Procurements

Contracts and Agreements

The Agency for Health Care Administration’s Contracts and Agreements (including Amendments and Minor Modifications, if applicable) are uploaded to the Department of Financial Services’ Florida Accountability Contract Tracking System (FACTS) and may be viewed at the following link:

https://facts.fldfs.com/Search/ContractSearch.aspx

Contracts and Agreements can searched by the specific Agency assigned ID number, Vendor name, dollar value range, date range, or commodity/service type. To view a list of all of the Agency’s Contracts and Agreements, simply select the Agency for Health Care Administration and hit search.

To view a specific Contract/Agreement once the search results appear, select the Agency Assigned Contract ID. To view the related documents, select the “Documents” tab.

NOTE: The Agency's Contracts that are paid by a Fiscal Agent are not listed in FACTS.

Procurements

All information regarding the Agency’s solicitations (original documents, addenda, and Agency decisions) are posted via the Department of Management Services’ Vendor Bid System (VBS) at the following link:

http://www.myflorida.com/apps/vbs/vbs_www.main_menu

To view active solicitations or Agency decisions, go to “Search Advertisements,” select the Agency for Health Care Administration and hit search. To view solicitations that have closed, the fiscal year in which the solicitation was originally posted will need to be selected before searching.

Vendors may also register to receive notifications for future solicitations by selecting “Electronic Notification” from the main VBS page.

Please see the Agency's brochure for more information about AHCA's Commitment to Diversity. The brochure may be viewed at the following link:

Procurement Brochure

Below is a list of the Agency’s solicitations that are currently active.

Due to the competitive procurement(s), we are in a statutorily imposed “Blackout Period” until 72 hours after the award and cannot provide interpretation or additional information not included in the solicitation documents.

As stated in s.287.057(23), F.S., “Respondents to this solicitation or persons acting on their behalf may not contact, between the release of the solicitation and the end of the 72-hour period following the agency posting the notice of intended award, excluding Saturdays, Sundays, and state holidays, any employee or officer of the executive or legislative branch concerning any aspect of this solicitation, except in writing to the procurement officer or as provided in the solicitation documents. Violation of this provision may be grounds for rejecting a response."

AHCA ITN 001-17/18 – Region 1 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 001-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 001-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Exhibit A-9 Regional Preference Hierarchy

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

AHCA ITN 002-17/18 – Region 2 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 002-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 002-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Exhibit A-9 Regional Preference Hierarchy

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

AHCA ITN 003-17/18 – Region 3 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 003-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 003-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

AHCA ITN 004-17/18 – Region 4 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 004-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 004-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

AHCA ITN 005-17/18 – Region 5 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 005-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 005-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

AHCA ITN 006-17/18 – Region 6 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 006-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 006-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

AHCA ITN 007-17/18 – Region 7 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 007-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 007-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

AHCA ITN 008-17/18 – Region 8 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 008-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 008-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

AHCA ITN 009-17/18 – Region 9 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 009-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 009-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

AHCA ITN 010-17/18 – Region 10 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 010-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 010-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

AHCA ITN 011-17/18 – Region 11 - Statewide Medicaid Managed Care Program

The Agency has issued AHCA ITN 011-17/18, to select vendors to provide Statewide Medicaid Managed Care Program Services.

Respondents to AHCA ITN 011-17/18 shall utilize the following Agency approved Exhibits for submission of its response and shall adhere to the instructions within each respective Exhibit.

Exhibit A-1 Questions Template

Exhibit A-2-a Qualification of Plan Eligibility

Exhibit A-2-b Provider Service Network Certification of Ownership and Controlling Interest

Exhibit A-2-c Additional Required Certifications and Statements

Exhibit A-3-a Milliman Organizational Conflict of Interest Mitigation Plan

Exhibit A-3-b Milliman Employee Organizational Conflict of Interest Affidavit

Exhibit A-4-a General Submission Requirements and Evaluation Criteria

Exhibit A-4-a-1 SRC# 6 - General Performance Measurement Tool

Exhibit A-4-a-2 SRC# 9 - Expanded Benefits Tool (Regional)

Exhibit A-4-a-3 SRC# 10 - Additional Expanded Benefits Template (Regional)

Exhibit A-4-a-4 SRC# 14 - Standard CAHPS Measurement Tool

Exhibit A-4-b MMA Submission Requirements and Evaluation Criteria

Exhibit A-4-b-1 MMA SRC# 6 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-b-2 MMA SRC# 14 - MMA Performance Measurement Tool

Exhibit A-4-b-3 MMA SRC# 21 - Provider Network Agreements/Contracts Statewide Essential Providers

Exhibit A-4-c LTC Submission Requirements and Evaluation Criteria

Exhibit A-4-c-1 LTC SRC# 4 - Provider Network Agreements/Contracts (Regional)

Exhibit A-4-d Specialty Submission Requirements and Evaluation Criteria

Exhibit A-5 Summary of Respondent Commitments

Exhibit A-6 Summary of Managed Care Savings

Exhibit A-7 Certification of Drug-Free Workplace Program

Attachment C Cost Proposal Instructions and Rate Methodology Narrative

Exhibit C-1 Capitated Plan Cost Proposal Template

Exhibit C-2 Fee-for-Service (FFS) Provider Service Network (PSN) Cost Proposal Template

Exhibits C-3 to C-6 Preliminary Managed Medical Assistance (MMA) Program Rate Cell Factors, MMA Program Expanded Benefit Adjustment Factors, MMA Program IBNR Adjustment Factors, MMA Program Historical Capitated Plan Provider Contracting Levels During SFY 15/16 Time Period

Exhibit C-7 Statewide Medicaid Managed Care Data Book

Exhibit C-8 Statewide Medicaid Managed Care Data Book Questions and Answers

Forms shall not be retyped and/or modified and must be submitted in the original format.

SMMC Procurement Reference Document Library

SMMC Data Book Reference Library