managed Care reports and data sets in            c. Will the Department provide a description of the reporting requirements and data sets for
                                forms specified by NYSDOH (posting on MDW Web portal, DVD, CD, email,                   the mandated Managed Care reports that the Contractor must produce and distribute?
                                hardcopy, etc.) and on a NYSDOH-defined schedule (The Managed Care Data
                                Set file layout and row count can be found in the Offeror‟s Library). “




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Ques.    Vendor        Vendor                                        Vendor                                          QUESTION                                                                                     RESPONSE
           Page      Reference                                   Reference Text
 25     V-9       V-D.6          Division of Quality and Evaluation (DQE)                                            a. What are the detailed business and functional requirements for the DQE reporting tool?    a. - c. JAD sessions will determine the DQE reporting requirements.
        and       and            “Stakeholder Specific Business Requirement
        19        Att. M         The Contractor must develop the reporting tool to provide data that is              b. During which phase of the project is the DQE reporting tool required?
                                 necessary for DQE to evaluate quality, access to health care, utilization and
                                 provider networks.”                                                                 c. Which data sources in the MDW will be accessed by the DQE reporting tool?

 26     V-9       V-D.6          The Bureau of Medicaid Statistics and Policy Analysis                               Can the Department elaborate on what the Databases are and what are the associated           JAD sessions will determine the databases' associated space requirements, data volumes, and
                                 “4. Develop, support and maintain a number of important databases key to the        space requirements, data volumes, and the frequency of data refreshes?                       the frequency of data refreshes.
                                 overall administration and evaluation of the state Medicaid program. “
 27     V-9       V-D.7          OFFICE OF LONG TERM CARE                                                            a. Will the Department provide documentation describing the functionality and operation of   a. - c. JAD sessions will determine the LTC reporting requirements.
                  V-D.7.1        “Subject Area Specific Business Requirements                                        the existing Long Term Care reporting functionality that must be maintained; including how
                                 The Contractor must:                                                                many reports need to be maintained and which reporting tool(s) (product name and version
                                 1. Maintain all Long Term Care reporting functionality according to Federal and     number) was used to develop these reports?
                                 State requirements;
                                 2. Modify Long Term Care functionality and reports as directed by NYSDOH to         b. How many reports are expected to be modified, at what frequency will the modifications
                                 reflect changing information needs and changes in the NYS Medicaid program          be required and during which project phase will modifications be required?
                                 and long term care system;
                                 3. Produce and distribute all mandated Long Term Care reports and data sets         c. Can the Department provide a description of the reporting requirements and data sets
                                 in forms specified by NYSDOH (posting on MDW Web portal, DVD, CD, email,            that will be used for the mandated Long Term Care reports that the Contractor must produce
                                 hardcopy, etc.) and on a NYSDOH-defined schedule. “                                 and distribute?
 28     V-10      V-D.7.1.1      OFFICE OF LONG TERM CARE (OLTC)                                                     a. An assumption might be that data from the listed Waiver Programs would be required to a. - b. JAD sessions will determine the waiver programs reporting requirements.
                                 1.) “Maintain all Long Term Care reporting functionality according to Federal       meet the reporting business requirements. Is this a correct assumption?
                                 and State requirements;
                                 1. Long Term Home Health Care Program (LTHHCP) Waiver;                              b. Can the Department elaborate on the content, volume, and frequency of data refreshes
                                 2. Traumatic Brain Injury (TBI) Waiver;                                             for the Waiver Program data?
                                 3. Nursing Home Transition and Diversion (NHTD) Waiver;
                                 4. Care At Home 1 and 2 Waivers;
                                 5. Targeted Case Management For Medically Fragile Children; and
                                 6. Federal and State grants, such as the Money Follows the Person
                                 Demonstration.
                                 OLTC also provides oversight and support for
                                 1. Care At Home III, IV, and VI (OMRDD) Waivers; and
                                 2. OCFS Bridges to Health (B2H) Waivers.”
 29     V-12 &    V-D.8 &        HEALTH INFORMATION EXCHANGE AND ANALYTICS                                           a. What is the estimate of the total number of external users that are expected to use the   The material in the RFP is meant to be illustrative of the scope of activities for potential future
        V-13      Attachment M   “The Contractor must:                                                               data sharing solution?                                                                       interaction with the RHIOs. The details will be determined as detailed requirements are
                                 1. Design, develop and implement solutions for data sharing and                                                                                                                  developed in the context of specific projects.
                                 interoperability between the data warehouse, Regional Health Information            b. Of these external users, how many will be RHIOs and how many will be other third
                                 Organizations (RHIOs) and other third parties.                                      parties?
                                 2. Ensure that all data warehouse data acquisition and data delivery processes,
                                 database design and reporting processes used to exchange Medicaid-related           c. What subject areas are to be included in the data sharing solution?
                                 data with RHIOs and other third parties are synchronized daily with other State
                                 data interoperability, data sharing and data integration standards, processes       d. What current standards and processes are required to integrate Electronic Health Record
                                 and projects;                                                                       data?
                                 3. Adhere to the standards and processes required to integrate Electronic
                                 Health Records data in the MDW as provided by NYSDOH;                               e. What is the anticipated volume, and frequency of this data?
                                 4. Instantiate requirements for sharing data warehouse data with the RHIOs
                                 and other third parties based on the requirements defined in the data sharing       f. For the data acquisition and data delivery processes, is the Contractor expected to
                                 agreements negotiated by NYSDOH;                                                    provide read-only access or update capability for external users?

                                                                                                                     g. What are the requirements defined in the data sharing agreements negotiated by
                                                                                                                     NYSDOH?
 29.2                            5. Implement processes to ensure that data received from or released to RHIOs
                                 and other third-party organizations are in compliance with all HIPAA, Federal,
                                 and State privacy and security laws and regulations;
                                 6. Report to NYSDOH any issues impacting the integration and interoperability
                                 between the data warehouse, the RHIOs and third parties as related to
                                 Medicaid data; and
                                 7. Publish to the metadata repository, all documentation related to the data
                                 warehouse exchange of Medicaid-related data with RHIOs and third-party
                                 organizations including:
                                 a. All data sharing standards, processes and procedures used by the data
                                 warehouse;
                                 b. Descriptions and domain of values for all data received from RHIOs and
                                 other third-party organizations, along with any relationships to other existing
                                 data within the MDW; and
                                 c. A list of all data sharing partners and the data sharing agreements with these
                                 partners. “




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Ques.    Vendor       Vendor                                         Vendor                                          QUESTION                                                                                      RESPONSE
          Page      Reference                                     Reference Text
 30     V-13      V-D.9.1       Electronic Eligibility Decision Support System (EEDSS).                              a. Will the Department provide documentation describing the functionality and operation of    We are currently in the early stages of development of the ECRP. The design of the system,
                                “The NYSDOH has decided to rely upon the existing Electronic Eligibility             the existing EEDSS software?                                                                  volumes, and other operational considerations, are still being defined by the user community.
                                Decision Support System (EEDSS) software to support the ECRP, thus
                                leveraging the work and knowledge that it has obtained. The Contractor will be       b. Will the Department provide a detailed list of the existing EEDSS hardware (e.g., number The NYSDOH will leverage the knowledge acquired with the EEDSS implementation in the
                                required to provide the hardware and software to implement this into the             of servers, configuration, etc.) and software that the Contractor must be aware of in order to implementation of the ECRP.
                                production environment.”                                                             implement the EEDSS into the production environment?
                                                                                                                                                                                                                    The reference to EEDSS in the RFP is to describe the architecture that the NYSDOH will be
                                                                                                                                                                                                                    implementing during this development and implementation effort.

                                                                                                                                                                                                                   The Offeror should describe within this section of the proposal how you would integrate the
                                                                                                                                                                                                                   .NET environment being utilized by the ECRP into the overall architecture.

 30.2                                                                                                                                                                                                              In addition, consideration should be given to leveraging the ECRP architecture for additional
                                                                                                                                                                                                                   services, such as HIE applications, using a cost effective commercially available interface
                                                                                                                                                                                                                   strategy. This is in line with one of the MITA goals, to promote reusable components, which is
                                                                                                                                                                                                                   enabled by the technical capabilities that are part of a service-oriented architecture (SOA) such
                                                                                                                                                                                                                   as the use of an enterprise service bus (ESB).

                                                                                                                                                                                                                   The Offeror will be required to assist the NYSDOH in the design and implementation of the
                                                                                                                                                                                                                   ECRP architecture.

                                                                                                                                                                                                                   The actual hardware and software that will be supplied by the Contractor will be solidified as the
                                                                                                                                                                                                                   design process progresses. A contract amendment will be executed for the equipment.

 31     V-15      V-D.9.3       Subject Area Specific Business Requirement                                           During which project phase must the Contractor assist the Department in the design,           Phase 1.
                                “The Contractor must assist in the design, development and implementation of         development, and implementation of the solution for the Enrollment Center Renewal
                                the solution for the Enrollment Center Renewal Process.”                             Process?
 32     V-16      V-D.10        HEALTH CARE ANALYTICS                                                                a. Do these requirements encompass the reporting requirements under the managed care          a. They are separate.
                  V-D.10.1      “Subject Area Specific Business Requirements                                         section (D.5), or are they separate?
                                The Contractor must:
                                1. Implement a Health Care Analytics solution that includes all the                  b. What type(s) of users (e.g., Executive, Casual, Business Analyst, Power) are expected to   b. All types of users are expected to use the Health Care Analytics solution.
                                technologies and tools for reporting, modeling and analysis across all the care      use the Health Care Analytics solution?
                                management programs associated with NYS Medicaid;
                                2. Implement a Health Care Analytics solution that is user-friendly, with a point-
                                and-click interface that will supply analysts with standard reports that can be
                                quickly accessed; and
                                3. Implement a Health Care Analytics solution that has the ability to produce
                                reports of varying levels of detail from high-level ones designed to measure
                                general trends within and across the Medicaid population, to detailed ones that
                                support drill-down capabilities, multiple cross-tabulations (e.g., by
                                demographics, geography and managed care plan), sub setting, modeling, and
                                forecasting.”
 33     V-16      V-D.11.1      The Contractor must:                                                                 a. Is the restriction to use the 3M group limited to Utilization Threshold Requirement (V-    a. No.
                                1. Adopt the 3-M risk-adjusted utilization thresholds for all fee-for-service        D.11)?
                                members;                                                                                                                                                                           b. Clinical Risk Group assignments are also used to establish managed care rates.
                                                                                                                     b. If yes, what are the other requirements that the grouper provided need to meet?
 34     V-16      V-D.11        The Contractor must:                                                                 a. Will the Department clarify the process by which the proprietary 3-M Clinical Risk         a. This question has no bearing on the Offeror's ability to propose a new replacement data
                                1. Adopt the 3-M risk-adjusted utilization thresholds for all fee-for-service        Groupers (CRG)'s were selected and adopted for the specified purpose?                         warehouse solution.
                                members;
                                                                                                                     b. Will the Department restate the requirement more generically to give the Offerors the      b. No.
                                                                                                                     freedom to propose other, potentially more robust risk assessment and adjustment tools,
                                                                                                                     including tools that can (1) best meet this specific requirement; (2) provide valid
                                                                                                                     methodologies for other applications of risk assessment and adjustment; and (3) provide a
                                                                                                                     platform for consistent approaches across all applications?
 35     V-16      V-D111        UTILIZATION THRESHOLD PROGRAM                                                        a. During which project phase does the Department anticipate handing over the analytical      a. The project phase during which the analytical component of the UT program will become the
        &         &             “The NYSDOH anticipates handing over the analytical component of the UT              component of the UT program to the MDW Contractor?                                            responsibility of the MDW contractor has not yet been determined.
        19        Att M         program to the MDW Contractor.
                                The Contractor must:                                                                 b. How many years of claims data will be processed bi-weekly to update the thresholds?        b. Clinical Risk Groups are assigned on a service year basis. Therefore the bi-weekly process
                                1. Adopt the 3-M risk-adjusted utilization thresholds for all fee-for-service                                                                                                      will access a maximum of 12 months of claims based on their dates of service.
                                members;                                                                             c. Will the Department provide the licenses and any required annual support/maintenance
                                2. Implement an application that processes claims data on a biweekly basis for       for the 3-M grouper for both the Production and the Test Systems?                             c. The NYSDOH will be responsible for the licenses of the 3-M Clinical Risk Grouper software.
                                the purpose of continually updating individualized thresholds;
                                3. Develop a process for feeding-back the individualized thresholds to the
                                production MMIS “
 36     V-17 &    V-D.12        STATE CHILDREN‟S HEALTH INSURANCE PROGRAM                                            a. Will the Department provide documentation describing the functionality and operation of    a. - d. JAD sessions will determine the SCHIP reporting requirements.
        V-18                    “Stakeholder Specific Business Requirement                                           the existing SCHIP reports, including which reports, how many existing SCHIP reports need
                                The Contractor must host JAD sessions with appropriate business users to             to be maintained, and which reporting tool(s) (product name and version number) was(were)
                                design and maintain all SCHIP reports to be routinely produced (including the        used to develop these reports?
                                addition of new reports and modifications made to existing reports), and their
                                corresponding production schedule and distribution list.”                            b. How many anticipated State users and county users require access to the reports?

                                                                                                                     c. What type(s) of users (e.g., Executive, Casual, Business Analyst, Power) are expected to
                                                                                                                     use the reports?

                                                                                                                     d. How many existing reports need to be maintained?




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Ques.    Vendor       Vendor                                        Vendor                                            QUESTION                                                                                           RESPONSE
          Page      Reference                                    Reference Text
 37     V-19      V-D.13.1      The Contractor must:                                                                  a. Could the Department please clarify the contractor's role related to invoicing and              a. As indicated on page V-19, in conjunction with the NYSDOH staff and consultants, the
                                1. Provide the ability to identify and report on the distinct data and method used    collecting rebates from drug manufacturers?                                                        Contractor will assist the NYSDOH with creating and mailing invoicing rebates, accounting for
                                to price pharmacy claims;                                                                                                                                                                receipts, storing documentation, responding to auditor inquiries and assisting with resolutions.
                                2. Invoice drug manufacturers on a quarterly basis for regular and
                                supplemental rebates based on drugs dispensed in all settings (pharmacy,              b. What role does the contractor play, if any, in the rebate dispute/resolution function?          b. The Contractor will facilitate State staff efforts by continued development and maintenance
                                physician office, etc.) as found in the paid claims and managed care encounter                                                                                                           of tables used to track and report on disputes between remote locations.
                                history of the MDW;
                                3. Update the MDW with the claim-specific rebate amounts (regular and                 c. Are there any expectations concerning the level or training of staff to be utilized in the      c. The NYSDOH will provide training and direction for these functions.
                                supplemental rebates as separate amounts) invoiced within each quarter. Also          invoicing and collection function?
                                develop reports to enable NYSDOH to disburse to the Federal government and
                                counties, based on their contributions to the NYS Medicaid payment of those                                                                                                              d. The Office of the State Comptroller is currently responsible for receiving funds on behalf of
                                rebated claims, their appropriate portions of rebates collected; and                  d. What role does the contractor play in receipt and handling of the funds from the                the NYSDOH. The Contractor will receive copies of documentation to be used for data entry
                                4. Host JAD sessions with OHIP Pharmacy Policy and Operations business                manufacturers?                                                                                     and tracking purposes.
                                users to design and implement a reconciliation system to be used to track
                                payment of invoiced drug rebates by drug manufacturers.
                                                                                                                      e. Are there any "lockbox" financial requirements that the contractor must maintain?               e. In their proposals, Offerors should consider actions that increase cash flow for the State and
                                                                                                                                                                                                                         create administrative efficiencies such as use of lockbox capabilities. However, this feature is
                                                                                                                                                                                                                         not mandated.

 38     V-20      V-D.14.1      OMIG requires a Fraud and Abuse Detection System (FADS) that will provide             The OMIG staff extensively use software tools that are part of the existing eMedNY Data            The Offeror should provide the solution that it believes best fits the requirements specified.
                                the technology and the tools to detect suspect medical claims and healthcare          Warehouse. In light of the State‟s fiscal crisis, will NYSDOH require continuation of these
                                fraud, abuse, waste, and non-compliance. More robust technology and                   tools to prevent inadvertent upset in the State fiscal recovery efforts?
                                detection tools have emerged on the marketplace and OMIG would like to take
                                advantage of these emerging technologies and tools.

 39     V-20      V-D.14.1      Office of Medicaid Inspector General                                                  Will the Department provide functional requirements and/or additional information regarding The Offeror should provide the solution that it believes best fits the requirements specified.
                                “OMIG requires a Fraud and Abuse Detection System (FADS) that will provide            the technology and detection tools that the OMIG requires as part of the overall MDW
                                the technology and the tools to detect suspect medical claims and healthcare          solution?
                                fraud, abuse, waste, and non-compliance. More robust technology and
                                detection tools have emerged on the marketplace and OMIG would like to take
                                advantage of these emerging technologies and tools.”

