Request for Proposals
ENTITLED: "Mental Health and Substance Use (MHSU) Disorder Program"
Release Date: March 24, 2022
Proposal Due Date: May 19, 2022, 3:00 p.m. ET
Attachment 6 has been Amended as of 5/5/2022.
Attachment 23 has been Amended as of 5/5/2022.
Attachment 25 has been Amended as of 5/5/2022.
Attachment 32 has been Amended as of 5/5/2022.
MHSU RFP has been Amended as of 5/19/2022.
Official Responses to Offerors' Questions has been Amended as of 5/13/2022.
Important Notice: A Restricted Period under the Procurement Lobbying Law
is currently in effect for this Procurement and it will remain in effect until State Comptroller approval of the
resultant contract. During the Restricted Period for this Procurement ALL communications must be directed, in writing,
solely to the Designated Contact as listed in Section 2 of this RFP and shall be in compliance with the Procurement
Lobbying Law and the NYS Department of Civil Service "Rules Governing Conduct of Competitive Procurement Process"
(refer to RFP, Section 2: Procurement Protocol and Process).
All inquiries, questions, filings and submission of Proposals must be directed in writing to:
NYS Department of Civil Service
Attn: Office of Financial Administration, Floor 17
Agency Building 1, Empire State Plaza
Albany, New York 12239
Table of Contents
Request for Proposals
MHSU Disorder Program RFP
APPENDIX A - Standard Clauses for New York State Contracts, dated October 2019
APPENDIX B - Standard Clauses for All Department Contracts, dated September 2020
APPENDIX C - Information Security Requirements, dated September, 2020
APPPENDIX C-1 - Glossary for Appendix B and C, dated April 2020
ATTACHMENT 1 - Offeror Affirmation of
Understanding and Agreement
ATTACHMENT 2 - Procurement Lobbying Policy
ATTACHMENT 3 - Formal Offer Letter
ATTACHMENT 4 - Questions Template
ATTACHMENT 5 - NYS Department of Civil Service
ATTACHMENT 6 - Performance Guarantees
ATTACHMENT 7 - New York State Required Certifications
ATTACHMENT 8 - Non-Material Deviations Template
ATTACHMENT 9 - Subcontractors or Affiliates
ATTACHMENT 10 - Compliance with NYS Workers'
ATTACHMENT 11 - Freedom of Information Law Request
for Redaction Chart
ATTACHMENT 12 - New York State Subcontractors
ATTACHMENT 13 - Offeror Attestations Form
ATTACHMENT 14 - Biographical Sketch Form
ATTACHMENT 15 - Confidentiality and Non-Disclosure Agreement
ATTACHMENT 16 - Program Reporting
ATTACHMENT 17 - Call Center Statistics
ATTACHMENT 18 - Benefit Programs
ATTACHMENT 19 - NYBEAS Enrollment Record Layout - Transaction Set Header
ATTACHMENT 20 - Empire Plan Certificates, Excelsior Plan and SEHP At A Glance
ATTACHMENT 21 - PS-451 Statement of Disability
ATTACHMENT 23 - Offeror's Proposed Provider Network Files
ATTACHMENT 24 - Shared Accumulator File Layout
ATTACHMENT 25 - MHSU Disorder Provider Non-Medicare Fee Schedule and Administrative Fee Form
ATTACHMENT 27 - Enrollment by Month
ATTACHMENT 28 - Total Empire Plan, SEHP, and Excelsior Enrollment by Age
ATTACHMENT 29 - Covered Lives by Bargaining Unit or Other Group
ATTACHMENT 30 - Benefits by Bargaining Unit
ATTACHMENT 31 - 2019 Health Fairs
ATTACHMENT 32 - Offeror's Proposed Network Summary Worksheet
ATTACHMENT 33 - Comparison of Utilized Provider File and the Offeror's Proposed Provider Network
ATTACHMENT 35 - Offeror's Participating Provider Quest Analytics Report
ATTACHMENT 36 - Non-Network Estimated Costs by Unit by Service
Response to Questions - amended 5/13/2022