Nebraska Purchasing Bureau #125920 O3

Nebraska DHHS Medicaid Enrollment Broker Services Solicitation

Nebraska's Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care (MLTC), is seeking a qualified vendor to provide comprehensive Medicaid Enrollment Broker services for approximately 340,000 managed care enrollees. - Government Buyer: - State of Nebraska, Department of Health and Human Services (DHHS) - Division of Medicaid and Long-Term Care (MLTC) - Services Requested: - Medicaid Enrollment Broker services including: - Member enrollment management - Unbiased choice counseling - Call center operations - Disenrollment processing - Member outreach and education - System integration with MLTC and Managed Care Organizations (MCOs) - Auto-assignment algorithms for member enrollment - Quality assurance and CMS certification support - Comprehensive reporting (weekly, monthly, post-implementation) - Web portal and real-time enrollment - Culturally competent and accessible services - Fraud detection and grievance handling - Implementation Deliverables: - Integrated work plan, test plan, change management plan, staffing plan - Disaster recovery and business continuity plan - Website and member materials, provider directory, counseling materials - Member education plan, policies and procedures, QA plan - Initial data load specifications, weekly/monthly status and enrollment reports, post-implementation report - Unique/Notable Requirements: - All data must reside in the United States - Compliance with Section 508 and accessibility standards - Disaster recovery and business continuity planning - CMS certification and federal/state regulatory compliance - Extensive performance measures with monetary penalties for non-compliance - Non-exclusive contract; State may procure similar services from other vendors - No specific OEMs or technology vendors are named; this is an open solicitation for qualified service providers.

Description

The State of Nebraska, Department of Health and Human Services (DHHS), is soliciting proposals for a service contract to select a qualified bidder to provide a Nebraska Medicaid Enrollment Broker. The contract term is five years with an option to renew for an additional three years upon mutual agreement. The contract may not be exclusive, as the State reserves the right to contract for similar services from other sources. The solicitation includes detailed requirements, performance measures, and reporting obligations for the Enrollment Broker services.

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