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April  23,  2024  
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DHHR Procurement Notices

Request for Quotes (RFQ) and Request for Proposals (RFP)

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MED11014

The Bureau for Medical Services, hereinafter referred to as “Bureau” or “BMS,” is soliciting proposals to obtain the services of a qualified vendor to provide the fiscal agent services and the design, development, implementation, Centers for Medicare & Medicaid Services (CMS) certification, operation for a replacement Medicaid Management Information System (MMIS) solution.

Redacted Technical Proposals

MED11015

The Bureau for Medical Services, hereinafter referred to as "Bureau" or "BMS", is soliciting proposals to procure information technology products and services to design, develop, implement, operate and enhance a West Virginia (WV) Medicaid Data Warehouse/Decision Support System (DW/DSS).


Technical Proposals

Technical proposals were received for the following four (4) vendors:

  • Deloitte
  • Government Works
  • Ingenix
  • Thomson Reuters

Due to the volume of files received in response to this RFP it is not practical to post the files on-line. Should you desire, you may request the files from the DHHR Office of Purchasing.

Cost Proposals

Award

MED12001

The Bureau for Medical Services is soliciting proposals to provide administrative services for the implementation and oversight of the Traumatic Brain Injury (TBI) Waiver.

Bids Received

One (1) bid was received from the following vendor:

Cost Proposals

Award

MED12002

The Bureau for Medical Services, hereinafter referred to as the “Bureau” or “BMS,” is soliciting bids pursuant to West Virginia Code §9-2-9b and the Medicaid Services Contracts Purchasing Methodology and Manual to provide a multifunctional clinical web portal for enrolled Medicaid prescribers and pharmacists employed by enrolled pharmacies.

Bids Received

One (1) bid was received from the following vendor:

Award

MED12003

The Bureau for Medical Services, hereinafter referred to as the “Bureau” or “BMS”, is soliciting bids for automated prior authorization services for the West Virginia Medicaid Pharmacy Program.

Bids Received

Three (3) bids were received from the following vendors:

Award

MED12004

The Bureau for Medical Services is soliciting proposals to provide Fiscal Employer/Agent (FE/A) and Resource Consulting (RC) services on the Bureau’s behalf to all Medicaid Home and Community-Based Services (HCBS) members who choose a self-directed service delivery option. This solicitation serves as notice of the service being sought by BMS and is the template to which interested vendors should respond with a proposal for such service.

Bids Received

One (1) bid was received from the following vendor:

Cost Proposals

Award

MED12007

The Bureau for Medical Services is soliciting bids for Preferred Drug List Maintenance and Related Professional Services

Bids Received

Bids were received from the following three(3) vendors:

  • Magellan Medicaid Administration, Inc.
  • Goold Health Systems (GHS)
  • SXC Health Solutions, Inc.

Inclusion of proprietary information within the bids does not allow for posting of the bids online.

MED12009

The Bureau for Medical Services, hereinafter referred to as "Bureau" or "BMS", is soliciting proposals to procure services of a qualified Vendor to provide external quality review for the WV Managed Care Program.

Technical Proposals

Technical proposals were received for the following three (3) vendors:

Cost Proposals

Award

MED12010

 The Bureau for Medical Services is soliciting bids for Health Facility Appraisal Services for the Medicaid Program’s Long-Term Care Facility Reimbursement System.

Bids Received

One (1) bid was received from the following vendor:

MED12011

The Bureau for Medical Services, hereinafter referred to as “Bureau” or “BMS,” is soliciting proposals to obtain the services of a qualified vendor to provide the fiscal agent services and the Design, Development, and Implementation (DDI); Centers for Medicare and Medicaid Services (CMS) certification; and operation for a replacement Medicaid Management Information System (MMIS) solution. This solicitation serves as notice, pursuant to West Virginia Code §9-2-9b of the services being sought and is to be considered the opportunity for Vendors to indicate their interest in bidding on such services.

Technical Proposals

Technical proposals were received for the following four (4) vendors:

Notice of Withdrawal

MED13001

The Bureau for Medical Services is soliciting proposals from prospective vendors for a vendor to provide Recovery Audit Contract (RAC) services for the West Virginia Medicaid fee-for-service program.

Technical Proposals

Technical proposals were received for the following one (1) vendors:

Cost Proposals

Award

MED13002

The Bureau for Medical Services is soliciting proposals from prospective vendors for a vendor to provide Recovery Audit Contract (RAC) services for the West Virginia Medicaid Pharmacy Program.

Technical Proposals

One (1) Technical proposal was received from the following vendor:

Cancellation of RFP

MED13002 for the Recovery Audit Contract – Pharmacy has been cancelled by The Bureau for Medical Services. This RFP will be rebid in the near future under a new purchase order number.
 

MED13003

The Bureau for Medical Services is soliciting proposals to provide psychological consultant services to assist the Bureau in managing the provision of Medicaid services.

Bids Received

One (1) bid was received from the following vendor:

Award

MED13004

The Bureau for Medical Services is soliciting bids for Audit Services for the Disproportionate Share Hospital Program.

Bids Received

One (1) bid was received from the following vendor:

Notice of Withdrawal

MED13006

The Bureau for Medical Services, hereinafter referred to as “Bureau” or “BMS,” is soliciting proposals to obtain the services of a qualified vendor to provide the fiscal agent services and the Design, Development, and Implementation (DDI); Centers for Medicare and Medicaid Services (CMS) certification; and operation for a replacement Medicaid Management Information System (MMIS) solution. This solicitation serves as notice, pursuant to West Virginia Code §9-2-9b of the services being sought and is to be considered the opportunity for Vendors to indicate their interest in bidding on such services.

Technical Proposals

Technical proposals were received for the following four (4) vendors:

Cost Proposals

Award

MED13009

The Bureau for Medical Services is soliciting bids for Actuarial Services.

Notice of Withdrawal

The West Virginia Department of Health and Human Resources, Bureau for Medical Services is withdrawing RFQ MED13009 per Section 4.3 of the RFQ which states:

Rejection of Quotations: The DHHR reserves the right to accept or reject any or all quotations, in part or in whole at its discretion.
The DHHR further reserves the right to withdraw this RFQ at any time and for any reason. Submission of or receipt of quotations
by the DHHR confers no rights upon the bidder nor obligates the DHHR in any manner.