 40     V-20      V-D.14.1      Office of the Medicaid Inspector General                                              a. How many users in the OMIG does the Department expect to use any of the tools                   a. Executive = 60
                                                                                                                      supplied by the Contractor?                                                                           Casual = 375
                                                                                                                                                                                                                            Business Analysts = 675
                                                                                                                      b. Within the universe of potential users what are the role/skill sets (i.e., business analysts,      Power Users = 125
                                                                                                                      investigators, clinicians)?
                                                                                                                                                                                                                         b. All skill sets.
                                                                                                                      c. Are the Department and OMIG interested only in tools in a strict sense or is the
                                                                                                                      Department open to a solution that includes services such as overpayment identification,           c. The Offeror should provide the solution that it believes best fits the requirements specified.
                                                                                                                      investigations, and recoveries?
 41     V-21      D.14.2        Office of Attorney General/Medicaid Fraud Control Unit (OAG/MFU)”                     a. Are the “at least 100 OAG users” included within the “as many as 1,200 users” or is the         a. The 100 OAG users are included in the 1,200 users.
                                The Contractor must:                                                                  “at least 100 OAG users” in addition to the “as many as 1,200 users”?
                                1. Provide access for at least 100 OAG users to any and all tools available,                                                                                                             b. OAG/MFCU access to tools are the same as all other users requirements.
                                including but not limited to query, mapping, statistics and data mining;              b. Where are the functional requirements that OAG/MFCU requires for querying, mapping,
                                                                                                                      statistics, and data mining?
                                MDW Infrastructure Requirements
        VI-5      VI-B.2.1      6. Provide network support for the MDW which must, upon implementation, be
                                able to support as many as twelve-hundred (1200) users…”


 42     V-21      V-D.14.2      Office of Attorney General                                                            a. How do the access needs of the OAG differ from those of the OMIG described in V-D               a. Both the OMIG and OAG-MFCU will be accessing the Fraud and Abuse Detection Systems
                                                                                                                      14.1?                                                                                              (FADS) tool.

                                                                                                                      b. Does the Department contemplate that the FADS tools needed by the OMIG will also be             b. FADS will not be the primary tool used by the OAG-MFCU.
                                                                                                                      the primary tools used by the OAG?
 43     V-22      V-D.14.3      OMH                                                                                   a. The RFP does not provide much detail regarding the specific business needs of the               a. JAD sessions will develop Other Stakeholders' business needs.
                                “OMH promotes the mental health of Medicaid members…”                                 various other State agencies involved in the MDW. What interaction will the new MDW
                                                                                                                      have with systems such as the PSYCKES in the Office of Mental Health?                              b. The MDW will provide OMH with a Data Mart feed.

                                                                                                                      b. Will the MDW be providing data to the PSYCKES system and related OMH systems that
                                                                                                                      provide data to mental health providers (consistent with NYSDOH‟s HIE efforts)?

 44     V-22      V-D.14.3      OCFS                                                                                  The Office of Children and Family Services are listed as potential users of the new MDW            OCFS is one of the "Other Stakeholders" with access to the MDW. OTDA is an external Data
                                OCFS improves the integration of services for Medicaid member families to             under this procurement. However, the Office of Temporary and Disability Assistance is not          Mart feed.
                                protect their children from violence, neglect, abuse and abandonment. Their           referenced. What is the role OCFS will have in accessing the MDW and why OTDA access
                                responsibilities include: foster care, adoption and adoption assistance, child        is not referenced?
                                protective services, preventive services for children and families, service for
                                pregnant adolescents, child care and referral programs and protective
                                programs for vulnerable adults.
 45     V-23      V-D.14.4      Office of the State Controller                                                        a. Are the “at least thirty-five (35) OSC users” included within the “as many as 1,200 users”      a. The 35 OCS users are included in the 1,200 users.
                                “The Contractor must:                                                                 or is the “at least 35 OSC users” in addition to the “as many as 1,200 users”?
                                1. Provide access for at least thirty-five (35) OSC users to any and all tools                                                                                                           b. OSC requirements are the same as all other users requirements.
                                available, including but not limited to query, mapping, statistics and data mining;   b. What are the functional requirements that OSC requires for querying, mapping, statistics,
                                                                                                                      and data mining?                                                                                   c. The Offeror should provide the solution that it believes best fits the requirements specified.
                                MDW Infrastructure Requirements
        VI-5      VI-B.2.1      6. Provide network support for the MDW which must, upon implementation, be c. The OSC staff extensively use software tools that are part of the existing eMedNY Data
                                able to support as many as twelve-hundred (1200) users…”                   Warehouse. In light of the State‟s fiscal crisis, will NYSDOH require continuation of these
                                                                                                           tools to prevent inadvertent upset in the State fiscal recovery efforts?

 46     V-23      V-D.14.4      Training                                                                              The Department requires training for 400 individual users at varying levels of user expertise.     Please note that in the RFP Business Requirements Section (V) that on page V-23 the 400
                                “Initial training of four hundred…”                                                    There currently are over 1,000 registered users of the existing eMedNY Data Warehouse.            users figure pertains only to a minimum number of users to be trained within the six months
                                                                                                                      What steps will the contractor be required to take to assure continuity of training and utility    following Phase 1. Responsive, effective and flexible end user training is essential for the
                                                                                                                      of the new MDW for these existing eMedNY Data Warehouse users?                                     success of the new MDW. The Offeror should provide the solution that it believes best fits the
                                                                                                                                                                                                                         requirements specified.




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Ques.    Vendor       Vendor                                          Vendor                                            QUESTION                                                                                       RESPONSE
           Page      Reference                                     Reference Text
 47     VI-2      VI-E.1           Component Description                                                                a. Will the Department confirm that the following table is a correct interpretation of the     a. This chart correctly depicts the requirements:
                                                                                                                        requirements?                                                                                     Environment          MDW                                OHIP Data Mart
        VI-38     VI-I.2           Component Description                                                                              System                        MDW            OHIP Data Mart                         Production           Required                           Required
                                                                                                                                                                                                                                               Volume: 25 years of paid claims,   Volume: 15TB useable
                                                                                                                                      Production           Required              Required                                                      10 years of denied claims and 20
                                                                                                                                      Test                 Mirror Production     One Year of Data                                              years of encounters

                                                                                                                                                             System Data          Volume
                                                                                                                                                             Volume                                                       Test                 Required                           Required
                                                                                                                                      User Acceptance      Subset of Data        Not required                                                  Volume: Mirror Production          Volume: One year of paid claim
                                                                                                                                        Testing                                                                                                System Data Volume                 and encounter volume

                                                                                                                                      Training             Subset of Data        Not required
                                                                                                                                                                                                                          User Acceptance      Required                           Not Required
                                                                                                                                      Development          Subset of Data        Required – Develop &                     Testing              Volume: Subset of data
                                                                                                                                                                                   Unit Test                              Training             Required                           Not Required
                                                                                                                                                                                                                                               Volume: Subset of data
                                                                                                                                      Failover             Mirror Production     Mirror Production                        Development          Required                           Required
                                                                                                                                                             System                System                                 Failover
                                                                                                                                                                                                                                               Volume: Subset of data
                                                                                                                                                                                                                                               Required
                                                                                                                                                                                                                                                                                  Volume: Subset of data
                                                                                                                                                                                                                                                                                  Required
                                                                                                                                      Disaster Recovery    Mirror Production     Mirror Production                                             Volume: Mirror production          Volume: Mirror production
                                                                                                                                                             System                System                                 Disaster Recovery
                                                                                                                                                                                                                                               system
                                                                                                                                                                                                                                               Required
                                                                                                                                                                                                                                                                                  system
                                                                                                                                                                                                                                                                                  Required
                                                                                                                                                                                                                                               Volume: Mirror production          Volume: Mirror production
                                                                                                                                                                                                                                               system                             system

                                                                                                                        b. Will the Department confirm that the Failover environment is a separate hardware and
                                                                                                                        software platform that mirrors the configuration and capacity of the Production environment?
                                                                                                                                                                                                                  b. The Offeror should provide the solution that it believes best meets the stated requirements.
                                                                                                                        c. Will the Department allow the UAT environment to coexist with the Test environment and
                                                                                                                        the Training environment?                                                                 c. The Offeror should provide the solution that it believes best meets the stated requirements.


 48     VI-3      VI-B.2.1         MDW Infrastructure Technical Requirements                                            Will the Department confirm that the Test Environment for the MDW must be sized to hold      The Test Environment for the MDW must be sized to hold the same data volume as the
                                   “3. Test – Environment used to perform full-scale system integration testing for     the same data volume as in the Production environment (i.e., up to 25 years of claims data)? Production environment.
                                   the integrated MDW solution which must:
                                   a. Mirror production in hardware, software stack, and data volumes in order to
                                   perform full-scale system integration testing.”
 49     VI-7      VI-B.2.1         Claims History:                                                                      Can the Department confirm that the Offeror needs to maintain 25 years of denied claims        Any references to 25 years of claims which must be stored in the MDW refers to 25 years of
                                   “… representing twenty-five (25) years of paid and denied claims and                 history in addition to 25 years of paid claims and encounter data history?                     paid claims, 10 years of denied claims, and 20 years of encounters.
                                   encounters …”
 50     VI-11     VI-C.2.1         MDW – Business Continuity Requirements                                               The Department appears to be requiring the long-term storage of 260 generations of weekly      All backup copies must be stored in a NYSDOH approved backup storage location. The
                                   “4. All back-up copies must be stored in a NYSDOH approved back-up storage           backup tapes. Based on our experience, a typical back-up solution would result in the          NYSDOH has not prescribed the backup media to be tape.
                                   location for five (5) years. The Contractor must: …”                                 storage of between three and five generations of weekly back-up tapes. The Department‟s
                                   OHIP Data Mart Business Continuity – Backup/Recovery Requirements                    requirements will result in the storage of over 5,000 tapes and an associated considerable
        VI-44                      “4. All back-up copies must be stored in an approved back-up storage location        cost for media, transportation and storage. In addition, the Department already stores the
                                   for five (5) years. “                                                                input data files for a period of over seven years. Can the Department describe the reason
                                                                                                                        for the back-storage requirements and confirm that it requires that all backup tapes for all
                                                                                                                        weekly backups for both the MDW and the OHIP Data Mart be retained for at least five (5)
                                                                                                                        years?
 51     VI-11     VI-C.2.1         MDW Business Continuity – Failover Requirements                                      There appears to be conflicting in the failover requirements. Will the Depart clarify if the   Immediate. An addendum to the RFP containing a revised Exhibit VII-1 will be posted to the
                                   “The Contractor must:                                                                failover requirement for the MDW is immediate or is it capped at five (5) minutes per          website for this procurement.
                                   Provide a MDW failover component with immediate failover capability                  occurrence?

                                    System Availability Requirement one-hundred (100) percent exclusive of the
        VII-1     VII-Exhibit VII-1 time to switch over to the failover environment in the event of a production
                                    environment failure which is capped at five (5) minutes per occurrence”
 52     VI-11     VI-C.2.1          “Design the capability to switch operations from the production environment to      a. Section VII B indicates that the MDW system will not be available for user access during    Yes, the MDW must be available on-line during the refresh and maintenance window.
                                    a failover environment on a daily basis to allow the refresh and maintenance of     the refresh and maintenance window. Must the MDW system be available on-line during
                                    the production environment.”                                                        the refresh and maintenance window of the production environment?

                                                                                                                        b. If not, what is the purpose of this capability?
 53     VI-13     VI-C.2.1         MDW Business Continuity – Disaster/Recovery Requirements                             Will the Department clarify the required frequency of the Disaster/Recovery Test – is it an    The NYSDOH requires an annual disaster recovery test.
                                   “The Contractor must:                                                                annual requirement or an every two year requirement?
                                   14. Execute the DRP test to demonstrate the capability of the DRP to restore
                                   processing capability for all critical system components at a remote site. The
                                   DRP test must be included as a part of Acceptance Testing and be executed
                                   annually after the implementation of Phase 1 of the data warehouse
                                   implementation”

                                   BUSINESS CONTINUITY TESTING
        X-2       B.3              “3. Business Continuity Plan for both the MDW and OHIP Data Mart. This
                                   testing must be scheduled for every two years or at the discretion of NYSDOH.”

 54     VI-15     VI-C.2.3         “Describe how the proposed solution will provide for the recovery of critical data   a. How many years (all 25 years or a subset) of data is expected to be available within        a. All 25 years of data must be available within twenty-four (24) hours of the discovery of a
                                   warehouse services within twenty-four (24) hours of the discovery of the service     twenty-four (24) hours of the discovery of a service disruption?                               service disruption. All references to 25 years of claims which must be stored in the MDW refers
                                   disruption, the declaration of a disaster or MDW production site becoming                                                                                                           to 25 years of paid claims, 10 years of denied claims, and 20 years of encounters.
                                   unsafe or inoperable. Critical MDW functions are defined as daily Data               b. Does the Department require that the disaster recovery system be a complete duplicate
                                   Acquisition refresh cycle, basic Data Access functions (Web portal, Business         of the Production System, including storage for all 25 years of historic data?                 b. The disaster recovery system must provide the same capabilities as the production system.
                                   Intelligence), Data Delivery and data back-up capabilities;”




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Ques.    Vendor       Vendor                                           Vendor                                        QUESTION                                                                                        RESPONSE
           Page      Reference                                    Reference Text
 55     VI-24     VI-E.2.1        Business Intelligence (BI) (Query and Reporting), Decision Support System          a. Of the initial 1,200 users, how many are: executive, casual, business analysts and power     a. Executive = 5%
                                  (DSS), Executive Information Management System (EIS) and Dashboards                users?                                                                                             Casual = 30%
                                  “General                                                                                                                                                                              Business Analysts = 55%
                                  6. Includes software that supports the needs of:                                   b. What types of customization are expected?                                                       Power Users = 10%
                                  a. Executive users to execute basic canned queries and canned reports via a
                                  dashboard;                                                                         c. Will the types of customization be the same for both external users and internal users?      b. Customizations will be determined in JAD sessions held with the NYSDOH.
                                  b. Power users to develop complex queries executed against the data
                                  warehouse using a tool or direct structured query language (SQL) constructs;                                                                                                       c. Customizations will be determined in JAD sessions held with the NYSDOH.
                                  c. Casual users to perform simple queries based on point and click technology;
                                  and
                                  d. Business analysts to perform simple and moderate queries

                                  9. Provides Web-enabled access for external users, e.g., Legislators, providers,
                                  etc. This will require secure access to aggregated and non-confidential data
                                  with a browser-compatible interface that functions like a Web site allowing for
                                  customization to meet the needs of specific users groups “


 56     VI-30     VI-F.1          Component Description                                                              a. What is the approximate number of designated “power” users who will develop and              a. 10-20 power users are anticipated.
                                  “In addition to the required feeds to the externally controlled data marts,        execute large volume data extracts?
                                  NYSDOH needs the capability to allow a designated set of “power” users to                                                                                                          b. Extracts are anticipated to be in the gigabyte range; extracts will be run upon request.
                                  extract large volumes of data. Although NYSDOH currently supports a number b. What is the approximate size and frequency of these user-driven extracts?
                                  of planned extracts, it cannot keep up with the requests from users for periodic
                                  or scheduled delivery of large sets of data. The data delivery solution must
                                  additionally contain the functionality needed to request, schedule, create, store,
                                  publish, and administer these data extracts. NYSDOH desires a data delivery
                                  solution that can be used directly by these designated “power” users.”

