Description Dental Program for Fee-For-Service Customers REBID RFP

Agency:	State Government of Illinois
Level of Government:	State & Local
Category:	Q - Medical Services R - Professional, Administrative and Management Support Services
Opps ID:	NBD14067073119558081
Posted Date:	Feb 23, 2023
Due Date:	Mar 23, 2023
Solicitation No:	Bid Solicitation # 23-478HFS-DIREC-B-35003
Source:	https://www.bidbuy.illinois.go...

Header Information

Bid Number:

23-478HFS-DIREC-B-35003

Description:

Dental Program for Fee-For-Service Customers REBID RFP

Bid Opening Date:

03/23/2023 02:00:00 PM

Purchaser:

Beau Wilson

Organization:

HFS - Healthcare and Family Services

Department:

MEDPROG478 - Medical Programs

Location:

AD001 - Medical Programs

Fiscal Year:

Type Code:

15 - Request for Proposal (RFP)

Allow Electronic Quote:

Yes

Alternate Id:

Required Date:

02/21/2023

Available Date
:

02/23/2023 02:00:00 PM

Info Contact:

Beau Wilson; Beau.Wilson@illinois.gov; 217-621-2786

Bid Type:

OPEN

Informal Bid Flag:

Purchase Method:

Open Market

Pre Bid Conference:

An optional BEP Pre-Bid Conference will be held Tuesday, March 7, 2023 at 2:00 PM CT. To attend, please send your business email address to Beau Wilson at: Beau.Wilson@illinois.gov no later than Monday, March 6, 2023 at 5:00 PM CT.

Bulletin Desc:

HFS seeks a single statewide vendor to administer its dental program for Illinois Medical Assistance Program (MAP) customers who receive services on a fee-or-service (FFS) basis. Pursuant to CPO Notice 2020.06, State agencies shall only accept electronic submissions for competitive solicitations. Paper responses will not be accepted. For more details please see the attachment titled Notice of Electronic Submissions Only.

Ship-to Address:

SPSA
607 E Adams Street
PAS
Springfield, IL 62701
US
Email: Christina.McCutchan@illinois.gov
Phone: (217)524-7185

Bill-to Address:

SPSA
607 E Adams Street
PAS
Springfield, IL 62701
US
Email: Christina.McCutchan@illinois.gov
Phone: (217)524-7185

Print Format:

Bid Print New

File Attachments:

Utilization Plan Version 21.0~6.pdf
attachment-notice-of-electronic-submission-only-v-22-1~1.pdf
Blank IPG Active Registered Vendor Disclosure Form formerly forms b.docx
Vendor Instruction for RFPs v23.1.docx
vendor-disclosure-formerly-forms-a-v.23.3.docx
BEP Directory Search_2023-02-21.xlsx
FINAL 2022-22-003 Dental Program Fee-For-Service Customers REBID RFP~1.docx

Form Attachments:

Required Quote Attachments


Desired Attachment Name:	BEP Utilization Plan (if applicable)	Description:	Failure to complete and upload will result in disqualification
Desired Attachment Name:	Offer	Description:	Upload completed Offer with authorized signature here
Desired Attachment Name:	Technical Proposal	Description:	Upload technical proposal here
Desired Attachment Name:	Vendor Disclosure or IPG Active Registered Vendor Disclosure	Description:	Failure to complete and upload will result in disqualification

SPO Name:

Jennifer Klein

Is this a Small Business Set Aside Procurement?:

Is there a BEP/VBP Participation Goal? :

Yes

If yes, BEP Goal Percentage:

5.00000

If yes, VBP Goal Percentage:

0.00000

Link to Original Contract :

Item Information

Item # 1:

(

915

-
79

)

Line Item 1 - 5 year Initial Term - Pricing shall be submitted in the following format. This cost shall include all administrative costs including the costs to adjudicate the claims. Estimated 780,000 Customers Per Month X 60 months = 46,800,000 Customers

NIGP Code:

915-79
Telecommunication Services (Not Otherwise Classified)

Qty

Unit Cost

UOM

Total Discount Amt.

Tax Rate

Tax Amount

Total Cost

46,800,000.0

EA - Each

Manufacturer:

Brand:

Model:

Make:

Packaging:

Additional NIGP Code

:

96116, 96175, 94848, 91039, 99046, 92022

Item # 2:

(

915

-
79

)

Line Item 2 - 5 year Initial Term - The Vendor shall enter $42,000,000.00 million per year x 5 years = $210,000,000.00 for the maximum dollars that will be transferred per section D.5. HFS transfer funds process to vendor for payment of clean claims. Line 2 will be included as the part of the total cost of the contract but will not be included in the total costs when determining price points in section B.6.

NIGP Code:

915-79
Telecommunication Services (Not Otherwise Classified)

Qty

Unit Cost

UOM

Total Discount Amt.

Tax Rate

Tax Amount

Total Cost

5.0

EA - Each

Manufacturer:

Brand:

Model:

Make:

Packaging:

Additional NIGP Code

:

Item # 3:

(

915

-
79

)

Line Item 3 - 5 year Renewal Term - Pricing shall be submitted in the following format. This cost shall include all administrative costs including the costs to adjudicate the claims. Estimated 780,000 Customers Per Month X 60 months = 46,800,000

NIGP Code:

915-79
Telecommunication Services (Not Otherwise Classified)

Qty

Unit Cost

UOM

Total Discount Amt.

Tax Rate

Tax Amount

Total Cost

46,800,000.0

EA - Each

Manufacturer:

Brand:

Model:

Make:

Packaging:

Additional NIGP Code

:

Item # 4:

(

915

-
79

)

Line Item 4 - 5 year Renewal Term - The Vendor shall enter $42,000,000.00 million per year x 5 years = $210,000,000.00 for the maximum dollars that will be transferred per section D.5. HFS transfer funds process to vendor for payment of clean claims. Line 4 will be included as the part of the total cost of the contract but will not be included in the total costs when determining price points in section B.6.

NIGP Code:

915-79
Telecommunication Services (Not Otherwise Classified)

Qty

Unit Cost

UOM

Total Discount Amt.

Tax Rate

Tax Amount

Total Cost

5.0

EA - Each

Manufacturer:

Brand:

Model:

Make:

Packaging:

Additional NIGP Code

:

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