Draft Request for Proposals
Healthcare Program Administrative Services Only (ASO)
Draft Request for Proposals
ENTITLED: "Healthcare Program Administrative Services Only (ASO)"
Release Date: June 24, 2020
All inquiries, questions, filings and submission of comments must be directed in writing to:
NYS Department of Civil ServiceAttention: Office of Financial Administration, Floor 17
Agency Building 1, Empire State Plaza
Albany, New York 12239
E-mail: DCSprocurement@cs.ny.gov
Table of Contents
Draft Request for Proposals
Healthcare Program Administrative Services Only (ASO) - Draft RFP
Appendix
APPENDIX A - Standard Clauses for New York State Contracts
APPENDIX B - Standard Clauses New York State Department of Civil Service Contracts
APPENDIX C - Information Security Requirements
APPENDIX C-1 - Glossary for Appendix B and Appendix C
Attachments
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 Debriefing Guidelines
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 Workers Compensation Law
ATTACHMENT 11 - Freedom of Information Law - Request for Redaction Chart
ATTACHMENT 12 - New York State Subcontractors and Suppliers
ATTACHMENT 13 - Offeror Attestations Form
ATTACHMENT 14 - Biographical Sketch Form
ATTACHMENT 15 - Administrative Fees Form
ATTACHMENT 16 - Top In Network Procedure Codes by ZIP Codes - Non Medicare Fees
ATTACHMENT 17 - Top MHSA In Network Procedure and Revenue Codes by ZIP Codes - Non Medicare Fees
ATTACHMENT 18 - Top In Network Revenue Codes by ZIP Codes - Non Medicare Fees
ATTACHMENT 19 - Confidentiality and Non-Disclosure Agreement
ATTACHMENT 20 - 2019 Health Fairs and Conference Events
ATTACHMENT 21 - Program Reporting
ATTACHMENT 22 - Benefit Programs
ATTACHMENT 23 - Call Center Statistics
ATTACHMENT 24 - NYSHIP Communications Print and Mail Volumes
ATTACHMENT 25 - NYSHIP Communications Catalogue
ATTACHMENT 26 - Empire Plan Number of Paid Services and Claims
ATTACHMENT 27 - Enrollment by Month
ATTACHMENT 28 - Total Empire Plan and SEHP Enrollment by Age
ATTACHMENT 29 - Covered Lives by Bargaining Unit or Other Group
ATTACHMENT 30 - NYBEAS Enrollment Record Layout - Transaction Set Header
ATTACHMENT 31 - Empire Plan Certificates, Excelsior Plan and SEHP 2019 at a Glance
ATTACHMENT 32 - PS-451 Statement of Disability
ATTACHMENT 33 - PS-452 Application for Waiver Premium
ATTACHMENT 34 - New York State Advanced Primary Care Core Measures
ATTACHMENT 35 - Offeror's Proposed Network Summary Worksheet
ATTACHMENT 36 - Comparison of Plan Providers and the Offeror's Proposed Provider Network
ATTACHMENT 37 - Enrollment by ZIP Code and Geo Access Network Report File
ATTACHMENT 38 - Offeror's Proposed Provider Network Files
ATTACHMENT 39 - The Plan Provider Network File