West virginia health insurance exchange rfp software

A request for proposal rfp is generally used for the procurement of services in situations where price is not the sole determining factor and the award will be based on a. The west virginia health information network has released a request for proposals for a health information exchange platform. Bid contract maintains a comprehensive listing of government contracts, government bids, government auctions, government tenders, rfps request for proposal, rfqs request for quotation, rfis request for information, government projects, government surplus, and other government contracting and bidding opportunities in the state of west virginia wv and its neighboring states. State of west virginia dwdss bureau for medical services. The west virginia public employees insurance agency agency is soliciting. Request for proposal also referred to herein as a rfp. The state of vermont, department of vermont health access is issuing a request for proposal rfp on behalf of the ssdc. There are many health insurance options open to those in the state of west virginia who are uninsured or underinsured, but there are several questions to keep in mind. State plan flexibilities using section 1115 demonstrations for disaster response home. Department of human services request for proposals. The affordable care act called for the creation of health insurance marketplace or exchange in each state, but implementation varies by state. Compare health insurance quotes from nearby states. In offering this website, the virginia health insurance exchange is required to comply with all applicable federal laws, including the standards established under 45 cfr 155. Average premiums declined in virginia in 2020, after growing sharply in previous years.

The legislation, sb284, outlines a reinsurance ie, what morrisey called invisible risksharing program, and does note that the state will. After reading this page, you will know more about west virginia health insurance marketplaces and exchanges. Health information exchange solution request for proposal. This webbased vendor registration and purchasing system allows state agencies, colleges, universities and many local governments to use eva to conduct all purchasing and sourcing activities for goods and services. See if you qualify for a special enrollment period. The agenda items will impact a wide variety of providers and topics. An amendment is used when information in the rfp has been changed since the original posting. Proposal for a section 1915b capitated and pccm combined waiver program. Open enrollment for 2021 plans will begin on november 1, 2020. County of fluvanna, virginia request for proposals rfp. Caresource remains committed to our members and the communities we serve. The plans purpose is to outline the bph strategic direction, to establish implementation priorities and. The purpose of this request for proposal is to assist chan and its members in identifying qualified vendors that can implement foundational health information exchange hie technology to provide a robust, standards based interoperability platform for chan. Base year one access to care standard evaluation 4.

State of west virginia dwdss bureau for medical services rfp med11015 vendor qualifications and experience section 8. Responses should specifically address the scope of work described in section vi. Proposal to the state of west virginia department of health and. West virginias childrens health insurance program, wvchip, provides lowcost health insurance for. Virginia health exchange health insurance for virginia.

West virginia residents that want to apply for medicaid must meet certain eligibility criteria set by the state. You can share the cost of these premiums with your employees, if you wish. The ssdc is a partnership of the states of iowa, maine, oregon, utah, vermont, west virginia, and wyoming formed to secure rebates for their medicaid pharmacy benefit programs. Response to state of west virginia request for proposal med06. Lesbian, gay, bisexual transgender clinicianconsultant rfp notice of rfp solicitation cancellation.

The west virginia bureau for medical services bms, the west virginia childrens health insurance program wvchip, and dxc technology will be conducting eight workshops throughout the state from march 30 through april 9, 2020. Since january 1, 2014, consumers and small businesses in every state including the district of columbia have had access to obtain health andor dental insurance coverage through individual or small business health options program shop health insurance exchanges, operated by states through statebased exchanges sbes, or operated by the federal government through the federallyfacilitated. Employers with between 1 and 50 fulltime equivalent employees can offer insurance through shop. Open enrollment for 2020 coverage in west virginia has ended, but enrollment is still available for west virginians with qualifying events. Team cnsi will have implemented our ivision360 software development life cycle sdlc methodology during.

The division of mental health and addiction services has decided to remove this request for proposals at this time and may reissue it at some point in the future so please check back on our rfp page. All of the information required by the rfp for this section is included in the separately. The west virginia department of health and human resources dhhr provides a wide range of necessary and lifesaving services to many west virginia residents. Mountain health trust mht is west virginias medicaid managed care program that has operated in. All documents in this rfp process are subject to west virginias. Premiums shown are total costs per employee per month. West virginia offices of the insurance commissioner.

To create your rfp, we suggest using all of the documents from section i and selecting documents from section ii as appropriate to your organizations need. The state also oversees the inperson assister ipa program. Submitted by the state of west virginia department of health and human resources bureau for medical services may 16, 2017. New medicare cards were sent to west virginia beneficiaries between april and june 2018, if you did not receive your new card please contact wv ship or 1800medicare. Medicaid expansion may decrease exchange costs, provider revenues. West virginia state insurance commission mco licensing. The encounter data system exchanges information between the.

This request for proposals rfp contains background information on wested and specific information that must be included in. Assisters are under contract with the state and provide individuals impartial help with the enrollment process. We also work to protect our youngest and most vulnerable citizens, our children. Should you desire, you may request the files from the dhhr office of purchasing. Optum is committed to providing the best health services, leading the way to better experiences, better health and lowers costs for you.