 57     VI-31     VI-F.2.2        “The Contractor must provide a MDW ETL data delivery component solution            a. Are these two specific requirements for the external data marts only, or are they also for   a. The two specific requirements are for the data delivery component.
                                  that:                                                                              any other ad-hoc data extract requirements? (The Offeror‟s Library only includes a listing of
                                  1. Provides a uniform Web-based interface to extract large volumes of data         External Data Marts as far as data delivery is concerned).                                      b. The Offeror should provide the solution that it believes best meets the stated requirements.
                                  maintained in the MDW based on selection criteria submitted (See the Offerors‟
                                  Library for a listing of required data extracts and associated volumes);           b. Can a reporting tool be used to support this requirement or must all extracts be produced
                                  2. Provides an integrated, intuitive, and user friendly Web-based portal           by the MDW ETL tool?
                                  interface to request and schedule dataset creation and to monitor status of
                                  request; “

 58     VI-38     VI-I.1.         OHIP DATA MART INFRASTRUCTURE REQUIREMENTS                                         Why is the data volume requirement for the Test environment for the OHIP Data Mart only         The requirement is based on the business needs of the NYSDOH.
                                  “1. Environments                                                                   one year of data as compared to the data volume requirement of the Test environment for
                                     a. Test - Environment used to perform system integration testing for the        the MDW, which is a full mirror of the Production environment (i.e., up to twenty-five (25)
                                  integrated OHIP Data Mart solution. This environment must mirror production        years of data)?
                                  in software stack, be within the same hardware product line, and support one
                                  year of data volume in order to perform system integration testing”

 59     VII-1     Exhibit VII-1   User Access Hours:                                                                 These two requirements are contradictory in terms of availability requirements. Which           Yes, the MDW must be available on-line during the refresh and maintenance window. An
                                  “12 a.m. to 11:59 p.m. Eastern Time (ET) Monday through Sunday including           requirement should respondents use?                                                             addendum to the RFP containing a revised Exhibit VII-1 will be posted to the website for this
                                  State Holidays.                                                                                                                                                                    procurement.
                                  System Availability Requirement one-hundred (100) percent exclusive of the
                                  time to switch over to the failover environment”
        VII-2
                  Exhibit VII-1   Refresh and Maintenance Window:
                                  “1 a.m. to 6 a.m. (ET) Monday through Friday, Saturday, Sunday and State
                                  holidays.
                                  The hours that the server will be available to the Contractor for:
                                  System Maintenance: Time available to the Contractor to perform hardware
                                  and software maintenance.
                                  During the Refresh and Maintenance Window the MDW system will not be
                                  available for on line usage. All queries and reports may be canceled at the start
                                  of the Refresh and Maintenance Window.”
 60     VII-1     Exhibit VII-1   Production MDW Availability Schedule                                              Must the MDW be available for user access 7 X 24 (12 a.m. to 11:59 p.m.) or 6 a.m. to 1          MDW production must be available 24 x 7 either through the primary production environment or
                                  “User Access Hours                                                                a.m. Monday through Friday, Saturday, Sunday and State Holidays?                                 through the failover environment during the refresh/maintenance cycle. An addendum to the
                                  12 a.m. to 11:59 p.m. Eastern Time (ET) Monday through Sunday including                                                                                                            RFP containing a revised Exhibit VII-1 will be posted to the website for this procurement.
                                  State Holidays”
                                  and
                                  Refresh and Maintenance Window
                                  “1 a.m. to 6 a.m. (ET) Monday through Friday, Saturday, Sunday and State
                                  Holidays
                                  During the Refresh and Maintenance Window the MDW system will not be
                                  available for on line usage. All queries and reports may be canceled at the start
                                  of the Refresh and Maintenance Window.”




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Ques.    Vendor        Vendor                                       Vendor                                              QUESTION                                                                                        RESPONSE
           Page       Reference                                  Reference Text
 61     VII-1     Section VII(A)   “Liquidated Damage Provisions Applicable to the Failure to meet specified            The RFP includes several provisions specifying liquidated damages that are defined in           No. The original RFP language meets the needs of NYSDOH.
                  and Section      Service Level Agreements”                                                            Section VII.
                  VII(B) through
                  (I)                                                                                                   Liquidated damages are a useful and necessary remedy that should be available to the
                                                                                                                        Department, as drafted. However, there are the following issues with the liquidated
                                                                                                                        damages that could have some unintended but nonetheless negative consequences to the
                                                                                                                        Department:

                                                                                                                        The Risk of Higher Prices to the Department: The liquidated damages are not subject to
                                                                                                                        any individual or aggregate cap. As such, Offerors will once again be encouraged to price
                                                                                                                        this risk into their bid, resulting in higher prices to the Department than need be the case.

                                                                                                                        The Risk of Responsive and Responsible Offerors Not Bidding: The failure to fulfill some
                                                                                                                        obligations for which liquidated damages are specified are not within the control of the
                                                                                                                        contractor. As such, responsive and responsible Offerors may elect not to bid.



 61.2                                                                                                                   The False Hope That Liquidated Damages Can Be Recovered As Well as Actual
                                                                                                                        Damages: Traditionally, liquidated damages apply only to those instances where the failure
                                                                                                                        of an obligation results in the Department incurring damages where actual damages are
                                                                                                                        difficult to quantify. Customers and vendors have an incentive to agree upon a liquidated
                                                                                                                        damage amount in advance in order to avoid spending time and money proving their actual
                                                                                                                        damages. With liquidated damages not being the Department‟s sole and exclusive remedy,
                                                                                                                        the Department will derive a false sense that additional remedies will be easily recoverable
                                                                                                                        when, in fact, they may not be. Rather than preserving the right for the Department to
                                                                                                                        recover actual and liquidated damages, it would be better for the Department to agree that
                                                                                                                        liquidated damages is its sole and exclusive remedy when they do apply.


 61.3                                                                                                                   Liquidated Damages May Be Worse, as a Remedy, To the Department for Those
                                                                                                                        Obligations Where Actual Damages are Quantifiable: For some obligations where
                                                                                                                        liquidated damages are proposed, the Department may be able to prove actual damages
                                                                                                                        without a lot of difficulty and those damages may exceed the liquidated damage amount.
                                                                                                                        Vendors have sufficient incentive to fulfill those obligations without introducing liquidated
                                                                                                                        damages, which may be lower than the Department‟s actual damages.

                                                                                                                        Question: Based on the above, will the Department amend the RFP by expressly
                                                                                                                        acknowledging to all bidders the following?

                                                                                                                        “Prior to any notice of intent to award a contract under this RFP, the Department shall
                                                                                                                        negotiate reasonable, mutually acceptable contractual language regarding the applicability,
                                                                                                                        amount and limitations associated with liquidated damages under the eventual contract
                                                                                                                        between the Department and the selected bidder, including that liquidated damages shall
                                                                                                                        constitute the sole and exclusive remedy of the Department.”

 62     VII-4     VII-B                                                                                                 For the OHIP Data Mart availability (Production and Failover), again the RFP states that the The NYSDOH will work with the contractor to define time slotted for Refresh and Maintenance.
                                                                                                                        system will be available for user access “12 a.m. to 11:59 p.m. Eastern Time (ET) Monday
                                                                                                                        through Sunday including State Holidays”. There is no scheduled time slotted for Refresh
                                                                                                                        and Maintenance. Is this correct?
 63     VII-5     Exhibit VII-1    Development/Test OHIP Data Mart Availability Schedule                                Should the Online Hours be stated as 6 a.m. to 1 a.m. (and not 6 a.m. to 1 p.m.)?            Yes, it should be 1 a.m. An addendum to the RFP containing a revised Exhibit VII-1 will be
                                   “Online Hours                                                                                                                                                                     posted to the website for this procurement.
                                   6 a.m. to 1 p.m. Eastern Time (ET) Monday Through Friday
 64     VII-5     VII-B            Other Availability Requirements (table)                                              Are the Help Desk hours 7 X 24 (as stated in Section VII-5), or are the Help Desk hours 8       Help Desk hours are 8 a.m. to 5 p.m., Monday through Friday, with cell phone coverage 5 p.m.
                                   Help Desk Support Hours:                                                             a.m. to 5 p.m., Monday through Friday, with cell phone coverage 8 a.m. to 5 p.m. on             to 8 a.m., Monday through Friday and 24 hours on Saturdays, Sundays and State Holidays. An
                                   Help desk availability on 24 X 7, Monday through Sunday and official State           Saturdays, Sundays and State Holidays (as specified in section IX)?                             addendum to the RFP containing a revised Exhibit VII-1 will be posted to the website for this
                                   holidays. “                                                                                                                                                                          procurement.

        IX-1      IX               User Support Requirements
                                   “The Contractor will be responsible for providing Help Desk services to all
                                   MDW users during the hours of 8 a.m. to 5 p.m. (ET) Monday through Friday.
                                   In addition, the Contactor will provide limited Help Desk support (via cell phone
                                   coverage), 8 a.m. to 5 p.m. (ET), on Saturdays, Sundays and State holidays “

 65     VII-8     VII-D.           STAFFING                                                                             Will the Department define the yearly continuing education requirement?                         This is removed as a requirement.
                                   “The Contractor must provide a yearly summary of staff continuing education to
                                   NYSDOH to be used in determining that the yearly continuing education
                                   requirement has been met
 66     VIII-1    VIII.B.1         B1. SPACE AND OFFICE FACILITIES                                                      a. Is the requirement to provide at least 9,800 square feet of secured office space intended    a. Recognizing that some proposals will require more or less Contractor space this requirement
                                   “4. The Contractor is responsible for providing a location with at least nine-       to represent the minimum space required for NYSDOH and other NYSDOH authorized                  represents a minimum space requirement to include all State, Consultant and Contractor staff.
                                   thousand eight- hundred (9,800) square feet of secured office space, accessible      consultant staff only; or is the minimum 9,800 square feet requirement intended to represent    However, if Contractor staffing requirements are such that more space is necessary, proposals
                                   to authorized NYSDOH staff and other NYSDOH authorized consultant staff              the minimum square feet required to house all project staff including Contractor staff?         should include additional space or contingencies to secure additional space as necessary.
                                   twenty-four (24) hours per day, seven (7) days per week without prior notice,
                                   admission, escort or other requirements. The Contractor will provide this facility   b. Is the 9,800 square feet of office space net or gross square footage?
                                   space to house its own staff, NYSDOH, other NYSDOH consultant and                                                                                                                    b. This requirement represents net useable office space.
                                   contractor staff and to satisfy all phone, installation and other requirements
                                   specified in this RFP.”
 67     X-4       X-C.5            PARALLEL TESTS                                                                       What is the minimum timeframe required for parallel testing (i.e., is it a minimum of two (2)   At least three months.
                                   “The Contractor must plan parallel tests of the data warehouse based on actual       months, or at least three (3) months)?
                                   converted data that can be compared to current operations of the existing
                                   eMedNY Data Warehouse. These must be real tests on actual converted data;
                                   therefore, data conversion must be complete through the testing date before
                                   parallel testing can begin. NYSDOH requires a minimum of two (2) months
                                   parallel testing”
                                   and
        III-4     III-B.2.3        Administrative Deliverables
                                   “3. Validate the success of the MDW implementation through at least three (3)
                                   months of parallel testing against the eMedNY Data Warehouse”



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Ques.    Vendor        Vendor                                             Vendor                                   QUESTION                                                                                               RESPONSE
           Page       Reference                                       Reference Text
 68     XII-9      XII-D.2(3)      “The transmittal letter „shall include … [A} statement that the Offeror accepts Background:                                                                                            No. Offerors may not place any conditions, reservations, limitations, or substitutions in their
                                   the contract terms and conditions contained in this RFP, including attachments”                                                                                                        proposal with regard to the contract language, nor may offertory include any statements
                                                                                                                   The RFP contains conflicting statements regarding whether or not an Offeror is permitted to            intended to alter the order of precedence as defined in Section 2, Incorporation of Documents
                                                                                                                   include in its bid exceptions to terms and conditions contained in the RFP (“Exceptions”)              and Order of Priority, in Attachment I of the RFP.
                                                                                                                   and/or supplemental terms and conditions to those terms and conditions contained in the
                                                                                                                   RFP (“Supplemental Terms”). For instance, on the one hand, from Section XII.D.2(3), it
                                                                                                                   would appear that neither Exceptions nor Supplemental Terms are permitted.

                                                                                                                        On the other hand, there are several provisions in other portions of the RFP that imply if not
                                                                                                                        express the contrary idea that Exceptions and Supplemental Terms may be part of the
                                                                                                                        eventual contract between the State and the successful bidder (and by implication, that
                                                                                                                        Exceptions and Supplemental Terms may be included in a Proposal).

                                                                                                                        For instance, see the following:

                                                                                                                        The terms of any “Contract” include “written amendments to the Contract agreed to by the
                                                                                                                        parties and approved, where necessary, by the Attorney General and the Office of the State
                                                                                                                        Comptroller”. (Appendix I, Section 2(2)(b))


 68.2                                                                                                                   After Notice of Intent to Award, the apparent successful offer is to “negotiate and execute a
                                                                                                                        Contract” (Section XII.F.6 on page XII-17)

                                                                                                                        NYSDOH reserves the right to negotiate final specifications and terms if it determines doing
                                                                                                                        so would be in the best interests of the State (Section XIII.E.3 on page XIII-5)

                                                                                                                        NYSDOH and Contractor are to “reach a satisfactory agreement on the terms of the
                                                                                                                        Contract” (Section XIII.E.7)

                                                                                                                        Throughout the RFP, the Department expresses a desire to receive Commercial Off the
                                                                                                                        Shelf (COTS) software products and yet, the supply of any COTS products is accompanied
                                                                                                                        by the need to license it to an end user consistent with the license terms from the applicable
                                                                                                                        copyright holder, implying the need for bids to include such license terms.

                                                                                                                        The inclusion of Exceptions and Supplemental Terms may result in lower pricing to the
                                                                                                                        Department and/or more technically compliant solutions.

 68.3                                                                                                                   Questions:

                                                                                                                        a. In order to resolve this inconsistency and to maximize the chances that the Department
                                                                                                                        will receive bids that are in the best interests of the Department (i.e., through lower pricing
                                                                                                                        and/or more technically compliant solutions), will the Department permit Offerors to include
                                                                                                                        Exceptions and Supplemental Terms in an Offer without necessarily deeming such inclusion
                                                                                                                        to be non-compliant?

                                                                                                                        b. If so, where in the Proposal should an Offeror include Exceptions and Supplemental
                                                                                                                        Terms?
 69     XII-10     XII-D.6         D.6 SCOPE OF WORK AND PROJECT MANAGEMENT METHODOLOGY                                 D6 has the title “Scope of Work and Project Management Methodology”, but the text asks
                                   (TAB 6)                                                                              only for Sections L and M. The text does not refer to either the Scope of Work or the Project
                                   “Tab 6 shall be labeled Scope of Work and Project Management Methodology.            Management Methodology.
                                   In this section, an Offeror must document its approach to requirements                                                                                                                 a. Yes.
                                   described in Section IV Project Management by responding to each proposal            a. Should respondents include their understanding of the Scope of Work in D.6?
                                   requirement presented in that section. All project requirements are set forth in
                                   Attachment M Mandatory Requirements Traceability Matrix.                             b. Should respondents include their Project Management Methodology in D.6?                        b. Yes.
                                   Additionally, the Department requires that Offerors complete Attachment L
                                   Proposal Requirements Cross-Reference Matrix…”                                       c. If the Project Management Methodology, and particularly the answer to RFP Section IV,
                                                                                                                        isn‟t included in Section D.6, where should it be included?
 70     XII-11     XII-D.7         “… and Attachment M Mandatory Requirements Traceability Matrix…                      Both Sections XII-D.6 and XII-D.7 request that Attachments L and M be included.                   Attachment M identifies “what” the Offeror must do; under Tabs 6 & 7 we want the Offeror to
                                   Additionally, the Department requests that Offerors complete Attachment L                                                                                                              tell us in detail “how” they will accomplish this work.
                                   Proposal Requirements Cross-Reference Matrix.”                                       In which section should Attachments L and M be included?                                          Attachments L & M should be completed and included under Mandatory Requirements
                                                                                                                                                                                                                          Checklist (Tab 3) along with Attachment K.
 71     XII-15     XII-E(3)        “The Offeror must submit the following documents to be used in the evaluation        For those Offerors who are privately held and who are not otherwise required to have              If audited financial statements are not required to be prepared, the entity should submit other
                                   of financial viability:                                                              audited financial statements, will the Department amend the RFP so as to permit such              evidence of financial viability, e.g., tax returns, bank statements, internal financial statements
                                   1. Audited financial statements (annual reports) for the last three (3) years:”      offerors to submit the audited financial statements of a parent company, including parent         or other such documentation evidencing financial viability. The audited financial statements of
                                                                                                                        companies who may be publicly held, with audited financial statements?                            a parent company or subsidiaries may be submitted, but the evaluation of financial viability will
                                                                                                                                                                                                                          be based upon the financial position of the entity submitting the proposal.

 72     XIII-1     XIII.D.1        Following receipt of the submitted questions, NYSDOH staff will prepare written      Given the complexity of the questions we and other vendors are asking, it is unlikely that all    a.-b. As stated in the RFP, questions are due in on December 2, 2008 and will be responded to
                                   responses to all questions received. These responses will be made available on       questions will be resolved after one round of questions.                                          by December 19, 2008. This timeframe meets NYSDOH needs and will be maintained.
                                   CD-ROM by the date listed on page ii. To the extent practicable, questions will
                                   remain as written. However, NYSDOH may consolidate and paraphrase                    a. Will the Department allow a second round of questions after the vendors have seen the
                                   questions received. NYSDOH's intention is to complete all responses within           answers to the first set of questions on December 19?
                                   approximately two (2) weeks of the deadline for receipt of written questions.
                                                                                                                        b. If so, will the Department extend the February 9th Opening Date accordingly?
 73     Attachmen Attachment I,    “The Department reserves the right to stop the work described by this proposal       The Department should always have the right to terminate the Contract for convenience as          No, the sections cited may be mutually exclusive. Section 28.3 Of Attachment I states the
        t I, Page 5 Section 3(2)   and the Contract at any time that the Department deems the Contractor to be          is permitted under Attachment I, Section 28(3), with the appropriate obligation to provide at     contract may be terminated “by the State for convenience” while in Section 3.2 “the Department
                                   unable or performing the work to the satisfaction of the Department and in the       least thirty (30) days advance written notice and to pay Contractor for unpaid charges            reserves the right to stop the work covered by this proposal and the Contract at any time that
                                   event of such cessation of work the Department shall have the right to arrange       incurred through the effective date of termination.                                               the Department deems the Contractor to be unable or incapable of performing the work.” The
                                   for the completion of the work in such manner as the Department may deem                                                                                                               original RFP language meets the needs of the NYSDOH.
                                   advisable and if the cost thereof exceeds the amount of the proposal, the            Under Attachment I, Section 3(2), however, not only is the thirty (30) day advance written
                                   Contractor and its surety shall be liable for any excess cost on account thereof.”   notice requirement missing but a Contractor may be held liable for the cost of cover where
                                                                                                                        there is no breach by the Contractor of its obligations.

