Single Source Procurement: Community Care Connections Demonstration

Pursuant to New York State Finance Law § 163.10(b), The New York State Department of Health is presenting the following summary of relevant circumstances, and material and substantial reasons why a competitive procurement was not feasible.

The New York State Department of Health, Office of Health Insurance Programs (OHIP) Division of Long Term Care (DLTC) has made a determination to issue a Single Source contract C030146 with Lifespan of Greater Rochester, Inc. to conduct a rebalancing project under the Money Follows the Person Demonstration called "Community Care Connections" (including prevention). This proposed contract will be for a three year period, commencing on January 1, 2015 and going through to and including December 31, 2017.

The Money Follows the Person Demonstration (MFP) was created by Section 6071 of the Deficit Reduction Act of 2005 and extended through the FFY 2016 by Section 2430 of Affordable Care Act. The Demonstration provides enhanced Federal Medical Assistance Percentage (FMAP) reimbursement for select services provided by persons transitioning from an institutional setting to community based care, after having been in an institutional setting for more than ninety days. In 2007, the federal Centers for Medicare and Medicaid Services (CMS) approved New York State's participation in the Demonstration. The additional federal funds must be used to offset the cost of projects designed to rebalance the State's long term care system.

The proposed contract will be with Lifespan of Greater Rochester Inc. and is in alignment with the mission and goals of the NYS Money Follows the Person Demonstration rebalancing effort. Lifespan's Community Care Connections is a three year demonstration that will effectively integrate a community based aging service provider (Lifespan) as an authentic member of the evolving health care delivery system to help older adults remain in their own homes, reduce hospital admissions/readmissions and emergency department use, as well as to reduce caregiver burden. In addition, Lifespan has enhanced this proposal through its existing collaborations with other service providers focusing on primary and secondary prevention and supporting the main goal of helping older adults remain healthy in their own homes.

Procurement / Program Name	Community Care Connections Demonstration
Contractor Name(s)	Lifespan of Greater Rochester, Inc.
Contract Period	1/01/2015 – 12/31/2017
Contract Number(s)	C030146