| STATUS | AMENDED | DATE STATUS | CLOSING DATE | DESCRIPTION | BUYER |
|---|---|---|---|---|---|
Awarded |
Yes |
Changed |
06-May-22 |
Seeking qualified HMOs, Medicare Supplements and Medicare Advantage Prescription Drug health plans to offer managed care benefits to eligible OEIBA Program participants who live in the state of Oklahoma. |
Darlene Saltzman |
Solicitation 0900000534
| amount | Award date | vendor/contractor |
|---|---|---|
| $0.00 | 19-Sep-22 | Blue Cross and Blue Shield of Oklahoma/BlueLincs HMO; CommunityCare HMO; GlobalHealth, Inc., and Humana Insurance Company |
Documents
- Bidder Instructions
- Amendment 1
- Amendment 2
- Amendment 3
- Attachment A Solicitation
- Attachment B State General Terms
- Attachment C Agency Terms
- Attachment D IT Terms
- CP Forms 004_076_VP
- Exhibit 1 Standardized Service Areas
- Exhibit 2 Geo-Access Report
- Exhibit 3 Ratio of PCPs to Members
- Exhibit 4 HMO Plan Design
- Exhibit 5 HMO Premium Quote
- Exhibit 6 HMO Rate Development
- Exhibit 7 Rate Development Supporting Data - Active Employees
- Exhibit 8 Rate Development Supporting Data - Early Retirees
- Exhibit 9 MAPD Benefit Summary
- Exhibit 10 MAPD Premium Rate and LIS Quote
- Exhibit 11 MAPD Rate Setting
- Exhibit 12 MSP Benefit Summary
- Exhibit 13 MSP Premium Rate
- Exhibit 14 Bid Submission Network Detailed Reports
- Exhibit 15 New Supplier Only Aggregate Utilization Experience Data
- Exhibit 16 Large Claims Report for 2020 and 2021
- Exhibit 17 Audited Financial Statements
- Exhibit 18 License(s)
- Exhibit 19 Actuary Certification
- Exhibit 20 Member ID Example
- Exhibit 21 Organizational Chart and Brand Logos
- Exhibit 22 Satisfaction Surveys
- Exhibit 23 CAHPS Survey (MAPD)
- Exhibit 24 OEIBA Program Census Information
- Exhibit 25 Carrier Eligibility Export
- Exhibit 26 Debit Card File Layout
- Exhibit 27 Minimum Reporting Requirements
- Exhibit 28 MAPD File and Changes Reports
- Exhibit 29 Premium Discrepancy Reports
- Exhibit 30 Member Services Reports
- Exhibit 31 HIPAA, FWA, and Grievance Reports
- Exhibit 32 HMO Utilization Reports
- Exhibit 33 Network Changes Summary
- Exhibit 34 Network Detailed Reports
- Exhibit 35 HMO Detailed Utilization Reports_Example
- Exhibit 36 MAPD Detailed Utilization Reports_Example
- Exhibit 37A Individual Employer Experience Reports Instructions
- Exhibit 37B Individual Employer Experience Reports
- Exhibit 38 Advertising Approval Request Form
- Exhibit 39 Commercial Carrier Policy
- Exhibit 40 Security Certification Accreditation Assessment
Notes
- Register your organization to receive solicitation notifications automatically.
- It is the bidder's responsibility to frequently check the IT solicitations web page for any possible amendments that may be issued. OMES Purchasing is not responsible for a bidder's failure to download any amendment documents required to complete a solicitation.
- In order to receive payments from the State of Oklahoma, suppliers who are not registered on the state's Vendor Registration list must complete the Vendor/Payee Form. Non-U.S. suppliers who are not registered on the state Vendor Registration List must complete a W-8BEN. Failure to do so may delay contract award.
- If documents listed on this page do not meet your accessibility requirements, please send an e-mail to accessibility@omes.ok.gov or contact the Service Desk at 405-521-2444 and appropriate accommodations will be made.
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Last Modified on
Sep 19, 2022