                                                                                                                        Question: To resolve the inconsistency between Attachment I, Section 3(2) and
                                                                                                                        Attachment I, Section 28(3) and in order to benefit from lower pricing from bidders if they
                                                                                                                        don‟t have to include an amount in their price to account for the possibility of being held
                                                                                                                        liable for cover even when no breach has occurred, would the Department amend the RFP
                                                                                                                        so as to eliminate Attachment I, Section 3(2)?


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Ques.    Vendor       Vendor                                              Vendor                                      QUESTION                                                                                          RESPONSE
          Page       Reference                                      Reference Text
 74     App I, p  App I, Section    “The kinds and amounts of required insurance are:                                 The RFP requires the Contractor to obtain and maintain protective liability insurance. This       No. The original RFP language meets the needs of the NYSDOH.
        10 and 11 9(2)(d)           …(d) Protective Liability Insurance issued to and covering the liability of the   type of insurance is typically required in a construction contract but not for the type of
                                    People of the State of New York with respect to all operations under this         contract contemplated by the RFP. Contractors for the type of procurement envisioned by
                                    Contract, by the Contractor or by its subcontractors, including omissions and     this RFP may not otherwise have obtained and maintained this type of construction contract
                                    supervisory acts of the State”                                                    based insurance. Its inclusion as a requirement is likely to result in an increased cost to the
                                                                                                                      Department in so far as this coverage would have to be purchased, all without incremental
                                                                                                                      benefit to the Department.

                                                                                                                       In addition, the RFP already requires the Contractor to obtain and maintain general
                                                                                                                      commercial liability insurance, which addresses many of the types of risks that could arise
                                                                                                                      under the Contract.

                                                                                                                      Question: Would the Department amend the RFP so as to delete the requirement for
                                                                                                                      protective liability insurance?
 75     App I, p   App I, Section   “1. The Contractor must furnish and maintain in full force and effect, for the    We understand that the Department may desire some additional form of security in             No. The original RFP language meets the needs of the NYSDOH.
        11-13      10, Letter of    duration of the contract term (including any extensions) plus one hundred and     connection with the Contractor‟s performance of its obligations under the Contract. The
                   Credit           eighty (180) calendar days thereafter, an irrevocable Standby Letter of Credit    RFP requires a SLOC, which is one of many types of protection available in the market. On
                                    (SLOC) U.S. Dollars.”                                                             the other hand, the transaction costs of a SLOC are materially higher than other forms of
                                                                                                                      equally protective security. These higher costs are likely to be passed on to the Department
                                                                                                                      without the Department receiving a commensurate greater degree of protection.

                                                                                                                      Question: Would the Department amend the RFP to permit a contractor to obtain and
                                                                                                                      maintain a performance bond in the same amount as the SLOC but as an alternative to a
                                                                                                                      SLOC?

 76     Attachmen Attachment I,     The Sections for which the question is posed include the following from Section   Background:                                                                                       No. The original RFP language meets the needs of the NYSDOH.
        t I, Page Sections 17.1     17.1 and 17.3:
        20        and 17.3          “17.1(2) The Contractor warrants and represents that its work and the             The warranties requested from the Contractor under Attachment I, Section 17.1 and 17.3
                  (Various          deliverables resulting from that work will be merchantable and fit for the        have both a very broad scope and a long duration. For instance:
                  Sections)         particular purposes described in the RFP.”
                                    “17.1(6) Prior to the award and during the Contract term and any renewals         The Contractor is required to make several warranties that extend for as long until one year
                                    thereof, the Contractor must establish, to the satisfaction of the Department,    after the Contract ends (i.e., through December 31, 2018, if all options are exercised).
                                    that it meets or exceeds all of the requirements of the RFP, the Proposal, the
                                    Contract and any related specifications associated with those documents or        The warranties include warranties of merchantability, fitness for particular purposes
                                    subsequently established …”                                                       established by the Department and that software be error free.
                                    “17.1(7) The warranties regarding material defects, merchantability and fitness
                                    are for a period encompassing the Contract term plus one year. All other          Likely Result: Higher Pricing to the Department
                                    warranties will be continuing warranties, unless otherwise specified in the
                                    Contract.”                                                                        It is important that the Department be provided with warranties on the Deliverables from the
                                    “17.3(3) The Contractor further warrants and represents that hardware and         Contractor and that the Contractor be held accountable where those Deliverables do not
                                    software components or deliverables specified and furnished by or through the     conform to mutually agreed upon specifications. The likely consequence, however, of
                                    Contractor shall individually and where specified and furnished as a system, be   requiring warranties to have a term through December 31, 2018, and to meet or exceed the
                                    substantially uninterrupted and error free in operation and guaranteed against    Department‟s particular purposes, etc. is to be a higher price to the Department.
                                    faulty material and workmanship the warranty period, the remaining term of the
                                    Contract or for a minimum of one (1) year from the date of acceptance,
 76.2                                                                                                                 The reasons why higher pricing is likely are:

                                                                                                                      1. Duration: As we‟re sure you‟re aware, the remedy under New York law for a breach of
                                                                                                                      warranty claim includes a full refund of the price paid for the Deliverable that is not as
                                                                                                                      warranted. If that warranty lasts until December 31, 2018 (rather than the more typical
                                                                                                                      warranty period of one year or until Acceptance), contractors cannot be assured that they
                                                                                                                      will not have to refund the price that has been paid until the warranty expires on December
                                                                                                                      31, 2018. To address this financial risk, bidders will be encouraged to create a financial
                                                                                                                      reserve that is likely to be passed on to the Department in the form of a higher price where
                                                                                                                      the risk lasts as long as until December 31, 2018.

                                                                                                                      2. No Limitation on Remedy for Breach of Warranty: New York law permits vendors
                                                                                                                      and customers to agree to a limitation of remedy if a warranty is breached.


 76.3                                                                                                                 Under the RFP, there is not the traditional limited remedy for the breach of all warranties
                                                                                                                      (where the vendor must first repair or replace the Deliverable that is not as warranted and if
                                                                                                                      the Vendor is unable to do so, obligating the Vendor only to refund the price paid for the
                                                                                                                      Deliverable that is not as warranted). To address possible additional costs to which the
                                                                                                                      Vendor could be subject, bidders will be likely to raise their price.

                                                                                                                      To the extent a vendor is being asked to warrant that the Deliverables will be fit for the
                                                                                                                      Department‟s particular purposes or that the software will be error free, such a vendor is
                                                                                                                      being asked to commit to results that are beyond its control. Many factors will influence
                                                                                                                      whether the Department‟s particular purposes are met. The successful vendor‟s
                                                                                                                      Deliverables should assist the Department in this manner, but assistance is not equal to a
                                                                                                                      guarantee. Bidders may be encouraged to increase their price to address the increased risk
                                                                                                                      that the Department‟s particular purposes are not met, even though the failure is not
                                                                                                                      attributable to the Vendor.




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Ques.   Vendor    Vendor        Vendor        QUESTION                                                                                          RESPONSE
         Page    Reference   Reference Text
 76.4                                         In addition to this broadly stated express warranty, there is no disclaimer of warranties that
                                              are implied at law, such as the implied warranty of merchantability or fitness for a particular
                                              purpose. Indeed, the RFP converts these often implied warranties into express warranties.
                                              New York law permits contracts to include an express disclaimer of any implied warranties.
                                              Without such an express disclaimer, these implied warranties represent additional costs to
                                              the contractor and are likely to be passed on to the Department.

                                              Higher Price Provides The Department With Unnecessary Protection

                                              In addition, the Department has available to it several other remedies under its Contract
                                              with the successful bidder to address the types of issues that these warranties seek to
                                              address. These other remedies do not necessarily result in increased pricing to the
                                              Department. The other remedies available include:

                                              Acceptance Testing

                                              Express warranties that the Deliverables meet mutually agreed upon specifications and, as
                                              such, provide more concrete benefits than broadly stated implied warranties

 76.5                                         Breach of contract (as opposed to breach of warranty claims)

                                              Liquidated Damages in some instances

                                              Contract Termination

                                              Question: Based on the above, will the Department amend the RFP by expressly
                                              acknowledging to all bidders the following or something similar?

                                              “Prior to any notice of intent to award a contract under this RFP, the Department shall
                                              negotiate reasonable, mutually acceptable contractual language regarding the scope and
                                              duration of warranties as well as remedies if a warranty is breached under the eventual
                                              contract between the Department and the selected bidder, where such warranties may
                                              include those set forth in Attachment I, Section 17.1 and 17.3.”




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Ques.    Vendor          Vendor                                               Vendor                                      QUESTION                                                                                          RESPONSE
           Page        Reference                                         Reference Text
 77     Att I, Pg   Att I, Section   “Additionally, neither party shall be liable for damages in excess of two times      Background:                                                                                       No. The original RFP language meets the needs of the NYSDOH.
        30 & 31     21(3)            the total value of this Contract or three millions dollars ($3,000,000), whichever
                                     is greater, except that liability shall not be limited in the case of claims under   The RFP contains a contractual cap on each party‟s liability but the amount of such cap is
                                     infringement or other violation of intellectual property or claims involving         quite large (2x) and does not vary over the life of what is potentially a very long contract
                                     personal injury or death, regardless of the nature of the damages sought for         (i.e., potentially through December 31, 2017 if all renewal options are exercised).
                                     any such claim.”
                                                                                                                          A lower contractual cap for both parties and one that decreases once the Contract shifts
                                                                                                                          from “implementation” to “operations” has the following advantages for the State:

                                                                                                                          Encourages More Responsive and Responsible Bidders to Bid, Providing Best Value
                                                                                                                          to the Department:

                                                                                                                          The delivery, implementation and operation of replacement EDW and of operational support
                                                                                                                          for the Department‟s Data Mart involves products and services that are critical to the
                                                                                                                          Department and for which the Department needs technically responsive and financially
                                                                                                                          responsible bidders to bid as those are the types of bidders who can provide “best value to
                                                                                                                          the State”.

 77.2                                                                                                                     Bidders who have those characteristics are not likely to bid if the contractual cap is 2 x the
                                                                                                                          total contract value (where the contract value is in the millions of dollars) and where the cap
                                                                                                                          does not decrease over time commensurate with the decrease in risk to the Department.
                                                                                                                          On the other hand, bidders with few assets would be the type of bidders likely to bid and
                                                                                                                          accept such a limitation, albeit without the practical capability of providing the Department
                                                                                                                          with a meaningful remedy.

                                                                                                                          Enables Bidders To Provide Lower Pricing to the Department:

                                                                                                                          A lower contractual cap and one that declines over the term of the Contract will permit
                                                                                                                          bidders to offer lower pricing to the Department as they will not have to try to price the
                                                                                                                          increased contractual risk into their price.

 77.3                                                                                                                     Provides the Department with a Meaningful Remedy That is More Commensurate with
                                                                                                                          the Department’s Actual Risk:

                                                                                                                          A contractual cap that is equal to the total contract value paid during the Implementation
                                                                                                                          Phase of the Contract until Implementation is complete and then declines to an amount
                                                                                                                          equal to the Annualized Fixed Monthly Administrative Fee during each year of
                                                                                                                          Implementation provides the Department with a meaningful amount during the entire
                                                                                                                          Contract term.

                                                                                                                          In addition, the greatest risk to the Department is during Implementation, when the
                                                                                                                          contractual cap is greatest. The lower amount during Operations corresponds to a time
                                                                                                                          when the risk to the Department is lower.

                                                                                                                          Lower and Declining Contractual Cap Is Consistent with NY Law:

                                                                                                                          Such a lower and declining contractual cap over the term of the Contract is also consistent
                                                                                                                          with Sections 2-316 and 2-719 of the Uniform Commercial Code, as adopted under NY law.

                                                                                                                          Question: Based on the above, would the Department accept the following sentence as a
                                                                                                                          replacement to the third sentence of Section 21(3) of Appendix I or some other formulation
                                                                                                                          consistent with the principles reflected in the language below?

 77.4                                                                                                                     “Additionally, neither party shall be liable for damages in excess of the Applicable
                                                                                                                          Contractual Cap, except that liability shall not be limited in the case of claims under
                                                                                                                          infringement or other violation of intellectual property or claims involving personal injury or
                                                                                                                          death, regardless of the nature of the damages sought for any such claim.

                                                                                                                          For any claims subject to the Applicable Contractual Cap arising during the period from
                                                                                                                          commencement of the Contract term until completion of Implementation, the “Applicable
                                                                                                                          Contractual Cap” shall be equal to the greater of (a) the total amount paid by the
                                                                                                                          Department to Contractor through completion of Implementation or (b) three million dollars
                                                                                                                          ($3,000,000), where such cap shall be calculated for all claims in the aggregate arising
                                                                                                                          during such time period.

                                                                                                                          For any claims subject to the Applicable Contractual Cap arising after completion of
                                                                                                                          Implementation through the expiration or termination of the Contract, whichever is earlier,
                                                                                                                          the “Applicable Contractual Cap” shall be equal to the annualized amount of the fixed
                                                                                                                          monthly administrative fee corresponding to the twelve (12) month period
                                                                                                                          in which the claim or claims arise.”
 78     Att L       Att L            IX B Training                                                                        Attachment L refers to a Section IX-B training, but Section IX-B does not appear in the RFP. Yes, the reference to training in Attachment L should refer to V-E and not IX-B.
        P 20                         Describe in your proposal how you will support the Training business functions       Should the reference be to Section V-E?
                                     as described in RFP Section IX B and its associated requirements listed in
                                     Attachment M.
 79     Att M,      Att. M           STATE CHILDREN‟S HEALTH INSURANCE PROGRAM                                            During which project phase(s) does this requirement apply?                                        The "Phase" column should read "All", and the "MDW, OHIP, Both" column should read "MDW".
        p 20                          (the Phase column is empty)
 80     Att M,      Att M            Office of the State Comptroller (OSC)                                                Is this requirement out of place as listed?                                                       Yes. This is no longer a requirement of this section.
        p 22                         “The Contractor must:
                                     2. Adhere to the architecture described above and describe how the ECRP
                                     architecture will integrate in the Contractor's overall proposed architecture.

                                     NOTE: above is listed last and following item 7”

 81     Att M       Att M                                                                                                 Many of the requirements listed under the Business Requirements Section (Section V) are           The requirement will be implemented in Phase 1 and is ongoing throughout the life of the
                                                                                                                          listed as to be addressed during “All” phases.                                                    project.

                                                                                                                          Can the Department identify specifically which requirements are expected to be addressed
                                                                                                                          during which phase?


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Ques.     Vendor        Vendor                                           Vendor                                          QUESTION                                                                                          RESPONSE
           Page        Reference                                      Reference Text
 82     Lib         Offeror‟s                                                                                            The RFP has characterized Medicare Data as a potentially large future data source.                a.- b. It is estimated that five years of Medicare data will be loaded into the MDW. JAD
                    Library,                                                                                                                                                                                               sessions will determine the final number of years and in which Phase the data will be added.
                    MDW Potential                                                                                        a. How many years and how many claims/year of Medicare data will be loaded to the MDW?
                    New Data                                                                                                                                                                                               A replacement to the Offerors' Library document "MDW Potential New Data Sources.doc"
                    Sources.doc                                                                                          b. In which project phase will the Medicare data be added to the MDW?                             named "MDW Potential New Data Sources - REVISED 12-19-2008.xls" that corrects the
                                                                                                                                                                                                                           volume of Medicare data will be posted to the NYSDOH website for this procurement.

 83     Policy-14   NY State Policy “Principle 15: The EA will establish uniform standards for Enterprise technology.    a. Does the current OHIP Data Mart utilize any standardization for the enterprise                 This question has no bearing on the Offeror's ability to propose a new replacement data
                    P04-001 :       Standardization will facilitate consistency and uniformity across applications. It   technology?                                                                                       warehouse solution.
                    Principle 15    will simplify software design, reduce application development time, facilitate
                                    learning, improve system maintenance and support, and promote information-           b. If yes, are the same standardizations expected for the MDW?
                                    sharing among organizations within the Enterprise, and thus reduce total cost of
                                    ownership. By fostering the development of the same "look and feel" across the       c. If yes, can the Department provide details and specification for the standardizations?
                                    Enterprise, standardization will enhance end-user friendliness and satisfaction,
                                    and contribute to the identity of the Enterprise.
                                    As part of this effort, existing IT platforms must be identified and documented
                                    and compared to Enterprise-wide configuration standards, which in turn must
                                    be established. A review process must be developed for setting standards,
                                    reviewing and revising them periodically, and granting exceptions where
                                    appropriate.”


