West virginia health insurance exchange rfp software

West virginia rfps are always available online right here at find rfp. West virginia state insurance commission mco licensing. 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. Proposal for a section 1915b capitated and pccm combined waiver program. Search the himss online buyers guide by category for potential vendors to send your. The west virginia health information network wvhin is west virginias designated health information exchange transforming health care through the use of health information technology. West virginia shares the nations healthcare challenges. The plans purpose is to outline the bph strategic direction, to establish implementation priorities and. Dhhr procurement notices request for quotes rfq and request for proposals rfp. Open enrollment for 2021 plans will begin on november 1, 2020. So after initially developing plans to operate a staterun health insurance exchange, west virginia submitted a blueprint for a partnership exchange to the u.

West virginia state medicaid health information technology plan. Proposals should be labeled insurance rfp and submitted in a sealed envelope. Due to the volume of files received in response to this rfp it is not practical to post the files online. 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. 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. Virginia health exchange is the marketplace to shop and enroll in a health insurance plan provided to you by benefits group. The blueprint for the west virginia health insurance marketplace was approved in march 20. State of west virginia bureau for medical services state health information technology hit plan smhp nancy v. The affordable care act called for the creation of health insurance marketplace or exchange in each state, but implementation varies by state. Each broker would take that information and send out quote requests to various carriers. Find rfp searches and finds government rfp request for proposal, government bids, and government contracts in. The west virginia health information network wvhin is using these funds to launch wvhins statewide electronic health information exchange services.

The rfp database request for proposal listings and exchange. Prior to this each agency had its own email system and address book. County of fluvanna, virginia request for proposals rfp. Section iii includes score sheets to be tailored for use during the vendor selection process. Assisters are under contract with the state and provide individuals impartial help with the enrollment process. 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. All of the information required by the rfp for this section is included in the separately. Submitted by the state of west virginia department of health and human resources bureau for medical services may 16, 2017. State medicaid it procurement opportunities medicaid.

Premiums shown are total costs per employee per month. The agenda items will impact a wide variety of providers and topics. Department of human services request for proposals. 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. When choosing group health insurance, companies often go about it in one of two ways. West virginia bureau for public health strategic plan.

The connecticut health insurance exchange, dba access health ct is the solicitor of this request for proposals. Request for proposal also referred to herein as a rfp. This request for proposals rfp contains background information on wested and specific information that must be included in. State of west virginia public employees insurance agency. We also work to protect our youngest and most vulnerable citizens, our children. The west virginia public employees insurance agency peia is issuing this this request for proposal rfp to acquire a system that will allow for the accumulation of all peia eligibility and claim data from disparate systems into a flexible, user friendly, centralized system capable of providing any possible scenario of data for analysis. West virginia is one of many states to have expanded medicaid to single, lowincome adults since obamacare took effect. You can share the cost of these premiums with your employees, if you wish. The rfp database request for proposals, bid opportunities and the latest project offerings. West virginia health insurance find affordable health. The west virginia department of health and human resources, bureau.

The encounter data system exchanges information between the. An amendment is used when information in the rfp has been changed since the original posting. 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. Under the partnership, west virginia is responsible for regulating companies that sell health insurance policies on the exchange.

West virginia offices of the insurance commissioner. 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. Cb lawn care services for chick buckbee juvenile service, west virginia, 0408. Caresource remains committed to our members and the communities we serve. The west virginia department of health and human resources dhhr provides a wide range of necessary and lifesaving services to many west virginia residents. 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. Employers with between 1 and 50 fulltime equivalent employees can offer insurance through shop. 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. Organization requestforproposal attachment a to this strategy. West virginia health insurance exchange healthcare. Creating the most value in health insurance exchange.

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. Base year one access to care standard evaluation 4. 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. West virginia childrens health insurance program wvchip 21,603.

The state of vermont, department of vermont health access is issuing a request for proposal rfp on behalf of the ssdc. Average premiums declined in virginia in 2020, after growing sharply in previous years. 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. The state also oversees the inperson assister ipa program. Optum is committed to providing the best health services, leading the way to better experiences, better health and lowers costs for you. Mountain health trust mht is the statewide physical and behavioral medicaid managed care program.

Wvhin offers services which enable the secure electronic exchange of patient health information among health care providers. The west virginia health information network wvhin is west virginia s designated health information exchange transforming health care through the use of health information technology. West virginia residents that want to apply for medicaid must meet certain eligibility criteria set by the state. Below is a snapshot of the lowest shop premiums available in west virginia. 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. The request for proposal rfp approach or the two step process. Mountain health trust mht is west virginias medicaid managed care program that has operated in. Proposal to the state of west virginia department of health and. West virginia health insurance marketplaces and exchanges. The west virginia health information network has released a request for proposals for a health information exchange platform. Register for extensive access to statewide rfps, bids and awards throughout the state.

The bureau will conduct the bms health information exchange initiative to evaluate opportunities. 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. The legislation, sb284, outlines a reinsurance ie, what morrisey called invisible risksharing program, and does note that the state will. Should you desire, you may request the files from the dhhr office of purchasing. Health information exchange solution request for proposal. 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.

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. West virginia bids, government rfps in wv west virgina. Responses should specifically address the scope of work described in section vi. 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. West virginia department of health and human resources. All documents in this rfp process are subject to west virginias. Response to state of west virginia request for proposal med06. Compare plans premiums and benefits for the west virginia health insurance exchange.

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. Request for proposal insurance broker services april 2017 purpose of solicitation independent school district no. 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. Based on the latest data, nearly half of the 12 million people who got health insurance through obamacares individual marketplaces will have the. Open enrollment for 2020 coverage in west virginia has ended, but enrollment is still available for west virginians with qualifying events. Medicare supplement plans and monthly rate comparisons november 2019 is online. Lesbian, gay, bisexual transgender clinicianconsultant rfp notice of rfp solicitation cancellation. West virginias childrens health insurance program, wvchip, provides lowcost health insurance for. Lowest monthly shop health insurance premiums in west virginia. Team cnsi will have implemented our ivision360 software development life cycle sdlc methodology during. State of west virginia rfp for erp software and services. The vendor must provide update that ensure efficiency and equitability to both payers and providers. Compare health insurance quotes from nearby states.

Trust request for proposals rfp released by the west virginia department. The peia rates include the west virginia children health insurance program wvchip. 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. Virginia health exchange health insurance for virginia. State of west virginia dwdss bureau for medical services. Functional and systemwide requirements state of west virginia rfp for erp software and services section. The west virginia public employees insurance agency agency is soliciting. See if you qualify for a special enrollment period.

You can compare health plans and apply for medical coverage in minutes. 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. Dhhr procurement notices west virginia department of. 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. West virginia releases medicaid managed care rfp health. After reading this page, you will know more about west virginia health insurance marketplaces and exchanges. Nebraska, nebraska state purchasing bureau bid opportunities. 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. Medicaid expansion may decrease exchange costs, provider revenues.

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