Job & Family Services - Requests for Proposals

Request for Proposals (RFP)#: R-89-07-0004 for Medicaid Managed Care Enrollment Services.
All documents in .pdf format

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  1. Questions and Answers
    Final ODJFS Answers to Vendor Questions
  1. Announcements
    Announcement 01/30/2007

The Ohio Department of Job and Family Services (ODJFS) releases this Request for Proposals (RFP) for the purpose of obtaining proposals from qualified vendors to provide implementation and management services for the Medicaid Managed Care Enrollment Center (MCEC). Interested vendors must demonstrate: experience with federal Medicaid and Medicare programs in general; experience with programs similar to Ohio's programs; and having at least five (5) years experience in the development, implementation, and management of managed health care programs and/or health care industry related programs.

All submissions must be received no later than the specified deadline and submitted in accordance with the requirements as specified in Section 5.1 of the RFP.

  1. The Actual RFP

Attachments:

  1. Attachment A Required Vendor Information and Certifications
  2. Attachment B Request for Taxpayer Identification Number (W-9) Form
  3. Attachment C DMA Form
  4. Attachment D ODJFS Model Contract
  5. Attachment E Technical Proposal Score Sheet
  6. Attachment F Cost Proposal Form

Appendices:

  1. Appendix A. Medicaid Managed Care Enrollment Center Services RFP Abbreviations
  2. Appendix B. Assignment Utilization File (AUF) Format and Process
  3. Appendix C. Procedures for Accepting and Resolving Transition of Membership Issues and Just Cause Requests
  4. Appendix D. Procedures for Accepting and Resolving MCP Termination Requests for Benefits from the Bureau for Children with Medical Handicaps (BCMH), Supplemental Security Income (SSI) and Children in Custody (CIC)
  5. Appendix E. Annual Opportunity Month Process and Schedule
  6. Appendix F. Provider Verification System (PVS) File Layout for Monthly ODJFS Files
  7. Appendix G. Consumer Contact Record (CCR) Data Fields
  8. Appendix H. Data Fields for Consumer Contact Record (CCR) Selection Form
  9. Appendix I. Daily Eligibility File
  10. Appendix J. Secure Tokens Information
  11. Appendix K. Compliance Assessment Information
  12. Appendix L. Selection by Mail Packet Information
  13. Appendix M. CRIS-E Batch Process File Format and Error Codes
  14. Appendix N. Intake Form Data Fields for Just Cause and Transition of Membership
  15. Appendix O. Enrollment Services Center Selections by Assistance Group - January 1, 2006 through December 31, 2006
  16. Appendix P. Enrollment Services Center Activity - January 1, 2006 through December 31, 2006
  17. Appendix Q. Current Contractor Staffing Levels