State of Illinois - General Services

Bid Solicitation: 25-478HFS-DIREC-B-44525

Header Information

Bid Number:

25-478HFS-DIREC-B-44525

Description:

Dual Eligible Special Needs Plan (D-SNP)

Bid Opening Date:

10/18/2024 02:00:00 PM

Purchaser:

Karen Mankowski

Organization:

HFS - Healthcare and Family Services

Department:

DIRECTOR478 - Director

Location:

AA002 - Procurement Management

Fiscal Year:

Type Code:

15 - Request for Proposal (RFP)

Allow Electronic Quote:

Yes

Alternate Id:

Required Date:

Available Date :

09/03/2024 03:45:00 PM

Info Contact:

Contact Karen Mankowski at 217-558-6282 or Karen.Mankowski@illinois.gov

Bid Type:

OPEN

Informal Bid Flag:

Purchase Method:

Open Market

Pre Bid Conference:

There will be an optional Pre-Bid Conference on September 17, 2024, at 2:00 p.m. To register and be forwarded the link to the WebEx meeting invitation, please send your business email address to the project contact Karen.Mankowski@illinois.gov.

Bulletin Desc:

HFS seeks to obtain Medicaid Dual Eligible Special Needs Plan (D-SNP) contracts to provide Medicaid covered services and Federal Medicaid Waiver services, while minimizing the cost increase to the state as much as possible and maintaining a high level of care integration.

Ship-to Address:

Procurement Liaison
201 S Grand Avenue East
OPM
Springfield, IL 62704
US
Email: noreply@illinois.gov
Phone: (217) 557-5776

Bill-to Address:

Procurement Liaison
201 S Grand Avenue East
OPM
Springfield, IL 62704
US
Email: noreply@illinois.gov
Phone: (217) 557-5776

Print Format:

Bid Print New

File Attachments:

IPG active registered vendor disclosure
Vendor Disclosure
Offer to the State of Illinois
Recording of partial MCO DSNP Pre-Bid Conference
pre-submission-conference-sign-in-sheet
Addendum 1 - Pre-Bid Conference Attendees
Revised RFP and Attachments
Addendum 2- Question and Answer
Revised U-Plan V.25.1
Addendum 3- Question and Answers
Addendum 4- RFP Opening Sheet
Release of Notice of Intent to Apply for Contract Year 2026 Medicare Advantage (MA),
2026_NOIA_PartC_PartD.pdf
B44525 notice-of-award-form.pdf
DSNP B44525 Notice of Award Attachment 1.xlsx

Form Attachments:

Required Quote Attachments

SPO Name:

Jennifer Klein

Is this a Small Business Set Aside Procurement?:

Is there a BEP/VBP Participation Goal? :

Yes

If yes, BEP Goal Percentage:

1.00000

If yes, VBP Goal Percentage:

0.00000

Link to Original Contract :

Amendments:

Amendment #	Amendment Date	Amendment Note
1	09/27/2024 10:29:33 AM	Please find attached Addendum 1, which includes the list of attendees from the Pre-Bid Vendor Conference, as well as the recording. Please note that the first 30 minutes of the session were not recorded. All questions raised during the conference will be addressed in the forthcoming Q&A amendment, which will provide the final and authoritative responses, superseding those discussed in the recording. Attachment File Changes: Header 1. File 'Recording of partial MCO DSNP Pre-Bid Conference': File 'Recording of partial MCO DSNP Pre-Bid Conference' added . 2. File 'pre-submission-conference-sign-in-sheet': File 'pre-submission-conference-sign-in-sheet' added . 3. File 'Addendum 1 - Pre-Bid Conference Attendees': File 'Addendum 1 - Pre-Bid Conference Attendees' added .
2	10/04/2024 04:19:06 PM	Please find attached Addendum 2: Vendor Questions and Answers. The following documents have been updated: - RFP - Appendix A DSNP Model Contract - Attachment 13 NIGP Codes - UPLAN Only the documents that have been updated are marked with "Revised" in their titles to indicate the changes. Attachment File Changes: Header 1. File 'U-Plan V.25.1': Confidential Attachment Flag changed from "No" to "Yes". 2. File 'RFP and attachments': Confidential Attachment Flag changed from "No" to "Yes". 3. File 'Revised RFP and Attachments': File 'Revised RFP and Attachments' added . 4. File 'Addendum 2- Question and Answer': File 'Addendum 2- Question and Answer' added . 5. File 'Revised U-Plan V.25.1': File 'Revised U-Plan V.25.1' added . 6. File 'U-Plan V.25.1': Show Attachment to Vendor Flag changed from "No" to "No". 7. File 'RFP and attachments': Show Attachment to Vendor Flag changed from "No" to "No".
3	10/16/2024 02:27:39 PM	Please find attached Addendum 3: Vendor Questions and Answers. Attachment File Changes: Header 1. File 'Addendum 3- Question and Answers': File 'Addendum 3- Question and Answers' added .
4	10/21/2024 10:42:46 AM	Please find attached Addendum 4: RFP Opening Sheet. As a reminder, all applicants are required to comply with the CMS Medicare Advantage Application requirements to be eligible for a D-SNP contract including the Notice of Intent to Apply (NOIA) deadline referenced in the attached CMS memo. All bidders including existing MMAI plans must submit the NOIA to CMS by November 11, 2024. Attachment File Changes: Header 1. File 'Addendum 4- RFP Opening Sheet ': File 'Addendum 4- RFP Opening Sheet ' added . 2. File 'Release of Notice of Intent to Apply for Contract Year 2026 Medicare Advantage (MA),': File 'Release of Notice of Intent to Apply for Contract Year 2026 Medicare Advantage (MA),' added .

6	02/06/2025 07:54:07 AM	Thank you again for your submission. As a reminder, all applicants are required to comply with the CMS Medicare Advantage (MA) Application deadlines outlined in the attached CMS memo to be eligible for a D-SNP contract. All bidders including existing MMAI plans must submit the CMS MA Application by February 12, 2025 Attachment File Changes: Header 1. File '2026_NOIA_PartC_PartD.pdf': File '2026_NOIA_PartC_PartD.pdf' added .
7	03/06/2025 09:33:38 AM	This is not a new bid opportunity. This is to post the Notice of Award. Attachment File Changes: Header 1. File 'B44525 notice-of-award-form.pdf': File 'B44525 notice-of-award-form.pdf' added . 2. File 'DSNP B44525 Notice of Award Attachment 1.xlsx': File 'DSNP B44525 Notice of Award Attachment 1.xlsx' added .

Item Information

Item # 1: ( 958 - 56 )

D-SNP Initial Term- Pricing is not applicable for this RFP due to the required capitated rate development standards as defined in 42 CFR Part 438. Contractor shall be paid according to the per member per month (PMPM) risk-based capitation payment developed by the Department actuarial firm in accordance with rate development requirements of 42 CFR 438. The Agency will add the pricing for the awarded Vendors based on those rates at the time of award.

NIGP Code:

958-56
Health Care Management Services, Including Managed Care Services

Qty

Unit Cost

UOM

Total Discount Amt.

Total Cost

1.0

EA - Each

Manufacturer:

Brand:

Model:

Make:

Packaging:

Additional NIGP Code :

Item # 2: ( 958 - 56 )

DSNP- Renewal Term -Pricing is not applicable for this RFP due to the required capitated rate development standards as defined in 42 CFR Part 438. Pricing for the renewal term(s), Contractor shall be paid using the PMPM risk-based capitation payment developed by the Agency contracted actuaries in accordance with rate development requirements of 42 CFR 438. The Agency will add the pricing for the awarded Vendors based on those rates at the time of award.