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.
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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.
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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)
