112209 O3 Heritage HealthOpening Date: July 1, 2022

The State of Nebraska, Department of Health and Human Services (DHHS), is issuing this Request for Proposal (RFP) Number 112209 O3 for the purpose of selecting a qualified bidder to provide a full-risk, capitated Medicaid Managed Care program for physical health, behavioral health, pharmacy, and dental services.Written Questions regarding the project for Round 1 are due no later than May 2, 2022.Written Questions regarding the project for Round 2 are due no later than May 23, 2022.Request for ProposalAttachment 1 - Member Counts by CountyMS Excel Format​Attachment 2 - Nebraska Counties Classified by Urban, Rural, & Frontier StatusMS Word FormatAttachment 3 - Policies, Procedures, and PlansMS Word FormatAttachment 4 - Rating RegionsMS Word FormatAttachment 5 - Insure Kids NowAttachment 6 - Quality Performance Program MeasuresMS Word FormatAttachment 7 - Medical Loss Ratio RequirementsMS Word FormatAttachment 8 - Critical Access HospitalsMS Word FormatAttachment 9 - 2022 Health Care Acquired ConditionsMS Word FormatAttachment 10 - Liquidated DamagesMS Word FormatAttachment 11 - Data Exhibits DentalMS Excel FormatAttachment 12 - Example Capitation RatesMS Excel FormatAttachment 13 - Reporting RequirementsMS Word FormatAttachment 14 - Access StandardsMS Word FormatAttachment 15 - High Cost Drug Pool Risk CorridorMS Word FormatAttachment 16 - Example Base Data Model - Physical and BehavioralMS Excel FormatAttachment 17 - Dental Rates State Fiscal Year 2022Attachment 18 - Nebraska Dental State Fiscal Year 2022 CertificationAttachment 19 - Nebraska Heritage Health Calendar Year 2022 CertificationAttachment 20 - Heritage Health Calendar Year 2022 Capitation Rate Certification ExhibitsAttachment 21 - Risk CorridorAttachment 22 - Fiscal Year 2022 Nebraska Dental Rate Development SummaryAttachment 23 - Expansion RC and Non-Exp HIPP RC Calculation ExamplesProposal Response InstructionsMS Word FormatOptional Services Proposal Response Instructions - RevisedOptional FFS Cost ProposalMS Word FormatEvaluation CriteriaMS Word FormatList of PreProposal Conference AttendeesMS Word FormatAddendum One - Questions and Answers - Round 1Addendum Two - Optional Services Proposal Response InstructionsAddendum Three - Questions and Answers - Round 2List of RespondentsMemorandum to BiddersMS Word FormatAddendum FourMS Word FormatEvaluation Criteria - CorrectedMS Word FormatAddendum Five - Revised Schedule of EventsMS Word FormatAddendum Six - Revised Schedule of EventsMS Word FormatIntent to AwardFinal Evaluation DocumentHealthy Blue ProposalMedica ProposalMolina ProposalNebraska Total Care Proposal - Part 1Nebraska Total Care Proposal - Part 2Nebraska Total Care Proposal - Part 3UnitedHealthcare of the Midlands ProposalHealthy Blue ProtestMemorandum to Bidders - MCO ProtestDHHS Response to Healthy Blue ProtestMolina Response to Healthy Blue ProtestMolina Response Exhibit to Healthy Blue ProtestNebraska Total Care Response to Healthy Blue ProtestUnitedHealthCare of the Midlands Response to Healthy Blue ProtestRenewed Request for Stay of Contract Performance Letter to DHHS