 84     Policy-15   NY State Policy “The EA will use a single method of user authentication to control access to         a. Does the current OHIP Data Mart utilize the State‟s single login process?                      a. The current OHIP Data Mart does use the State's single login process for access to the OHIP
                    P04-001 :       Enterprise applications and services.                                                                                                                                                  Data Mart web site but not for other means of access.
                    Principle 20    The security framework will eliminate multiple IDs/passwords, substituting a         b. If yes, can the Department define the current technical architecture?
                                    single login (user authentication via a common LDAP directory service). User                                                                                                           b. Individuals access the web site using their enterprise userid and password and are
                                    authentication will be augmented to include dual-factor methods (e.g. RSA            c. If yes, is it correct to assume that access to the MDW will be through this current State-     authenticated against the NYSDOH's servers.
                                    tokens, smart cards, biometrics, and certificates) for sensitive applications        maintained system?
                                    where such extra measures are necessary to achieve the required level of                                                                                                               c. Offerors should include in their proposals solutions that meet the Security Requirements of
                                    security.”                                                                           d. Does the Department envision that the MDW will also require a dual-factor method of            the RFP.
                                                                                                                         authentication?
                                                                                                                                                                                                                           d. Offerors should include in their proposals solutions that meet the Security Requirements of
                                                                                                                                                                                                                           the RFP.
 85                                                                                                                      Will the Department be making copies of the CMS-approved Advanced Planning Document               No.
                                                                                                                         related to this procurement effort available to prospective bidders?
 86     V-17        V.D.11           Utilization Threshold Program                                                       “The NYSDOH anticipates handing over the analytical component of the UT program to the            No, required data for this project will be provided under the direction of the NYSDOH as a
                                                                                                                         MDW Contractor.” Please describe the relationship between this RFP and the Retrospective          Medicaid Data Warehouse subscriber.
                                                                                                                         Utilization Review Project RFP released on 04.30.2008. Does this mean that the software,
                                                                                                                         hardware, and analytic reporting capability in the Retrospective Utilization Review Project
                                                                                                                         will be moved from the Contractor (yet to be awarded) to the MDW Contractor? Please
                                                                                                                         clarify.
 87                 General          Start Work Date Assumption                                                          When developing our proposed project schedules, work breakdown structures, and project            Offerors should assume a start work date of June 1, 2009.
                                                                                                                         estimates, should the Offerors assume a start work date of May 1, 2009? May 1 is the date
                                                                                                                         that appears on the Implementation schematic on page III-2 of the RFP.
 88     i           Schedule of                                                                                          The contents of the Procurement Library are very extensive. It is unlikely that the Offerors      No.
                    Key Events                                                                                           will have been able to fully digest the contents of the Library by the December 2 deadline for
                                                                                                                         questions, and it is also likely that questions about the contents of the Library may arise as
                                                                                                                         the Offerors begin developing their proposals. Would the State consider allowing questions
                                                                                                                         about the Library contents to be submitted up until as late as 4 weeks before the proposal is
                                                                                                                         due?
 89     i                            Bidders' Conference on November 21,2008                                             Will you post the list of Bidder‟s Conference attendees on your website?                          Yes. The list of attendees at the Offerors' Conference will be posted.
 90     i                            Schedule of Events                                                                  Does DOH anticipate any oral presentations? If so, when might they be scheduled?                  No. Oral presentations are not required by the RFP.
 91     II-3        II.B             Data Standardization                                                                The RFP indicates that the current data warehouse includes a data standardization process.        There is currently a global data cleansing standardization process that removes all non-
                                                                                                                          Can the State describe the current standardization routines that are performed?                  keyboard characters and replaces them with spaces. Diagnosis code standardization is also
                                                                                                                                                                                                                           conducted.
 92     II-3        II.B             Overview of Current Data Environment                                                This section refers to data from third party vendors including First DataBank. MediSpan           It is expected that data subscriptions required to pay claims will be funded through the fiscal
                                                                                                                         also appears in the Bid Library. Does the Contractor pay for any associated license fees for      agent contract.
                                                                                                                         First DataBank, MediSpan, or other third party data and/or software sources, or will the
                                                                                                                         State extend existing licenses? If the Contractor is responsible, please specify any data
                                                                                                                         and/or software sources that entail some type of fee.
 93     II-4        II.C.1           Internal Analytic Applications                                                      Does the State wish to keep the SPSS application and its data mining server, or is the            The current SPSS internal application will no longer be supported and therefore is not a
                                                                                                                         bidder at liberty to recommend its retention or replacement? If it is to be kept, will the        requirement of this RFP.
                                                                                                                         current licenses transfer to the new contractor? What fees should be shown in the pricing
                                                                                                                         schedules?
 94     II-4        II.C.1           R-DUR                                                                               Does the State wish to keep the Retrospective Drug Utilization Review application system it       The Offeror should provide the solution it believes will best fit the requirements indicated.
                                                                                                                         currently has, or is the bidder at liberty to recommend either its retention or replacement? Is
        V-4         V.D.2                                                                                                the current Retro-DUR system a third party developed product or was it developed by the           The R-DUR system is currently contracted to a third party - Health Information Design (HID).
                                                                                                                         State? If developed by a third party, would the State identify the developer?

 95     III-1       III.A            Project Approach                                                                    In Phase 3, the Contractor will accept data from a replacement MMIS. What are the major           The NYSDOH is currently in the beginning of the process of defining its requirements for the
                                                                                                                         goals for a replacement MMIS? Does the State have a general sense of how data from a              replacement MMIS.
                                                                                                                         new system might differ from data in the existing eMedNY MMIS?
 96     III-5       III.B.2.4        Data Acquisition, Data Access, etc.                                                 How many ETL processes need to be replaced that load data into the data warehouse?                There are multiple processes that load data into the current eMedNY data warehouse. Each
                                                                                                                                                                                                                           mapping (which may be made up of multiple processes) is included in the Offerors' Library.

 97     III-5       III.B.2.4        Data Acquisition, Data Access, etc.                                                 How many ETL processes need to be replaced that create extracts from the data                     There are multiple processes that create extracts from the current eMedNY data warehouse.
                                                                                                                         warehouse?                                                                                        Each mapping (which may be made up of multiple processes) is included in the Offerors'
                                                                                                                                                                                                                           Library.
 98     III-5       III.B.2.4.10     JSURS Contract                                                                      In Section III of the RFP, the State indicates that the MDW contractor is to acquire,             The NYSDOH requires that each Offeror negotiate a price for J-SURS. The price should be
                                                                                                                         implement, and operate” J-SURS. In Section V of the RFP, the State specifies that the             included under “Equipment Costs” (Pricing Schedules C.1, C.2, C.3, C.4 and C.5).
        V-3         V.D.1.1.1                                                                                            MDW contractor is to maintain a contract for J-SURS. Does the State expect each bidder to
                                                                                                                         negotiate a price for J-SURS or simply pass through the price that the State has currently
                                                                                                                         negotiated with the UPI Government Group so that this factor is consistent for every bid? If
                                                                                                                         the latter, please disclose the price factor we are expected to use. Is that price to be
                                                                                                                         included on the “Subcontract” line in the Pricing Schedules?




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Ques.     Vendor        Vendor                                        Vendor                                  QUESTION                                                                                          RESPONSE
            Page       Reference                                   Reference Text
 99     III-6      III.D           Start of Phase 3                                                           Since the start date for Phase 3 (acceptance of data from the new MMIS) is unknown at this        The anticipated start date for Phase 3 is July 1, 2010.
                                                                                                              time, when developing our proposed project schedules, work breakdown structures, and
                                                                                                              project estimates for Phase 3, may the Offeror propose a hypothetical start work date?
                                                                                                              Would the State care to specify the hypothetical start work date so that all the Offerors‟ work
                                                                                                              plans are based on the same start-date assumption?
 100    III-6      III.D.1.4       MSIS                                                                       This section of the RFP mentions the MSIS file. Does the current data warehouse                   The current MMIS contractor has responsibility for filing the MSIS data to CMS. The new data
                                                                                                              contractor have responsibility for filing the MSIS data to CMS for the State? Will that           warehouse contractor will have responsibility for filing these data to CMS.
                                                                                                              responsibility continue under the new contract?
 101    IV-21      IV.C.3.4 and    Key Staff and Core Staff                                                   It appears that the State expects the Offerors to designate no fewer Key Staff and Core           Both organization charts are "suggested" staffing levels. Each Offeror should provide the
                   IV.C.3.5                                                                                   Staff positions than those listed here, but may the Offerors choose to designate more roles       solution that it believes best fits the requirements being specified.
                                                                                                              as “Key” and/or “Core”? May we designate any number of other roles?
 102    V-2        V.C.3           Global Business Requirements, and Bid Library “MDW Reports by Phase.xls”   This section refers to the Bidders Library list of BI Query and Cognos reports that will need     All reports not listed as Phase 1 will be developed in Phase 2 through a series of JAD sessions.
                                                                                                              to be converted by phase. For many reports listed in that table (mostly reports performed         These JAD sessions will determine which of the reports listed will be developed in Phase 2.
                                                                                                              using only BI Query), no phase is specified. Please clarify if/when these reports are to be
                                                                                                              converted or migrated to the new system.
 103    V-3        V.C.4           Global Business Requirements                                               Is MABEL a reference to Medicaid Automated Budget and Eligibility Logic? Where can we             Yes.
                                                                                                              learn more about MABEL?                                                                           A new Offerors' Library document "MABEL File Layout.txt" that contains the MABEL file layout
                                                                                                                                                                                                                will be posted to the NYSDOH website for this procurement.
 104    V-4        V.D.2.1.7       Pharmacy Utilization Review                                                The contractor is required to receive and process R-DUR case review information. Please           Receive and load information; reviews are done by a third party.
                                                                                                              clarify whether this means that the Contractor is expected to conduct the reviews, or to
                                                                                                              receive and load information on reviews that have been completed by State staff or other
                                                                                                              third parties.
 105    V-4        V.D.2.1.8       Pharmacy Utilization Review                                                The contractor is required to create and mail R-DUR provider and enrollee intervention            The current mailings average approximately 3,000 letters per month.
                                                                                                              letters. What is the current volume of such mailings and does the State anticipate the            Postage expenses, directly and reasonably incurred by the Contractor in carrying out the R-
                                                                                                              mailing to continue at this level? Is the contractor responsible for postage?                     DUR requirements as approved by the NYSDOH, will be subject to reimbursement by the
                                                                                                                                                                                                                NYSDOH. Postage expenses shall not be subject to corporate allocation or markup. The
                                                                                                                                                                                                                Contractor shall submit monthly invoices certifying the amount of postage reimbursables
                                                                                                                                                                                                                incurred and shall maintain, as accounting records subject to the NYSDOH examination and
                                                                                                                                                                                                                audit, substantiating invoices, receipts and other evidence of expenses incurred. The
                                                                                                                                                                                                                Contractor must obtain and operate any equipment and software necessary to meet the United
                                                                                                                                                                                                                States Post Office‟s requirements to achieve postal discounts including, at a minimum, ZIP+4
                                                                                                                                                                                                                and bar coding. All savings resulting from any postage discounts will accrue to the NYSDOH.
                                                                                                                                                                                                                The Contractor must make every reasonable effort to maximize postal discounts in all mailings
                                                                                                                                                                                                                performed.
 106    V-5        V.D.2.1.14      Pharmacy Utilization Review                                                The Contractor is required to “provide communication to providers and members regarding           JAD sessions will determine the other types of communication necessary for R-DUR.
                                                                                                              R-DUR activity.” What types of communication are expected to be performed by the MDW
                                                                                                              contractor other than the letters mentioned in Section V.D.2.1.8?
 107    V-5        V.D.3           Management and Administrative Reporting (MARS) and Finance                 This section indicates that the Contractor will be required to load paid and denied claims to     Detailed requirements will be developed in JAD sessions in Phase 2.
                                                                                                              support MARS reporting. One of the MARS reports in the Bidders Library (MAR-O-41
                                                                                                              Claims Processing Analysis) suggests that information on pended claims is also required.
                                                                                                              Please clarify.
 108    V-5        V.D.3           Management and Administrative Reporting (MARS) and Finance                 The Bidders Library contains an excel file labeled DW MARS Report Crosswalk                       The DW MARS Report Crosswalks Summary was developed during previous JAD meetings but
                                                                                                              Summary.xls which indicates that “post-JAD” 18 reports were to remain on eMedNY MARS              not pushed to production. Currently all MARS reports are produced on the MMIS system.
                                                                                                              and 52 were to be migrated to the DW. Do these numbers reflect the current distribution of        Detailed requirements for MARS Reporting will be developed in new JAD sessions during
                                                                                                              reports in MARS versus DW, or a future desired distribution? Please clarify how bidders           Phase II.
                                                                                                              should interpret this table.
 109    V-5        V.D.3           Management and Administrative Reporting (MARS) and Finance                 The summary of MARS reports in the Bidders Library includes an Error Distribution Analysis        Detailed requirements will be developed in JAD sessions in Phase 2.
                                                                                                              and Error Frequency Analysis to be produced in the DW. Are error data loaded in the DW
                                                                                                              today? In what source file or format?
 110    V-6        V.D.3.1.6       Management and Administrative Reporting (MARS) and Finance                 The Contractor will work with DOB to integrate appropriations data. By this do you mean           Yes, and detailed requirements for MARS Reporting will be developed in new JAD sessions
                                                                                                              that the Contractor will load fiscal year Budget Appropriations data as a separate data           during Phase II.
                                                                                                              source and make it available for reporting?
 111    V-6        V.D.4.1.3       Early and Periodic Screening and Diagnostic Treatment                      The Contractor is required to generate all mandated EPSDT reports on a NYSDOH-defined             JAD sessions will determine the EDPSDT reporting requirements.
                                                                                                              schedule. Could you provide additional detail on the current schedule of reports?

 112    V-10       V.D.5.1.3       Long Term Care                                                             The contractor is required to produce and distribute all mandated Long Term Care reports.   JAD sessions will determine the LTC reporting requirements.
                                                                                                              Approximately how many reports/data sets does this involve on a monthly or quarterly basis?

 113    V-8        V.D.5.1.3       Managed Care                                                               The contractor is required to produce and distribute all mandated Managed Care reports and        JAD sessions will determine the Managed Care reporting requirements.
                                                                                                              data sets. Approximately how many reports/data sets does this involve on a monthly or
                                                                                                              quarterly basis?
 114    V-13       V.D.8.1.4       Subject Area Specific Business Requirements                                Does the phrase “4. Instantiate requirements for sharing data warehouse data with                 Yes.
                                                                                                              RHIOs…” mean the same as “4. Design, develop and implement systems that share data
                                                                                                              warehouse data with RHIOs…based on the requirements defined in the data sharing
                                                                                                              agreements…”
 115    V-12       V.D.8.2.2       Subject Area Specific Business Requirements                                Would you please clarify what you mean by “synchronized daily with other State data               These are the characteristics the NYSDOH is looking for.
                                                                                                              interoperability, data sharing and data integration standards, processes and projects?”
 116    V-13       V.D.9           Enrollment Center Renewal Process Project                                  This section indicates that NYSDOH is in need of a tool to assist with renewals and               No, not initially.
                                                                                                              recertifications. Is this tool also used for new applicants?
 117    V-17       V.D.11.1.1      Subject Area Specific Business Requirements                                Would proposing an alternative risk adjustment methodology be acceptable to the State?            No. The Offeror must use 3-M Clinical Risk Grouper risk-adjusted utilization thresholds.

 118    VI-4       VI.B.2.1        MDW Infrastructure Hardware                                                Will the technical score be different for a data center located in the state of New York or       No.
                                                                                                              outside the state of New York, with identical service levels?
 119    VI-11      VI.C.2.1        MDW Business Continuity Technical Requirements                             Does the requirement that “All backup copies must be stored in a NYSDOH approved back-            The Offeror should provide the solution that it believes best meets the stated requirements.
                                                                                                              up storage location for five (5) years” mean that it is necessary to retain 260 generations of    Only production environment servers need to have backups retained for 5 years.
                                                                                                              weekly complete backups (5 years * 52 weeks per year) for all servers, amounting to 100 TB
                                                                                                              each? Would the state consider an alternative backup retention strategy fully compliant
                                                                                                              with fewer generations of backups?
 120    VI-13      VI.C.2.1        MDW Business Continuity Technical Requirements                             Is it necessary to “Provide two independent sources of chilled water…” if the hardware            If the Offeror's solution requires chilled water, two sources of chilled water must be provided.
                                                                                                              infrastructure (e.g. servers, communications devices) does not rely on chilled water as a
                                                                                                              coolant?
 121    VI-21      VI.E.2.1        Technical Requirements, Analysis #12                                       The state requires that the vendor “Provide linear programming capabilities”. Would you           The requirement for linear programming capabilities is no longer a requirement of this RFP.
                                                                                                              explain the projected use of linear programming in analysis of the MDW?
 122    XII-2      XII.B.3         References for Subcontractors                                              The RFP does not mention a requirement for customer references for proposed                       Corporate references are only required for the Prime Contractor.
                                                                                                              subcontractors. Does the State require references for any proposed subcontractors? If so,
                                                                                                              how many are required? Must they meet any particular criteria?




