indiana department of administration physician services for medical chart review and evaluation for...
TRANSCRIPT
INDIANA DEPARTMENT OF ADMINISTRATION
Physician Services for Medical Chart Review and EvaluationFor the Disability Determination Bureau
REQUEST FOR PROPOSAL 15-009on behalf of the
Family and Social Services Administration
INDIANA DEPARTMENT OF ADMINISTRATION
GENERAL INFORMATION
• Attendee Sign-In Sheet
• Sign-In Sheet and PowerPoint will be posted on State’s Solicitation Website
INDIANA DEPARTMENT OF ADMINISTRATION
RFP QUESTIONS AND ANSWERS
Questions answered verbally today are not official nor binding and should be submitted in writing if it will affect your proposal response (Q/A Template).
• General RFP questions must be submitted to Matt Robinson by fax or email by 3:00 PM Eastern Time on October 1, 2014
Email: [email protected]
Fax: 317.232.7312
INDIANA DEPARTMENT OF ADMINISTRATION
ACCESSING RFP DOCUMENTS
www.in.gov/idoa/proc
INDIANA DEPARTMENT OF ADMINISTRATION
ACCESSING RFP DOCUMENTS
INDIANA DEPARTMENT OF ADMINISTRATION
INDIANA DEPARTMENT OF ADMINISTRATION
KEY RFP DATES
INDIANA DEPARTMENT OF ADMINISTRATION
PURPOSE AND SCOPE OF RFP 15-009
Physicians will review computerized and/or paper claims and provide advice as to the severity of the impairment or advise if additional medical evidence is needed in order to make a decision.
They may be required to sign off on testing that may result in potential harm to the claimant, such as a treadmill, arterial blood gases, etc.
Complete Residual Functional Capacity forms for adults, Childhood Disability Evaluation forms for children and/or Case Analysis forms with signature.
Evaluations will be consistent with the guidelines set forth by the Social Security Administration.
All work must be performed at the Disability Determination Bureau’s premises at 2525 N. Shadeland Ave., Indianapolis, IN.
All work also must be done by a contractor that is fully licensed in the profession.
Office space and computers will be made available to contractors as the information in disability claims must be kept secure and protected.
Work off-site is not permitted.
INDIANA DEPARTMENT OF ADMINISTRATION
RFP OUTLINE
INDIANA DEPARTMENT OF ADMINISTRATION
BUSINESS PROPOSALCompany Financial Information (Section 2.3.3)
Confidential information must be kept separate from the proposal in both hard and soft copy.
INDIANA DEPARTMENT OF ADMINISTRATION
TECHNICAL PROPOSAL
INDIANA DEPARTMENT OF ADMINISTRATION
COST PROPOSAL
INDIANA DEPARTMENT OF ADMINISTRATION
MINORITY AND WOMEN’S BUSINESS ENTERPRISE
Complete Attachment A, MWBE Form- Include sub-contractor letters of commitment Goals for this RFP:
- 8% Minority Business Enterprise
- 8% Women’s Business Enterprise
INDIANA DEPARTMENT OF ADMINISTRATION
MINORITY AND WOMEN’S BUSINESS ENTERPRISE
INDIANA DEPARTMENT OF ADMINISTRATION
INDIANA VETERANS’ BUSINESS ENTERPRISES SUBCONTRACTOR COMMITMENT (ATTACHMENT A1)
Complete Attachment A1, IVBE Form- Include sub-contractor letters of commitment
Goal for this RFP: 3%
INDIANA DEPARTMENT OF ADMINISTRATION
INDIANA ECONOMIC IMPACT
The State defines FTE as a measurement of an employee's productivity on a specific project or contract. A FTE of 1 would mean that there is one (1) worker fully engaged on a project; forty (40) hours a week, fifty-two (52) weeks a year. If there are two (2) employees each spending 1/2 of their working time, 20 hours per week, on a project that would also equal 1.
1 Legal Name of firm:2 Address/City/State/Zip Code:3 Telephone #/Fax #/Website:4 Federal Tax Identification
Number:5 State/Country of
domicile/incorporation:6 Location of firm's
headquarters or principal place of business:
7 Name of parent company or holding company (if applicable):
8 State/Country of domicile/incorporation of company listed in #7:
9 Address of company listed in #7:
10 IN Department of Workforce Development (DWD) account number:
11 IN Department of Revenue (DOR) account number:
12 Number of Indiana resident employees per most recently completed IRS Form W-2 distribution:
13 Total number of employees per most recently completed IRS Form W-2 distribution:
14 Total amount of payroll paid to Indiana resident employees per most recently completed IRS Form W-2 distribution:
15 Total amount of payroll paid to all employees per the most recently completed IRS Form W-2 distribution:
16 Administrative amount of this proposal, bid, or current contract.
150,835,903.00$
This information is required by the Indiana Department of Administration for all contractors, vendors/suppliers to the State of Indiana (complete all 22 items).
INDIANA ECONOMIC IMPACT - PROPOSALS AND CONTRACTSState Form 51778 (R4 / 1-06)DEPARTMENT OF ADMINISTRATIONApproved by State Board of Accounts, 2006
INDIANA DEPARTMENT OF ADMINISTRATION
RFP SCORING AND EVALUATION
INDIANA DEPARTMENT OF ADMINISTRATION
QUESTIONS AND ANSWERS
INDIANA DEPARTMENT OF ADMINISTRATION
ADDITIONAL INFORMATIONIDOA PROCUREMENT LINKS AND NUMBERS
http://www.in.gov/idoa/2354.htm1-877-77BUYIN (8946) For Vendor Registration Questions
http://www.in.gov/idoa/2464.htmFor Inquiries Regarding Substantial Indiana Economic Impact
A. Link to the developing “one stop shop” for vendor registry with IDOA and Secretary of State. http://www.in.gov/idoa/2467.htm
B. Secretary of State of Indiana: Can be reached at (317) 232-6576 for registration assistance. www.in.gov/sos
C. Vendor Handbook: Online version available at http://www.in.gov/idoa/files/vendor_handbook.doc
D. Minority and Women Owned Business Enterprises: http://www.in.gov/idoa/files/Certification_List(48).xls for table of IDOA certified MBEs and WBEs. For more WBE’s information http://www.in.gov/idoa/2352.htm
E. RFP posting and updates: Go to http://www.in.gov/idoa/2354.htm (select “State of Indiana Opportunities” link) Drag through table until you find desired RFP/RFI number on left-hand side and click the link.