Decision Support System

(files on this site are in PDF and Word format)
(PDF files are controlling)

New York State Health Insurance Program Decision Support System

A. Request For Proposals (RFP)
Section I:	Introduction (Amended 8/5/10)
Section II:	Procurement Protocol and Process (Amended 8/5/10)
Section III:	Administrative Proposal Requirements (Amended 7/29/10)
Section IV:	Technical Proposal Requirements / Word version
Section V:	Cost Proposal Requirements
Section VI:	Evaluation and Selection Criteria
Section VII:	Draft Contract
Section VIII:	Decision Support System RFP Glossary of Terms and Abbreviations

B. Appendix
Appendix.A:	Standard Clauses for New York State Contracts
Appendix.B:	Standard Clauses for All DCS Contracts
Appendix.C:	Third Party Connection and Data Exchange Agreement
Appendix.D	Procurement Lobbying Policy: Restrictions on Contacts During the Procurement Process
Appendix.E	ST-220-CA Form
Appendix.F	ST-220-TD Form
Appendix.G	State Consultant Services – Form A
Appendix.H:	State Consultant Services – Form B
Appendix.I:	NYS Empire Plan Number of Paid Services and Claims
Appendix.J:	NYSHIP Empire Plan Data Elements
Appendix.K:	NYSHIP Empire Plan Data Storage
Appendix.L:	File Layout – Empire Plan Hospital Program Claims
Appendix.M:	File Layout – Empire Plan Mental Health and Substance Abuse Program - Paid/Adjusted Claims Data
Appendix.N:	File Layout - Empire Plan Mental Health and Substance Abuse Program – Treatment Plan Data
Appendix.O:	File Layout- Empire Plan Medical Program – Claims Summary Data
Appendix.P:	File Layout - Empire Plan Medical Program – Claims Detail Data
Appendix.Q:	File Layout – Empire Plan Prescription Drug Program (2008 – Current) – Claims Data
Appendix.R:	File Layout – Empire Plan Prescription Drug Program (2006 – 2007) – Claims Data
Appendix.S:	File Layout - Empire Plan Prescription Drug Program (1995 – 2005) – Claims Data
Appendix.T:	Department of Civil Service Information Security Policy
Appendix.U:	Protective Security Measures for Application and High Sensitivity Protocol
Appendix.V:	Workers' Compensation Law

C. Attachments
Attachment 1	Procurement Lobbying Offeror’s Affirmation of Understanding and Agreement
Attachment 2	Notice of Bidding Intention Form
Attachment 3	Question Template

D. Exhibits
Exhibit A:	Formal Offer Letter / Word version
Exhibit B:	Offeror Attestations Form / Word version
Exhibit C:	Proposal Submission Requirements Checklist / Word version (Amended 7/29/10)
Exhibit D:	Freedom of Information Law Request for Redactions Chart / Word version
Exhibit E:	MacBride Statement and Non-Collusive Bidding Certification / Word version
Exhibit F:	Equal Employment Opportunity (EEO) Obligations – Offeror Certification of Compliance (ADM-988) / Word version
Exhibit G:	Workforce Employment Utilization Report (ADM-989) / Word version
Exhibit H:	Vendor Responsibility Questionnaire / Word version
Exhibit I:	Compliance with Public Officers Law Requirements / Word version
Exhibit J:	Compliance with Americans with Disabilities Act (ADM-987) / Word version
Exhibit K:	Omnibus Procurement Act Statement of Acceptance (ADM-991) / Word version
Exhibit L:	Certification of Compliance Pursuant to State Finance Law 139-K / Word version
Exhibit M:	Article 15-A of the Executive Law / Word version
Exhibit N:	Key Subcontractors / Word version
Exhibit O:	Project References / Word version
Exhibit P:	Biographical Sketch Form / Word version
Exhibit Q:	DSS Cost Forms / Word version