Consultative Examinations for Medicaid Eligibility

Request for Proposals #20242

Issued by New York State Department of Health

Schedule of Events

Issuance of Request for Proposals	December 14, 2022
Deadline for Submission of Written Questions	Questions Due By December 30, 2022 at 4:00 p.m. ET
Responses to Written Questions Posted by DOH	Responses Posted On or About February 7, 2023
Deadline for Submission of Proposals	Proposals Due On OR Before March 2, 2023 at 4:00 p.m. ET
Anticipated Contract Start Date	November 1, 2023

Contact Information

Designated Contact

Pursuant to State Finance Law §§ 139-j and 139-k, the Department of Health identifies the following designated contact to whom all communications attempting to influence the Department of Health’s conduct or decision regarding this procurement must be made.

• Sue Mantica
  Bureau of Contracts
  New York State Department of Health
  Corning Tower, Room 2827
  Albany, NY 12237
  Phone: 518-402-796
  Email: sue.mantica@health.ny.gov

Permissible Subject Matter Contact

Pursuant to State Finance Law § 139-j(3)(a), the Department of Health identifies the following allowable contact for communications related to the submission of written proposals, written questions, pre-bid questions, and debriefings.

• Jenna-Lee Ciota
  New York State Department of Health
  Office of Health Insurance Programs
  99 Washington Ave, One Commerce Plaza Room 1450
  Albany, NY 12210
  Telephone 518-473-7005
  Email Address: OHIPContracts@health.ny.gov

Documents

• Request for Proposals (PDF)
• Exhibit 1: Facility Information Form (PDF)
• Exhibit 2: Consultative Exam Appointment Letter (PDF)
• Exhibit 3: Third Party Request for Assistance Letter (PDF)
• Exhibit 4: Consultative Exam Appointment History Report (PDF)
• Exhibit 5: Third Appointment Progress Report (PDF)
• Exhibit 6: Authorization to Release Protected Medicaid Applicant/Recipient Information to a Third Party (PDF)
• Exhibit 7: Specialties Required by SDRU to Perform Examinations (PDF)
• Exhibit 8: Reporting Requirements for Orthopedic Examinations (PDF)
• Exhibit 9: Estimated Annual Volume of Mandated Medical Examinations and Ancillary Tests (PDF)
• Exhibit 10: Consultant Enrollment Form (PDF)
• Exhibit 11: Conditions Governing Referrals for Consultative Examinations (PDF)
• Exhibit 12: Technical Proposal Staffing Forms (PDF)
• Exhibit 13: Technical Proposal Optional Services (PDF)
• Amendment 1 (PDF)
• Amendment 2 (PDF)
• Questions and Answers (PDF)
• Amendment 3 (PDF)
• Amendment 4 (PDF)