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Medical Administrative Services Organization (ASO)

Contract for Services to a Connecticut Nonprofit or For-Profit to
Oversee Health Services that Benefit Residents in Eligible Areas

Agency Type:

State

Funding Source:

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State of Connecticut Department of Social Services (DSS)

Deadline Date:

07/23/21 2:00 PM EST

Description:

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Contract for services to a Connecticut nonprofit or for-profit organization in eligible locations to oversee health-related services. Funding is intended to support the administration of daily functions; to ensure administrative efficiency, cost-effectiveness, and accountability for all program requirements; and to collect, analyze, report on the use of program data for continuous quality improvement, value-based care, and recommendations for improvements. Eligible applicants are located within a 20-mile radius of downtown Hartford.

The goal of the program is to contract with a qualified agency to serve as Administrative Services Organization (ASO) for the state's HUSKY Health Program, including both Medicaid and the Children’s Health Insurance Program (CHIP).  The Department is interested in innovative, forward-thinking, and dynamic proposals that manifest commitment and capacity around primary and preventive care, care delivery and payment reforms, and technology-driven solutions. The contracted ASO shall ensure high quality and timely access to community-based health services that are culturally and linguistically compatible with the members in Connecticut.

Contracted services should be coordinated with behavioral health services, and fulfill goals around the quadruple aim: improving population health outcomes, providing and administering value-based services to control costs, improving member experience, and improving provider experience. These goals should be viewed through a population health and health equity framework, which shares the recognition that unmet health-related social needs, such as food and/or housing insecurity, may increase the risk of developing chronic conditions and reduce an individual’s ability to manage those conditions.

Specific focus areas include administrative efficiency, social determinants of health, health equity, primary, preventive, and person-centered care. To fulfill these priorities, the Department expects the contracted entity to ensure recruitment and maintenance of a robust provider network; facilitate access to and appropriate utilization of high quality, covered health services; provide effective member and provider support, outreach, and education; provide intensive care management for members with complex needs; deliver a robust reporting portfolio based on sophisticated data analytic systems and leadership, implement health equity-informed, system and community-driven approaches for eliminating health disparities and collaborate effectively in support of integration of services with the Department’s behavioral health and dental ASOs.

For additional information about the Scope of Work, see Page 27 of the RFP in Supporting Documents, below.

GrantWatch ID#:

GrantWatch ID#: 196697

Number of Grants:

One

Term of Contract:

The term of the contract shall be for three (3) years and six (6) months and is anticipated to begin on January 1, 2022 (with an inclusive six months transition phase) and continue through June 30, 2025. There shall be two (2) one-year options that may be exercised at the sole discretion of the Department.

Additional Eligibility Criteria:

Private organizations, defined as non-state entities that are either nonprofit, proprietary corporations, or partnerships that have a Connecticut location or a proposed Connecticut location for its business operations established within three (3) months of the resulting contract and is within a twenty (20) mile radius to downtown Hartford, Connecticut, are eligible to submit proposals in response to this RFP.

To be considered for the right to negotiate a contract, a respondent must have:
- A minimum of three (3) consecutive years of experience managing an array of medical services covered by Medicaid, serving a minimum combined total of 100,000 Medicaid members in one or more U.S. states or territories.
- Be accredited by a nationally recognized agency such as National Committee for Quality Assurance (NCQA) and/or Utilization Review Accreditation Commission (URAC).

Individuals who are not a duly formed business entity are ineligible to participate in this procurement.

Pre-Application Information:

Timeline:
- RFP Released: June 3, 2021
- Deadline for Questions: June 15, 2021
- Answers Released (tentative): June 25, 2021
- Proposals Due: July 23, 2021, at 2:00 p.m. Eastern Standard Time.
- Award Decision: September 24, 2021 (targeted date)
- Start-up Transition Phase: January 1, 2022 (targeted date)
- Full Implementation of Contract: July 1, 2022 (targeted date)

It is strongly recommended that Respondents register with the State of CT contracting portal if not already
registered.

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Register online: https://portal.ct.gov/DAS/CTSource/Registration

Email proposals to DSS.Procurement@ct.gov with the subject line, "CT Medical ASO RFP 06032021."

Questions or requests for information must be directed to the Department’s Official Contact:
Vidya Ganesan
State of Connecticut Department of Social Services
Contract Administration Unit
55 Farmington Ave.
Hartford, CT 06105

Funding or Pin Number:

RFP 06032021

URL for Full Text (RFP):

Geographic Focus:

USA: Connecticut: Within a 20-mile radius of downtown Hartford

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