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Ques.    Vendor        Vendor                                        Vendor        QUESTION                                                                                         RESPONSE
           Page      Reference                                    Reference Text
 123    XII-12    XII.D.8.3         Letters of Reference                           Are the three letters of reference to come from corporate customers of the Offeror, or are       The three letters of reference are to come from corporate customers.
                                                                                   these letters of reference related to key staff members? There is a cross-reference to
                                                                                   Section IV Project Management Staffing Plan, but in Section IV, the section entitled             The reference to Section IV is incorrect and should be disregarded.
                                                                                   “Staffing Plan” (B.1.2) does not appear to contain criteria for letters of reference. Did the
                                                                                   State intend to cross-reference to the criteria set forth in Section XII.B.3.2?
 124              Attachments,                                                     It appears that prior to RFP release, the Attachments were first printed and then scanned to     Attachments K-T were developed for this procurement and have been posted as Word
                  General                                                          pdf, creating non-editable images. Would the State provide the following in Attachments in       documents.
                                                                                   Word or some other electronically editable form? Attachments B, C, D, E, F, G, K, L, M, N,
                                                                                   O, P, Q, R, S, T, W
 125              Attachment C      Vendor Responsibility Questionnaire            If this form is already on file with the state as a result of a recent bid submission, does it   There is no need to complete this form again if the Offeror has an up-to-date and certified
                                                                                   need to be completed again for this bid? In addition, Attachment B Bid/No Bid Form               Vendor Responsibility Questionnaire on the Office of the State Comptroller‟s (OSC‟s) VendRep
                                                                                   appears to provide an option for submitting Attachment C with the bid or at the time of          System. Offerors should indicate that the certified Vendor Responsibility Questionnaire is on
                                                                                   Award. However, Section D.9, page XII-13 indicates that the form should be included with         the OSC VendRep System with the information to be included in Tab 9 of the proposal.
                                                                                   the bid. Please clarify.                                                                         Offerors who do not have an up-do-date, certified Vendor Responsibility Questionnaire on
                                                                                                                                                                                    OSC‟s VendRep System must either do so by the time of proposal submission, and so indicate
                                                                                                                                                                                    in the proposal, or submit the questionnaire, included as Attachment C to the RFP, with the
                                                                                                                                                                                    proposal.
 126              Attachment D,     Contractor's Planned Employment                If this form is already on file with the state as a result of a recent bid submission, does it   Attachment D, State Consultant Services Contractor Planned Employment Report (Form A),
                  Form A                                                           need to be completed again for this bid? In addition, Attachment B Bid/No Bid Form               must be completed as it is specific to this project. As indicated in requirement #8 in Attachment
                                                                                   appears to provide an option for submitting Attachment D with the bid or at the time of          K, Mandatory Requirements Checklist, this form must be submitted with the proposal.
                                                                                   Award. However, Section D.9, page XII-13 indicates that the form should be included with
                                                                                   the bid. Please clarify.
 127              Attachment E,     Contractor's Annual Employment Report          We assume this report is not due with our bid since it appears to be an annual report that       This assumption is correct.
                  Form B                                                           the Contractor submits after award. Please confirm.
 128              Attachment H,     DOH HIPAA                                      There appear to be no directions regarding this Attachment. What is the requirement for          Attachment H, the Federal Health Insurance Portability and accountability Act (“HIPAA”)
                  Appendix H                                                       this Attachment?                                                                                 Business Associate Agreement Governing Privacy and Security, is included in the RFP for
                                                                                                                                                                                    Offeror information. This attachment will be incorporated into the contract that will result from
                                                                                                                                                                                    this procurement (see Attachment I, Section 2.2.h of the RFP).
 129    16        Attachment I,     Contract Requirements, Software Licenses       This section of the contract clauses requires a perpetual and irrevocable right to use all the   No. The original RFP language meets the needs of NYSDOH.
                  Section 15.3                                                     licensed software. Many commercial software vendors license their software on a fixed
                                                                                   term basis, not a perpetual/irrevocable basis. CMS regulations acknowledge this fact by
                                                                                   allowing the licensing of proprietary software in accordance with the standard terms used in
                                                                                   the commercial industry*. Will the State acknowledge that the use of commercial off the
                                                                                   shelf software will be based on the software vendors‟ standard commercial terms?

                                                                                   * 45 CFR 95.617(c) exempts proprietary software from the requirement for an irrevocable
                                                                                   license.

 130              Attachment K                                                     Please confirm that Attachment K Mandatory Requirements Checklist does not need to be            Attachment K does not need to be completed by the Offeror. It was provided to assist the
                                                                                   completed by the Offeror (other than specifying our name), but simply included behind Tab        Contractor in ensuring that the content of your proposal is complete.
                                                                                   3 of the Technical Proposal. The form is intended for the State's use in evaluating our
                                                                                   submission.
 131              Attachment L      Proposal Requirements Cross Reference Matrix   Section XII.D.6, page XII-11, indicates that the completed Attachment L should be included   Attachment M identifies “what” the Offeror must do; under Tabs 6 & 7 we want the Offeror to
                                                                                   under Technical Proposal Tab 6. However, Section XII.D.7, page XII-11, indicates that        tell us in detail “how” they will accomplish this work.
                                                                                   Attachment L should be included under Technical Proposal Tab 7. Please clarify where         Attachments L & M should be completed and included under Mandatory Requirements
                                                                                   Attachment L should be located in our proposal.                                              Checklist (Tab 3) along with Attachment K.
 132              Attachment M      Mandatory Requirements Traceability Matrix     It is not clear from the instructions provided in Section XII.D, pages XII-8 through XII-13, Attachment M identifies “what” the Offeror must do; under Tabs 6 & 7 we want the Offeror to
                                                                                   where the State would expect to find the completed Attachment M. Under which Technical       tell us in detail “how” they will accomplish this work.
                                                                                   Proposal tab should Attachment M be included?                                                Attachments L & M should be completed and included under Mandatory Requirements
                                                                                                                                                                                Checklist (Tab 3) along with Attachment K.
 133              Attachment N      Pricing Schedules                              Where should the bidder include the price for licensing the software for this solution?      The price should be included under “Equipment Costs” (Pricing Schedules C.1, C.2, C.3, C.4
                                                                                                                                                                                and C.5).
 134              Attachments G                                                    Attachment B Bid/No Bid Form appears to provide an option for submitting Attachments G       Attachment G, Contractor Certification (ST-220-TD) is submitted directly to the New York State
                  and F                                                            and F with the bid or at the time of Award. However, Section D.9, page XII-13 indicates that Department of Taxation and Finance. As indicated in requirement #8 in Attachment K,
                                                                                   the forms should be included with the bid. Please clarify.                                   Mandatory Requirements Checklist, Attachment F, Contractor Certification to Covered Agency
                                                                                                                                                                                (ST-220-CA), must be submitted with the proposal.
 135              Attachments O,                                                   It is not clear from the instructions provided in Section XII.D where the State would expect Attachments O, P, Q, R, S and T should be included at the end of Tab 7.
                  P, Q, R, S and                                                   to find these completed Attachments in the Technical Proposal. Would the State prefer us
                  T                                                                to include them under Technical Proposal Tab 7?
 136              Bidder‟s Library Phase 1 New Data Sources                        Do any data sources have to be updated on a weekly or daily basis?                           The document "New Data Sources - MDW- Phase 1 or 2.doc" in the Offerors' Library lists the
                                                                                                                                                                                frequency of the updates.
 137              Bidders Library   New Data Sources                               The Bidders Library includes a list of New Data Sources Phase 1 or 2. When the Phase is      Yes, when the Phase is indicated as 1 or 2, the Phase is yet to be determined, and the
                                                                                   indicated as 1 / 2, does this mean that the timing is yet to be determined, that             implementation could possibly span across both phases. The Offeror is not required to propose
                                                                                   implementation will span across phases, or that the Contractor should propose phasing?       the Phase but should assume one third of the projects to be completed in Phase 1 and two
                                                                                   Please provide guidance to assist bidders in allocating costs across phases.                 thirds in Phase 2.
 138              Bidders'                                                         a. Does the MDM data center have to be located at the same site as the MDM operations        a. No. Assuming that by MDM, this questioner really means the MDW, then no the MDW data
                  Conference                                                       site?                                                                                        center does not have to be located in the same site as the MDW operations site.
                                                                                   b. Does the MDM data center need to be located within the 10-mile radius of the NYS
                                                                                   Capital?                                                                                     b. No.
 139              Bidders'                                                         Will the Bidders‟ Conference attendees‟ names and contact information be provided?           Only the list of attendees at the Offerors' Conference will be posted.
                  Conference
 140              Bidders'                                                         Is the MDM selected contractor prohibited from bidding on the Medicaid Fiscal Agent or            If the reference to "Eligibility Call Center procurements" is a reference to the Department of
                  Conference                                                       Eligibility Call Center procurements?                                                            Health Enrollment Center, that procurement is under a restricted period so the bidder should
                                                                                                                                                                                    refer to the DOH website for information and contacts regarding that procurement. At this time
                                                                                                                                                                                    no procurement has been developed or issued for the Medicaid Fiscal Agent.

 141              General                                                          Many times the response to vendor questions lead to additional questions or additional           As stated in the RFP, questions are due in on December 2, 2008 and will be responded to by
                                                                                   clarification of the official responses. Would NYSDOH consider a second round of vendor          December 19, 2008. This timeframe meets NYSDOH needs and will be maintained.
                                                                                   questions based solely on the official responses?
 142              Attachments B-                                                   Please provide the NYS required forms (Attachments B-G) in MS Word version.                      Only Attachments K-T were developed for this procurement and have been posted as Word
                  G                                                                                                                                                                 documents.
 143    I-2       I.B                                                              With regard to the NY HIT platform, the RFP indicates that NYSDOH is currently working to        The NYSDOH through the eHealth Collaborative is in the process of developing standards.
                                                                                   develop an architectural framework and set of principles to support the implementation of        Standards are expected to emerge over time, but there is no definitive timetable.
                                                                                   New York State‟s health information infrastructure (NYHII), including a Statewide Health
                                                                                   Information Network for New York (SHIN-NY). When does NYSDOH believe these
                                                                                   standards will be completed?




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Ques.     Vendor        Vendor       Vendor        QUESTION                                                                                            RESPONSE
            Page      Reference   Reference Text
 144    II-7       II.C.4                          Is there a change/version control tool/methodology used to manage the modifications to the          The Metadata layer for the current eMedNY data warehouse is populated manually.
                                                   Metadata?
 145    II-8       II.C.7.2                        Has the current disaster recovery solution been successfully tested?                                This question has no bearing on the Offeror's ability to propose a new replacement data
                                                                                                                                                       warehouse solution.
 146    II-8       II.C.7.3                        Given the five year rolling claim information, is it fair to say that for current claimants there   Five years of claims information, based on payment date, is available in the current eMedNY
                                                   may not be a complete claim history available in the current data warehouse?                        data warehouse.
 147    II-10      II.D.7                          Who is the current off-site storage vendor?                                                         This question has no bearing on the Offeror's ability to propose a new replacement data
                                                                                                                                                       warehouse solution.
 148    II-10      II.D.8                          Will NYSDOH continue to be responsible for OHIP Data Mart hardware and software                     The NYSDOH will be responsible for software licensing for the OHIP Data Mart at the database
                                                   licensing?                                                                                          and application layers. The Offeror will be responsible for hardware licensing for the OHIP Data
                                                                                                                                                       Mart and any software below the database and application layers (e.g. operating system).

 149    II-16      II.E                            a. The RFP states, “some system change projects span several years.” Please provide                 a. There are no active projects that extend into Phase 1.
                                                   information about the system change projects that span into or are part of Phase I.
                                                                                                                                                       b. The NYSDOH will determine which changes will be incorporated into the current eMedNY
                                                   b. How does NYSDOH plan to coordinate system change projects that affect both the                   DW and/or the MDW during 5/1/2009 - 6/30/2010.
                                                   eMedNY DWHSE during Phase I (5/1/2009-6/30/2010)?

 150    III        III-1                           Delays in the procurement and award of the replacement MMIS could effect the schedule of            While the NYSDOH recognizes that a contractor cannot be held to a schedule unless all parties
                                                   the MDM contractor‟s Phase III. How does NYSDOH contemplate managing the close of                   meet their respective schedules, the NYSDOH and all contractors have a role in ensuring that
                                                   the Phase II and the start of Phase III is there is a delay? Will the MDM contract be held          the respective schedules are met. The NYSDOH will be reasonable, and if there is a legitimate
                                                   harmless from missed deadlines caused by delays in the start and completion of Phase III            reason for adjusting the anticipated start date of Phase III, the contractor and the NYSDOH
                                                   caused by procurement and/or performance of the MMIS contractors?                                   should enter into good-faith negotiations to arrive at any equitable adjustment, should there be
                                                                                                                                                       such a need.
 151    III-3      III.B.1.2                       Many of the Phase I deliverables are dependant on the current eMedNY DWHSE                          There is no final, approved turnover plan available.
                                                   contractor‟s performance during their “turnover” phase. Please provide the eMedNY
                                                   DWHSE contractor‟s turnover plan and required performance standards.
 152    III-5      III.B.2.4                       Will NYSDOH warrant the quality and completeness of the eMedNY DWHSE data required                  The NYSDOH requires the Offeror's conversion plan to address all qualitative and quantitative
                                                   for conversion and loading into the MDM?                                                            metrics.
 153    III-5      III.B.2.4                       Prior to shipping the eMedNY DWHSE data to their offsite storage were the back-up tapes             The NYSDOH will work with the new MDW Contractor during Project Initiation and Planning to
                                                   verified for accuracy and completeness?                                                             determine the timeline for the availability of the data to be ported to the MDW. In addition, at
                                                                                                                                                       that time the means of transfer of this data will be determined.
 154    III-5      III.B.2.4                       When will the 5 years of eMedNY back-up tapes be delivered to the MDM contractor?                   The NYSDOH will work with the new MDW Contractor during Project Initiation and Planning to
                                                                                                                                                       determine the timeline for the availability of the data to be ported to the MDW. In addition, at
                                                                                                                                                       that time the means of transfer of this data will be determined.
 155    III-6      III.C.1.10                      Will NYSDOH warrant the quality and completeness of the claims history data from the                No, the NYSDOH will not warrant the OHIP Data Mart data required for conversion and loading
                                                   OHIP Data Mart required for conversion and loading into the MDM?                                    in the MDW. The NYSDOH requires the Offeror's conversion plan to address all qualitative and
                                                                                                                                                       quantitative metrics.
 156    III-8      III.F                           The RFP provides the number of hours to define system change tasks. Do these hours                  Categorization of System Change Management tasks should include all hours of Contractor
                                                   include meetings, estimating, programming, contractor and NYSDOH testing,                           work performed, based on a project plan approved by the NYSDOH.
                                                   documentation, and training hours? Please clarify the tasks included/excluded in “hours”.

 157    III-9      III.G                           “The RFP states Project Initiation documentation deliverables must be submitted within 60           No, it is not.
                                                   days of the contract approval.” Is contract approval synonymous with Day 1 of Phase I?

 158    IV-6       IV.B.1.6                        a. Has NYSDOH selected/contracted with an IV&V Vendor? If so, who is the IV&V vendor?               a. No.

                                                   b. Will/Does the IV&V vendor have any responsibilities for the review/elevation of this
                                                   award?                                                                                              b. No.

