Posted Date : March 08,2022
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : SW-54168
Government Authority located in Rhode Island; USA based organization looking for expert vendor for children health account administration system.
[A] Budget: Looking for Proposals
[B] Scope of Service:
Vendor needs to provide children's health account administration system
- The Children’s Health Account is used to effectuate coverage for the following service categories: (1) home health services, which include pediatric private duty nursing and certified nursing assistant services; (2) comprehensive, evaluation, diagnosis, assessment, referral and evaluation services, which include CEDARR family center services, home based therapeutic service, personal assistance services and supports (PASS), and kids connect services and (3) child and adolescent treatment services (CAITS).
- Reach out to each insurer providing them with a description of the law that imposes the insurer to pay the healthcare services funding contribution for each of the insurer’s members.
- Work collaboratively to build a good relationship with each insurer to facilitate participation and membership collection
- Provide an on-line web-based system for the insurers to submit company information specific to the insurer’s name, address, type of insurer, and demographics
- Provide an on-line web-based system to collect quarterly, based on the preceding three month period, the total membership counts from the insurers for the computation of the healthcare services assessment
- Provide an on-line web-based system that allows the vendor to determine the assessment to be invoiced to each insurer by calculating the dollar amounts by using an annual working per member per month (PMPM) payment rate as set annually by the State
- Provide an on-line web-based system that calculates the bill for the insurer based on the quarterly membership count reported by the insurer times the annual working PMPM payment rate
- Provide an on-line web-based system that invoices the insurer either electronically or by a paper bill
- Provide an on-line web-based system that allows the insurer to make payment for the bill to the vendor either electronically or through a lock-box
- Provide an on-line web-based system that allows the insurer to view historical cost transactions including all billings and payments from/to the vendor.
- Provide an on-line web-based communication system that allows the vendor to provide customer-service focused communications with the insurer.
- Provide an on-line web-based communication system that allows the vendor to issue communications and specific status updates to the insurer, e.g. a dunning notice for payment to the insurer.
- Provide electronically accounting services and financial reports to detailing the amount of the assessment dollars invoiced to the insurers, the amount of the assessment dollar collected by the vendor, and the amount of the assessment dollars transferred to the State’s Children’s Health Account.
- Provide other additional accounting reports that the State may require based upon the activities that the vendor conducts on their behalf.
- Provide audit reports produced from the on-line system that supports the financial details as provided to the State.
[C] Eligibility:
Onshore (USA organization Only)
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office premises.
Budget :
Deadline to Submit Proposals: April 04,2022
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : SW-54168
Government Authority located in Rhode Island; USA based organization looking for expert vendor for children health account administration system.
[A] Budget: Looking for Proposals
[B] Scope of Service:
Vendor needs to provide children's health account administration system
- The Children’s Health Account is used to effectuate coverage for the following service categories: (1) home health services, which include pediatric private duty nursing and certified nursing assistant services; (2) comprehensive, evaluation, diagnosis, assessment, referral and evaluation services, which include CEDARR family center services, home based therapeutic service, personal assistance services and supports (PASS), and kids connect services and (3) child and adolescent treatment services (CAITS).
- Reach out to each insurer providing them with a description of the law that imposes the insurer to pay the healthcare services funding contribution for each of the insurer’s members.
- Work collaboratively to build a good relationship with each insurer to facilitate participation and membership collection
- Provide an on-line web-based system for the insurers to submit company information specific to the insurer’s name, address, type of insurer, and demographics
- Provide an on-line web-based system to collect quarterly, based on the preceding three month period, the total membership counts from the insurers for the computation of the healthcare services assessment
- Provide an on-line web-based system that allows the vendor to determine the assessment to be invoiced to each insurer by calculating the dollar amounts by using an annual working per member per month (PMPM) payment rate as set annually by the State
- Provide an on-line web-based system that calculates the bill for the insurer based on the quarterly membership count reported by the insurer times the annual working PMPM payment rate
- Provide an on-line web-based system that invoices the insurer either electronically or by a paper bill
- Provide an on-line web-based system that allows the insurer to make payment for the bill to the vendor either electronically or through a lock-box
- Provide an on-line web-based system that allows the insurer to view historical cost transactions including all billings and payments from/to the vendor.
- Provide an on-line web-based communication system that allows the vendor to provide customer-service focused communications with the insurer.
- Provide an on-line web-based communication system that allows the vendor to issue communications and specific status updates to the insurer, e.g. a dunning notice for payment to the insurer.
- Provide electronically accounting services and financial reports to detailing the amount of the assessment dollars invoiced to the insurers, the amount of the assessment dollar collected by the vendor, and the amount of the assessment dollars transferred to the State’s Children’s Health Account.
- Provide other additional accounting reports that the State may require based upon the activities that the vendor conducts on their behalf.
- Provide audit reports produced from the on-line system that supports the financial details as provided to the State.
[C] Eligibility:
Onshore (USA organization Only)
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office premises.
Budget :
Deadline to Submit Proposals: April 04,2022
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$