Finaccounts payable, disbursements 46 reqs stmtid rating requirement support source 705091 medium allow for the release of payment vouchers to payment processing by the following. Search the himss online buyers guide by category for potential vendors to send your. Virginia health exchange is the marketplace to shop and enroll in a health insurance plan provided to you by benefits group. West virginia is one of many states to have expanded medicaid to single, lowincome adults since obamacare took effect.

Due to the volume of files received in response to this rfp it is not practical to post the files online. State of west virginia public employees insurance agency. West virginia shares the nations healthcare challenges. Below is a snapshot of the lowest shop premiums available in west virginia.

In response to the growing public health concerns related to the coronavirus covid19, we have created a resource page to identify your benefit coverage and services offered during this time of need. Section iii includes score sheets to be tailored for use during the vendor selection process. Under the partnership, west virginia is responsible for regulating companies that sell health insurance policies on the exchange. The blueprint for the west virginia health insurance marketplace was approved in march 20. West virginia health insurance find affordable health. Organization requestforproposal attachment a to this strategy. Proposals should be labeled insurance rfp and submitted in a sealed envelope. The west virginia health information network wvhin is using these funds to launch wvhins statewide electronic health information exchange services. Creating the most value in health insurance exchange. The west virginia parkways authority parkways or the authority, in coordination with the office of the governor of the state of west virginia and the west virginia division of highways doh and collectively with parkways, the. The rfp approach in the past, a company would put out an rfp to many brokerage firms. State of west virginia insurance commission, west virginia, 03042020, 03192020. Each broker would take that information and send out quote requests to various carriers. Marketplace models include the statebased exchange sbe, federally facilitated exchange ffe including the state partnership model and the marketplace plan management model bifurcated exchanges, and supported statebased exchanges.

Cb lawn care services for chick buckbee juvenile service, west virginia, 0408. The peia rates include the west virginia children health insurance program wvchip. Information provided will assist the west virginia offices of the insurance commissioner in strategic planning for the future health insurance exchange environment and applying for a level two establishment grant from the us department of health and human services. West virginia childrens health insurance program wvchip 21,603. When choosing group health insurance, companies often go about it in one of two ways.

West virginia bids, government rfps in wv west virgina. Request for proposal insurance broker services april 2017 purpose of solicitation independent school district no. Trust request for proposals rfp released by the west virginia department. Functional and systemwide requirements state of west virginia rfp for erp software and services section. The vendor must provide update that ensure efficiency and equitability to both payers and providers. Dhhr procurement notices request for quotes rfq and request for proposals rfp. West virginia state medicaid health information technology plan. West virginia bureau for public health strategic plan. The west virginia department of health and human resources, bureau. West virginia releases medicaid managed care rfp health. Find rfp searches and finds government rfp request for proposal, government bids, and government contracts in. You will learn the difference between the public and private marketplaces and exchanges, what they give you access to, the pros and cons of using public vs private exchanges, and who manages each exchange. The west virginia health information network wvhin is west virginias designated health information exchange transforming health care through the use of health information technology. The connecticut health insurance exchange, dba access health ct is the solicitor of this request for proposals.

Dhhr procurement notices west virginia department of. Private health care exchange request for proposal the alameda county employees retirement association acera is seeking proposals from well established, financially stable organizations that offer individual early retiree plans through their exchange platform, administration of. Lowest monthly shop health insurance premiums in west virginia. Medicare supplement plans and monthly rate comparisons november 2019 is online. State of west virginia rfp for erp software and services. The rfp database request for proposals, bid opportunities and the latest project offerings. State medicaid it procurement opportunities medicaid. Category rfprfi reference rfprfi language comments aligned not aligned requirements health benefit exchange market research questionnaire how does the respondents envisioned solution ensure seamless coordination and integration between the exchange, the medicaid program and the lowincome family insurance program. Wvhin offers services which enable the secure electronic exchange of patient health information among health care providers.

Nebraska, nebraska state purchasing bureau bid opportunities. Mountain health trust mht is the statewide physical and behavioral medicaid managed care program. The request for proposal rfp approach or the two step process. West virginia department of health and human resources. Register for extensive access to statewide rfps, bids and awards throughout the state. West virginia health insurance marketplaces and exchanges. State of west virginia bureau for medical services state health information technology hit plan smhp nancy v. Unitedhealthcares home for care provider information with 247 access to link selfservice tools, medical policies, news bulletins, and great resources to support administrative tasks including eligibility, claims and prior authorizations. The west virginia offices of the insurance commissioner oic is soliciting proposals from qualified firms to provide workers compensation insurance coverage and all services associated with a full service insurance program including claims, loss control, premium audit and. Based on the latest data, nearly half of the 12 million people who got health insurance through obamacares individual marketplaces will have the.

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