                                                   c. Will/Is the MDM IV&V vendor prohibited from bidding the MDM, MMIS or Eligibility Call
                                                   Center procurements?                                                                                c. The MDW IV&V vendor will be prohibited from bidding on the MDW but not the MMIS or the
                                                                                                                                                       Eligibility Call Center procurements.
 159    IV-9       IV.B.2.3                        NYSDOH and Fox Systems are currently under taking the MITA Assessment of the                        The MITA Assessment includes all Medicaid functionality. We do not anticipate that the results
                                                   eMedNY. Will the MITA Assessment include or affect the eMedNY DWHSE?                                of the MITA Assessment will impact the eMedNY DWHSE.
 160    IV-21      IV.C.3                          The requirement to submit resumes and references for the Core Staff seems excessive in              No.
                                                   addition to the Key personnel. It makes sense to identify and to keep Key personnel
                                                   actively assigned to this project during proposal evaluation, award and the approval
                                                   process. Would NYSDOH reconsider the requirement to identify and provide references the
                                                   core staff until the award is announced?
 161    V-3        V.D.1.1                         In order to correctly estimate the expense of producing hardcopy and/or CD reports please           JAD sessions will determine how future reports are developed and delivered.
        V-4        V.D.2.1                         provide an estimate of the number of copies and pages and CDs of the following reports on
        V-6        V.D.3.1.4                       an annual basis:
        V-6        V.D.4.1.3
        V-8        V.D.5.1.3                         Interfile Package Reports
        V-10       V.D.7.1.3                         R-DUR Reports
                                                     MARS Reports
                                                     EDSDT
                                                     Managed Care Reports
                                                     LTC
 162    V-4        V.D.2.1.4                       For cost estimating purposes please provide the number of staff currently performing the R-         The R-DUR system is currently contracted to a third party, Health Information Design (HID),
                                                   DUR analysis, review corrective action and follow-up activities; and the projected annual           and staffing numbers are not available.
                                                   number of R-DUR requests for these services.
 163    V-4        V.D.2.1.6                       Please provide the current processes and procedures for preparing R-DUR cases.                      A new Offerors' Library document named "R-DUR Process.doc" that describes the R-DUR
                                                                                                                                                       process will be posted to the NYSDOH website for this procurement.
 164    V-4        V.D.2.1.8                       a. In order to correctly estimate the hardware and expense of mailing please provide an             a. Approximately 36,000 annually.
                                                   estimate of the annual number of R-DUR Provider and Enrollee intervention letters mailed.
                                                                                                                                                b. Not available
                                                   b. What is the current % of returned “undeliverable” R-DUR provider or enrollee intervention
                                                   letters?                                                                                     c. Forward to NYSDOH Pharmacy Policy Staff.

                                                   c. What responsibilities, if any, will the MDM contractor have for processing returned
                                                   “undeliverable” mail?

 165    V-4        V.D.2.1.8                       How should the expense for postage be calculated? Is postage considered a pass through              Postage will be a pass through expense. Please refer to the answer for Question 105.
                                                   expense? Please provide specific instructions for estimating postage charges.




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Ques.    Vendor       Vendor             Vendor        QUESTION                                                                                          RESPONSE
          Page      Reference         Reference Text
 166    V-13      V.9                                  Will the Enrollment Center requirements for a “tool to assist center staff” and assistance in     This work will be done in Phase 1.
                                                       the “design, development and implementation” be a Phase I or Phase II requirement.                Please refer to the answer for Question 30.
                                                       Please provide more detail on the “tool” and the projected effort required by the MDM
                                                       contractor.
 167    VII-7     VII.D                                We appreciate NYSDOH‟s concern about shifting priorities and the affects it could have on         While the NYSDOH recognizes that a contractor cannot be held to a schedule unless all parties
                                                       staffing. How does NYSDOH anticipate handling the MDM contractor‟s staffing                       meet their respective schedules, the NYSDOH and all contractors have a role in ensuring that
                                                       requirements if the start of Phase III is delayed?                                                the respective schedules are met. The NYSDOH will be reasonable, and if there is a legitimate
                                                                                                                                                         reason for adjusting the anticipated start date of Phase III, the contractor and the NYSDOH
                                                                                                                                                         should enter into good-faith negotiations to arrive at any equitable adjustment, should there be
                                                                                                                                                         such a need.
 168    V-19      D.13.1                               How many staff are currently required for the Pharmacy Rebate program? Please provide             The Pharmacy Rebate program is currently administered by a mix of Contractor and NYSDOH
                                                       the currently procedures and process steps for the rebate program.                                State staff that will continue maximization of revenues due the State. The current Contractor
                                                                                                                                                         has assigned four (4) staff for this program. In addition to administration of claims, receipts and
                                                                                                                                                         quarterly mailings, responsibilities include a mix of clerical, accounting and project
                                                                                                                                                         management objectives. The Offeror should provide the solution it believes will best fit the
                                                                                                                                                         requirements indicated.
 169    V-23      E.7                                  In numerous sections of the RFP DOH requires MDM access for 1200 users with an annual             Please note that in the RFP Business Requirements Section (V) that on page V-23 the 400
                                                       10% growth. The initial training requirements are for 400 users. Please explain how the           users figure pertains only to a minimum number of users to be trained within the six months
                                                       additional 800 staff plus annual increase staff will receive training.                            following Phase 1. Responsive, effective and flexible end user training is essential for the
                                                                                                                                                         success of the new MDW. The Offeror should provide the solution that it believes best fits the
                                                                                                                                                         requirements specified.
 170    V-24      E.7                                  Please provide the number of students by level (beginner, intermediate, advanced,                 Please note that in the RFP Business Requirements Section (V) that on page V-23 the 400
                                                       specialized). What percentage of retraining/refresher students should be assumed of the           users figure pertains only to a minimum number of users to be trained within the six months
                                                       original 400?                                                                                     following Phase 1. Responsive, effective and flexible end user training is essential for the
                                                                                                                                                         success of the new MDW. The Offeror should provide the solution that it believes best fits the
                                                                                                                                                         requirements specified.
 171    V-24      E.8                                  Is it a correct assumption that since the contractor must provide a training room in the MDM      Your assumption is correct in that all classroom training will be in the MDW Operations site.
                                                       Operations site that all training will be delivered in Albany? If this assumption is incorrect
                                                       please provide specific information of the number and locations for training.
 172    V-24      E.8                                  Is it a correct assumption that NYSDOH will be responsible for scheduled students in              The NYSDOH is responsible for identifying the staff that need to be trained. It will be the
                                                       training classes during Phase I and Phase II? If this assumption is incorrect please provide      Offeror's responsibility to schedule and train them.
                                                       the specific contractor requirements for scheduling training.
 173    VI-39     I.2.1.7                              Please provide “peak: and “spike” volumes and the timing of these highly variable                 Peak and spike volumes and the frequency and timing of variable workloads are not known at
                                                       workloads.                                                                                        this time.
 174    V-24      E.7                                  How do the training levels (beginner, intermediate, advanced, specialized) compare to the         A Power user would equate to specialized, Business Analyst would equate to advanced, and
        VI-21     VI.E.1                               Users levels (Executive, Casual, Business Analyst, Power)?                                        Executive and Casual would equate to either the intermediate or beginner levels based on the
                                                                                                                                                         individual user.
 175    VIII-1    VIII.B.1.4                           Is the 9800 square feet NYSDOH space defined in VIII.B.1.4 in addition or part of the             The requirements defined in VIII.B.11 are part of the requirements described in VIII.B.1.4.
        VIII-4    VIII.B.11                            NYSDOH requirements described in VIII.B.11?
 176    VIII-3    VIII.B.7                             In order to estimate the number of PCs, please provide the number of state staff who will be There must be a PC for each work station identified for State and State consultant staff.
        VIII-5    VIII.B.16                            assigned to the MDM operations site.
 177    VIII-4    VIII.B.11                            Please define office needs. Please specify whether office supplies (pens, paper, photocopy Office needs would be defined as office supplies that will facilitate Data Warehouse operations
                                                       paper, etc.) are provided by NYSDOH.                                                         as described in the procurement documents. The Contractor will provide these supplies.

 178    VIII-4    VIII.B.11.(a.-e.)                    Are the requirements defined in sub-sections a. through e. specified as NYSDOH space?             Yes.

 179    XII-8     XII.D                                Please provide the specific Technical Proposal section for the Key and Core staff resumes         The resumes and references for key and core staff should be provided in Tab 7 in response to
        IV-21     IV.C.3                               and references.                                                                                   the Staffing Requirements of RFP Section IV-C.
        Page 5    Attachment L
 180    XII-13    XII.D.9                              Is the submission of the State Taxation and Finance, Contractor Certification Forms ST-220-       Attachment G, Contractor Certification (ST-220-TD) is submitted directly to the New York State
                                                       CA and Form ST-220-TD required as part of the Technical Proposal submission by all                Department of Taxation and Finance. As indicated in requirement #8 in Attachment K,
                                                       competitors or is the selected contractor required to submit the forms once the contract is       Mandatory Requirements Checklist, Attachment F, Contractor Certification to Covered Agency
                                                       awarded?                                                                                          (ST-220-CA), must be submitted with the proposal. Please refer to the answer for Question 134.

 181    XII-15    XII.F                                Will Oral Presentations be part of the evaluation process? If yes, please provide the criteria    No. The RFP does not require oral presentations.
                                                       for inviting vendors to an Oral presentation.
 182    XII-17    XII.F.5                              How long does NYSDOH anticipate the required state and federal approves taking? If the            The NYSDOH anticipates all approvals will fall within timeframes consistent with the RFP.
                                                       approvals delay the start of Phase I how does NYSDOH anticipate changing the Phase I
                                                       schedule?
 183    XIII-7    XIII.F.2                             Will NYSDOH have dedicated staff to this project? Please provide the staff positions and          The Data Warehouse Bureau within the Office of Health Insurance Programs' Division of
                                                       number of staff dedicated to this project. Will the NYSDOH dedicated staff be available on        Systems has responsibility for managing this project. The bureau is presently comprised of a
                                                       day 1 of Phase I?                                                                                 director along with ten additional staff who will be available Day 1 of Phase I.
 184    XIII-7    XIII.F.2                             Is the current eMedNY contractor required to make staff available to ensure the MDM               The NYSDOH will work with the existing eMedNY contractor to provide appropriate support for
                                                       contractor can meet their obligation?                                                             this project.
 185    Page 2    Appendix H-II(h)                     We acknowledge and will agree to a HIPPA Business Associate Agreement if awarded this             No. The original RFP language meets the needs of the NYSDOH.
                                                       contract; however for confidentiality reason we request NYSDOH to agree to change section
                                                       II.h that disclosure of our internal policies, books and records be limited to the Secretary of
                                                       Health and Human Services.
 186    Page 4    Appendix H-VI                        Given that there are no dates identified on page one of the BAA please confirm that the           Details regarding the term of the BAA are set forth in Section VI of Attachment H.
                  (a)                                  Terms of the BAA as the dates of performance under a resultant contact award, estimated
                                                       as 5/1/2009 through June 30, 2015 as provided in Exhibit !!!.1 Medicaid Data Warehouse
                                                       (MDM Implementation Phases.
 187    Page 4    Appendix H-VI                        Please confirm that the reference to “master Agreement” of the Agreement means the                That is correct, the reference to “master Agreement” of the Agreement means the contract
                  (b)                                  contract issued to support this project.                                                          issued to support this project.
 188    Page 4    Appendix H-VI                        Please confirm that the indemnification applies to the extent required by the HIPPA               That is correct, the indemnification applies to the extent required by the HIPPA regulations.
                  (b)                                  regulations; and that therefore it is correct to interpret the indemnification as covering the
                                                       cost of penalties assessed by the Secretary of the Department if Health and Human
                                                       Services or the State (including the State‟s reasonable attorneys‟ fees) pursuant to the
                                                       applicable HIPAA regulations. In addition, the State will promptly notify the contractor of
                                                       any claim or action covered under this provision, with the contractor controlling the defense
                                                       and settlement of such claim.
 189    Page 5    Appendix H -                         Since neither party will necessarily know in advance what might be required to comply with        The original RFP language meets the needs of the NYSDOH.
                  Miscellaneous                        future regulatory changes, we request that the following italicized text: “The parties agree to
                  (b)                                  work together in good faith to take such action as is necessary” be added.




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Ques.    Vendor        Vendor          Vendor        QUESTION                                                                                           RESPONSE
          Page        Reference     Reference Text
 190    Page 5    Appendix H -                       Please indicate if HIV/AIDS information is to be disclosed to the contractor during this           Both the Medicaid Data Warehouse and the data mart will contain HIV/AIDS-related
                  Miscellaneous                      project.                                                                                           information. Therefore the Contractor will have access to this information.
                  (f)
 191    Page 4    Attachment I.3                     Will NYSDOH include a minimum 30 day opportunity to cure prior to termination for any              Termination provisions are set forth in Section 28 of Attachment I. Please refer to the answer
                                                     reason to encourage resolution of issues, and the completion of performance under the              for Question 73.
                                                     contract?
 192    Page 11   Attachment I.10                    In consideration of the SLAs described in Section VII, would NYSDOH accept a                       No. The requirements contained in the RFP meet the needs of the NYSDOH.
        VII-1     VII                                performance bond in lieu of the Standby Letter of Credit?

 193    Page 19   Attachment                         We warrant, covenant and will acknowledge that we will comply fully with all security              Once the successful MDW contractor submits and NYSDOH has approved the required
                  17.1.1                             procedures of the State as well as those of the Department…if awarded the contract. We             Security, Privacy and Confidentiality Plan, NYSDOH staff and consultants will abide by the
                                                     request that the State, Department and all contractors agree to warrant, covenant and              approved plan.
                                                     acknowledge they will comply fully with the contractor‟s security procedures including but
                                                     not limited to physical, facility, documentary and cyber security rules, procedures and
                                                     protocols.
 194    Page 2    Attachment K.8                     The Attachment K Proposal Checklist requires a completed and signed State Consultant               Attachment D, State Consultant Services Contractor Planned Employment Report (Form A),
        XII-13    XII.D.9                            Services Contractor‟s Annual Employment Report Part A and B however Section XII.D.9                must be completed as it is specific to this project. As indicated in requirement #8 in Attachment
                                                     state the winning offeror must agree to complete the forms. Please clarify the correct             K, Mandatory Requirements Checklist, this form must be submitted with the proposal.
                                                     instructions for these forms.                                                                      Attachment E, State Consultant Services Contractor‟s Annual Employment Report (Form B), is
                                                                                                                                                        the annual report that must be completed by the successful Offeror and therefore cannot be
                                                                                                                                                        submitted with the proposal.
 195    Page 22   Attachment                         Requirement numbers 7 & 8 appear to be the same. Please clarify.                                   Requirement 8 should read : “Ongoing classroom training for up to fifty (50) staff: as requested
                  M.V.E                                                                                                                                 on a quarterly basis”.
 196              Attachment N                       Does NYSDOH foresee any MDM contractor travel outside of Albany, i.e. county or NYC                No. If the NYSDOH Project Manager requires any travel, the travel will be reimbursed based
                                                     meetings? If so, please provide the estimated amount of travel and provide instructions for        upon current State travel rates.
                                                     including this expense on the pricing schedules.
 197    Page 1    Attachment S                       Please confirm our assumption that mailroom equipment, i.e. mail inserter, postage meter           No, the mail equipment should not be listed in the summary table.
                                                     should be listed in the Summary table. If this is incorrect please provide the correct
                                                     instructions.
 198    i         Schedule of                        The information provided in the RFP and procurement library is extensive; would DOH                As stated in the RFP, questions are due in on December 2, 2008, and will be responded to by
                  Key Events                         consider extended the December 2, 2008 Written Question Due date by two weeks to                   December 19, 2008. This timeframe meets NYSDOH needs and will be maintained.
                                                     December 16, 2008?
 199              General                            Would DOH post a MS Word/Excel version of the required response forms?                             Attachments K - T have been posted.
 200              D.1.1                              Could NYSDOH provide sample J-SURS Reports?                                                        A new Offerors' Library document named "J-SURS Samples.doc" that contains sample J-SURS
                                                                                                                                                        reports will be posted to the NYSDOH website for this procurement.
 201              D.11.1                             Does NYSDOH require the use of Clinical Risk Groups (CRG‟s) for all fee for service                3-M Clinical Risk Groupers must be used.
                                                     members or will another grouping methodology be acceptable?
 202              D.11.1                             Will the state support use of alternate grouping methodologies such as Episode Treatment           No.
                                                     Groups® (ETG) by Symmetry and First DataBank‟s National Drug Data File (NDDF®) Plus
                                                     for all other members?
 203              D.13.1                             Requirement 2 states: Vendor will Invoice drug manufacturers on a quarterly basis for              Claim set every quarter : approximately 15 million records
                                                     regular and supplemental rebates based on drugs dispensed in all settings (pharmacy,               Lookup tables (10 tables): 100 - 20,000 rows
                                                     physician office, etc.) as found in the paid claims and managed care encounter history of          Invoice/Accounting process schema: approximately 20 gigabytes
                                                     the MDW. What are the historical and projected volumes?                                            Projected volumes will grow as business needs require.
 204              D.13.1                             Requirement 4 identifies the need to track payment of invoiced drug rebates by drug                No. The Vendor will need to comply with appropriate accounting standards to track payments
                                                     manufacturers. Does this suggest a requirement to integrate with the state central                 and manufacturer receivables that will facilitate collections and assist NYSDOH staff with the
                                                     accounting system to track specific general ledger entries for receivables and payments            ongoing collection of outstanding receivables and to provide source data to control agency staff.
                                                     associated with drug rebates?
 205              D.14.2                             Does NYSDOH maintain an enterprise license for Cognos or have existing licenses for all            The NYSDOH maintains the 125 user licenses for LDSS users of the eMedNY Data Warehouse.
                                                     potential users?
 206              D.14.3                             How does NYSDOH plan on using “alerts” regarding hospitalization in acute, mental                  The Offeror should provide the solution that it believes best fits the requirements specified.
                                                     facilities …

                                                     i.e. Is the state looking for near real time or daily updates regarding this information or will
                                                     you be using the data retrospectively?

 207              General                            Could you provide any information on DOH‟s desired approach for developing the data                The Offeror should include its approach in development of the data model. There is no
                                                     model of the new MDW? Do you expect to use the conceptual model of the existing                    requirement to use the existing eMedNY data warehouse or OHIP data mart model as a
                                                     warehouse or data mart as a foundation or initiate an effort to design a new model from            foundation.
                                                     scratch?
 208              General                            Do you have any preferences for specific vendors for the servers, storage, networking,             No, there are no preferences to servers, storage, network, operating system software. The
                                                     operating system, or application software technology to be included in the solution?               Cognos toolset for LDSS users, the J-SURS application, and the 3-M Clinical Risk Grouper
                                                                                                                                                        software, are the only three prescribed software packages.
 209              General                            During the Phase 2 expansion of the MDW to include historical data, has DOH identified an          The NYSDOH has identified the OHIP Data Mart as the source for paid claims to be populated
                                                     approach to populating the required MDW fields that do not currently exist in the OHIP data        in Phase 2. It is recognized that not all elements that are in the current eMedNY DW are stored
                                                     mart?                                                                                              in the OHIP Data Mart. The NYSDOH believes that the most frequently used elements are
                                                                                                                                                        stored in the OHIP Data Mart and are sufficient for the population of the MDW for the time
                                                                                                                                                        period indicated.
 210              General                            Are prime or sub-contractors bidding on this project in any way precluded from bidding on          No.
                                                     the MMIS replacement project (or vice-versa)?
 211              General                            Can the qualifications of prime and sub-contractors be combined to meet the mandatory              No. All corporate requirements must be met by the prime contractor.
                                                     RFP requirements?




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Ques.   Vendor       Vendor         Vendor        QUESTION                                                                                         RESPONSE
         Page       Reference    Reference Text
 212             Attachment I,                    Attachment I, Section 20, and Attachment V to the RFP set forth the requirement that the         No. The RFP as written meets the need of the NYSDOH.
                 Section 10                       Contractor provide an irrevocable Letter of Credit in the amount of $12.5 million. In
                                                  assessing whether Contractor will be in a position to respond to the RFP, the form of
                 Attachment V                     contract performance assurance must be addressed, as Contractor is not receptive to the
                                                  submission of a Letter of Credit as such an instrument. The impact of a Letter of Credit has
                                                  a significant impact which competitors can and will bid on this opportunity with the potential
                                                  of having a very limited number of vendors.

                                                  Contractor respectfully requests that the contract performance assurance requirement be
                                                  modified to allow for a performance bond or a retainage schedule in lieu of the Letter of
                                                  Credit requirement.

                                                  Will the State modify the contract performance requirement? If so, will the State please
                                                  clarify the revised contract performance assurance requirement? Due to the importance of
                                                  this question on which vendors can/will compete for this opportunity is it possible to get a
                                                  response to this particular question earlier than Dec. 19th?




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Ques.    Vendor        Vendor                                     Vendor        QUESTION                                                                                        RESPONSE
           Page      Reference                                 Reference Text
 213    XII-9      D.2                                                          In assessing whether Contractor will be able to respond to the RFP, clarification regarding     There is no conflict. As stated in the RFP, the Contractor must submit a statement that the
                                                                                the negotiability of contract terms upon award is required.                                     Contractor accepts all the contract terms and conditions enumerated in the RFP and has not
        XII-7      F.6                                                                                                                                                          qualified or included any exceptions. While Section F-6 (page XII-17) uses the term "timely
        Page 190   E.3                                                          There is a conflict in the RFP. Section D.2 of the RFP, found on page XII-9, states that the    negotiate and execute a contract", the negotiation would not be substantive but limited to a start
                                                                                Contractor must submit a transmittal letter with its proposal response including, but not       date. With regard to E.3 (page XIII-5), the NYSDOH is reserving its right to negotiate if it
                                                                                limited to:                                                                                     determines in doing so would be in the best interest of the State. The RFP does not allow for
                                                                                                                                                                                any exceptions. For a proposal to be responsive, it cannot include any exceptions.
                                                                                a. “A statement that the Offeror accepts the contract terms and conditions contained in this
                                                                                RFP including attachments;” and

                                                                                b. “A statement that the Offeror does not qualify its proposal or include any exceptions from
                                                                                the RFP.”

                                                                                However, Section F.6 Acceptance Period, found on page XII- 17 of the RFP, and Section
                                                                                E.3, found on page 190 of the RFP, makes reference to contract negotiations between the
                                                                                State and the successful Bidder. The impact of this clarification has a significant impact
                                                                                which competitors can and will bid on this opportunity with the potential of having a very
                                                                                limited number of vendors.


213.2                                                                           Are the contract terms set forth in the RFP including, but not limited to Appendix I,
                                                                                negotiable upon award? If so, what is the process by which Bidders are to submit exceptions
                                                                                to proposed terms and conditions? Due to the importance of this question on which vendors
                                                                                can/will compete for this opportunity is it possible to get a response to this particular
                                                                                question earlier than Dec. 19th?
 214               General                                                      Due to the complexity and size of this project, would it be possible to have a second round     As stated in the RFP, questions are due in on December 2, 2008, and will be responded to by
                                                                                of Questions and Answers? This will allow vendors that are not currently working on the         December 19, 2008. This timeframe meets NYSDOH needs and will be maintained.
                                                                                existing eMedNY Data Warehouse to effectively analyze the challenges of replacing the
                                                                                system and operating the existing OHIP Data Mart environments. In addition it will allow for
                                                                                clarifying questions to responses received.
 215    III-6      C.1.10         Project Approach                              III. Project Approach - Section C.1 page III-6 - #10 describes the need to use the OHIP Data    a. Phase 1 will include paid, denied, and encounter claims from April 2005 - June 2010 that are
                                                                                Mart for data conversion for data back to 1990 specifically stated – “Complete the              currently stored in the eMedNY DW.
                                                                                conversion and load of claims history in the MDW. At completion, the MDW will contain
                                                                                claims history data from May 1990 to the present. The source that will be used to complete      b. All necessary data representing paid claims from October 1996 - March 2005 and claims
                                                                                this process is the OHIP Data Mart, which has not purged claims history data and will           encounters from February 1998 - March 2005 will be sourced from the OHIP Data Mart.
                                                                                provide claims history data back to May 1990; and”

                                                                                a. Does this imply that in Phase 1, converted data will include only the past 5 years data
                                                                                maintained in the current eMedNY Data Warehouse?

                                                                                b. Does this also imply that all the necessary data fields for data over 5 years old exists
                                                                                within the OHIP Data Mart? If not what assumptions can be made as to the potential source
                                                                                of data fields contained in the current eMedNY Data Warehouse (and potentially in the new
                                                                                MDW) but are NOT in the OHIP Data Mart?
 216    V-3        D.1            Business Requirements                         V. Business Requirements - Section D.1 page V-3 – “NYSDOH requires that the MDW                 a.-b. Since the NYSDOH has no contractual relationship with UPI, each potential Offeror must
                                                                                Contractor continue to provide UPI Java Surveillance and Utilization Review Subsystem           negotiate directly with UPI for access to and the cost of the J-SURS product.
                                                                                (J-SURS) as the internal analytical application to accomplish the SURS functions.” This
                                                                                requirement raises the following questions:

                                                                                a. Is UPI required to team/contract with all bidders, therefore keeping the competition fair
                                                                                and equitable?

                                                                                b. Is UPI required to maintain a consistent pricing structure with all bidders, therefore
                                                                                keeping the competition fair and equitable?
 217    V-15       D.9.3          Business Requirements                         V. Business Requirements – Section D.9.3 page V-15 – “The Contractor must assist in the     Please refer to the answer for Question 30.
                                                                                design, development and implementation of the solution for the Enrollment Center Renewal
                                                                                Process.” Can you provide more specifics on what “assist in the design, development and
                                                                                implementation” would include for this requirement?
 218    VI-23      E.2.1          Technical Requirements                        VI. Technical Requirements - Section E.2. 1 page VI-23 Business Intelligence (BI) (Query    The NYSDOH will maintain current Local District licenses for Cognos.
                                                                                and Reporting), Decision Support System (DSS), Executive Information Management
                                                                                System (EIS) and Dashboards - #2 – “Continues to support Cognos as a BI tool suite, for the
                                                                                approximately two-hundred (200) county users (see Section II Current New York State
                                                                                MDW and OHIP Data Mart Architecture).” This requirement raises the following questions:

                                                                                a. Is Cognos required to team/contract with all bidders, therefore keeping the competition
                                                                                fair and equitable?

                                                                                b. Is Cognos required to maintain a consistent pricing structure with all bidders, therefore
                                                                                keeping the competition fair and equitable?

 219    IX-1       IX             User Support Requirements - A. Help Desk      IX. User Support Requirements – A. Help Desk – page IX-1. “The Contractor will be               Help Desk hours are 8 a.m. to 5 p.m., Monday through Friday, with cell phone coverage 5 p.m.
                                                                                responsible for providing Help Desk services to all MDW users during the hours of 8 a.m. to     to 8 a.m., Monday through Friday and 24 hours on Saturdays, Sundays and official State
                                                                                5 p.m. (ET) Monday through Friday.” – Does this contradict the Service Level Agreement          Holidays when offices are closed. An addendum to the RFP containing a revised Exhibit VII-1
                                                                                Requirement on page VI-5? – “Help desk availability on 24 X 7, Monday through Sunday            will be posted to the website for this procurement.
                                                                                and official State holidays.”
 220    V-3        V.D.1.1                                                      Is the successful bidder for this contract expected to include the J-SURS license fee in its    Yes.
                                                                                cost proposal?
 221    V-3        V.D.1.1                                                      What is the expected annual license fee for J-SURS?                                             Since the NYSDOH has no contractual relationship with UPI, this information is not available.

 222    V-3        V.D.1.1                                                      Can a bidder propose its own SURS system instead of the UPI J-SURS system if this               No.
                                                                                system is superior in performance to the J-SURS system at a lower cost?
 223               Attachment V                                                 Given the turmoil in the credit market, can there be an alternative to a bidder providing an    No. The RFP as written meets the need of the NYSDOH.
                                                                                SLOC as a part of its Bidder‟s Proposal? Can the requirement be made part of the contract
                                                                                negotiation process for the successful bidder?
 224               General                                                      The RFP makes it sound as though Terradata will handle the Business Intelligence and            Teradata hardware and RDBMS are part of the current environment and solution. CSC is the
                                                                                Disaster Recovery aspects of the project. I am curious if they will also be handling storage    current vendor which is responsible for disaster recovery. This RFP details the requirements
                                                                                for the deal as well or if there is a play for storage still in place.                          for a replacement MDW solution and OHIP Data Mart operational support.



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Ques.    Vendor       Vendor                                         Vendor         QUESTION                                                                                         RESPONSE
          Page       Reference                                    Reference Text
 225               General                                                          My other question centers around what whether the current state of the NY budget will have       This is not relevant to the current procurement.
                                                                                    any implications on the supposed upcoming MMIS RFP
 226               General                                                          Can you confirm that any/all additional information or announcements from the State              That is the correct site. All information, with the exception of the Offerors' Library, will be
                                                                                    regarding the Replacement MedicAid Data Warehouse/OHIP Data Mart Operational                     provided on that site.
                                                                                    Support RFP will be posted to the following web site.

                                                                                    http://www.health.state.ny.us/funding/rfp/0711050248/

                                                                                    If that is not the case, where will additional infromation or announcements regarding this
                                                                                    RFP be posted?
 227    VI-2                                                                        TCO & Manageability: Would the State be open to a solution which provides the same               Environments are not necessarily synonymous with hardware servers. The Offeror should
        VI-27                                                                       functionality for which the current RFP requires 6 separate physical platforms (RFP section      provide the solution that it believes best meets the stated requirements.
                                                                                    VI page 2 and section VI page 37) , but on a smaller number of systems ? Fewer platforms
                                                                                    would be less expensive, and can demonstrate lower administrative costs and lower total
                                                                                    cost of ownership.
 228    V-2                                                                         Scalability & Performance: The stated growth factors (section V page 2 and others as in          The performance requirements remain constant across the growth curve. See SLA section
                                                                                    following question) appear significant but don't appear to mandate linear scalability of         concerning Data Access requirements.
                                                                                    system performance. Is this an important factor for the State as this system grows, i.e. to
                                                                                    ensure that performance stays the same or improves, but doesn't degrade as the system
                                                                                    grows over time, and would the State be open to a proposal which can demonstrate this
                                                                                    type of scalability?
 229    V-2                      25 years historical claim data                     Single Source Of The Truth: The RFP states that the contractor must plan for access to           The Offeror should provide the solution that it believes best meets the stated requirements.
        V-17-18                  SCHIP                                              25 years of historical claims data (section V page 2) plus SCHIP data (RFP section V pages
        V-18-21                  Pharmacy data                                      17-18) and Pharmacy data (section V pages 18-21; section VIII page 2) . Additionally, it
        VIII-2                                                                      outlines plans for the hosting of physically separate data marts for OHIP (section VI pages
        VI-37-41                 Physically separate data marts for OHIP            37-41). Finally, it states that this system will be the foundation for HIT (Health Information
        I-2                      System is foundation for HIT, NYHI, SHIN-NY        Technology), HIE (Health Information Exchange), NYHII (NY Health Information
                                                                                    Infrastructure, which in turn includes…) SHIN-NY (Statewide Health Information Network for
                                                                                    New York) (section I page 2) . Thus, the growth of this system over time could be quite
                                                                                    extensive and involve multiple subject areas beyond relatively current medical claims. Is
                                                                                    the State open to a solution that will allow them to analyze multiple programs' data in a
                                                                                    cross functional manner on a scalable platform in order to study how different programs
                                                                                    interact with each other for client populations ?

 230               General                                                          ADW: Is the State willing to consider a single, scalable solution which will allow them to       The Offeror should provide the solution that it believes best meets the stated requirements.
                                                                                    both query their extensive data for analytical purposes as well as tie in the front lines of
                                                                                    patient-facing operations, while maintaining service level agreements for performance ?

 231    VII-6      VII.C.1       Service Level Agreement Requirements Data Access   a. How much raw data (non replicated to attempt to increase performance of a system) will        a. End of June 2010 - paid claims from April 2005 - June 2010;
                                                                                    be present in the system in years 1, 2, 3, 4, and 5? (Page VI 7                                                     denied claims April 2005 - June 2010;
                                                                                                                                                                                                        encounters April 2005 - June 2010
                                                                                    b. Supports efficient storage and provides features to enable consistent data access                End of June 2011 - paid claims from May 1990 - June 2011;
                                                                                    benchmark queries described in Section VII.C.1 Service Level Agreement Requirements                                 denied claims April 2005 - June 2011;
                                                                                    Data Access for data volumes up to fifty (50) terabytes, representing twenty-five (25) years                        encounters February 1998 - June 2011
                                                                                    of paid and denied claims and encounters;) Is this 50TB raw data, or replicated, with a             End of June 2012 - paid claims from May 1990 - June 2012;
                                                                                    much smaller number for RAW?                                                                                        denied claims April 2005 - June 2012;
                                                                                                                                                                                                        encounters February 1998 - June 2012
                                                                                                                                                                                        End of June 2013 - paid claims from May 1990 - June 2013;
                                                                                                                                                                                                        denied claims April 2005 - June 2013;
                                                                                                                                                                                                        encounters February 1998 - June 2013
                                                                                                                                                                                        End of June 2014 - paid claims from May 1990 - June 2014;
                                                                                                                                                                                                        denied claims April 2005 - June 2014;
                                                                                                                                                                                                        encounters February 1998 - June 2014
231.2                                                                                                                                                                                   End of June 2015 - paid claims from May 1990 - June 2015;
                                                                                                                                                                                                        denied claims April 2005 - June 2015;
                                                                                                                                                                                                        encounters February 1998 - June 2015

                                                                                                                                                                                       Complete Master File information in all years.

                                                                                                                                                                                b. 50 TB useable.
 232               General                                                          How many references will be required with at 50 TB Data Warehouses supporting thousands We expect the Offeror to supply the most appropriate references.
                                                                                    of users, running both ad-hoc, and pre determined reports, and supporting continuous loads,
                                                                                    with minimal downtime?
 233               General                                                          Will the Gartner Server Evaluation Model (SEM) 5 reference list be used as a guide in       The NYSDOH will evaluate the proposals in accordance with State Finance Law.
                                                                                    determining viable hardware platforms for this project?
 234               General                                                          Of the three prescribed software packages (J-SURS, Cognos, and 3-M), which software         UPI Java Surveillance and Utilization Review Subsystem (J-SURS) will be the responsibility of
                                                                                    licenses are the responsibility of the NYSDOH and which should be included in the Offeror's the successful Offeror. The 3-M Clinical Risk Grouper and Local Social Service District Cognos
                                                                                    bid?                                                                                        licenses will be responsibility of the NYSDOH.




                                                                                                                                                                                                                                                           681af0fd-b8c5-4c5f-947d-e1fc2a062cf6.xls

				
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