this binder shall have dividers separating the following 1. Mandatory Requirements – sections: Letter of Transmittal Proposal Summary Compliance and Acceptance Statement Certification Regarding Debarment, Suspension, Proposed Debarment, and Other Responsibility Matters Campaign Contribution Form New Mexico Employees Health Coverage Business Associates Agreement References 2. Technical Requirements this binder shall have dividers separating the following – sections: Implementation Administration and Operations General Expectations Organizational Capacity and Support – General Expectations Other Related Administrative Responsibilities – General Expectations Quality Assurance – General Expectations Program Integrity – General Expectations Management Information Systems – General Expectations Reporting – General Expectations Due Process – General Expectations Recipient and Provider Services – Program Services/Utilization Reviews Medical Eligiblity/Level of Care HCBS Waivers ISP/SSP and Budgets 3. Cost Proposal this binder shall have dividers separating the following sections: – Option 1 Option 2 Both sections shall include a completed Cost Proposal Form (see section VI. C.). 4. (Optional) Exhibits for Technical Requirements this binder shall have dividers – separating other supporting technical requirements material. IV. MANDATORY REQUIREMENTS A. LETTER OF TRANSMITTAL The mandatory requirements binder must include a signed Letter of Transmittal. (See Appendix B of this RFP.)
1. Mandatory Requirements – this binder shall have dividers separating the following sections: Letter of Transmittal Proposal Summary Compliance and Acceptance Statement Certification Regarding Debarment, Suspension, Proposed Debarment, and Other Responsibility Matters Campaign Contribution Form New Mexico Employees Health Coverage Business Associates Agreement References 2. Technical Requirements – this binder shall have dividers separating the following sections: Implementation Administration and Operations General Expectations – Organizational Capacity and Support General Expectations – Other Related Administrative Responsibilities General Expectations – Quality Assurance General Expectations – Program Integrity General Expectations – Management Information Systems General Expectations – Reporting General Expectations – Due Process General Expectations – Recipient and Provider Services Program Services/Utilization Reviews Medical Eligiblity/Level of Care HCBS Waivers ISP/SSP and Budgets 3. Cost Proposal – this binder shall have dividers separating the following sections: Option 1 Option 2 Both sections shall include a completed Cost Proposal Form (see section VI. C.). 4. (Optional) Exhibits for Technical Requirements – this binder shall have dividers separating other supporting technical requirements material. IV. MANDATORY REQUIREMENTS A. LETTER OF TRANSMITTAL The mandatory requirements binder must include a signed Letter of Transmittal. (See Appendix B of this RFP.)
14-630-8000-0003%20Third%20Party%20Assessor%20-%20Utilization%20Review%20for%20the%20HSD%20RFP.docx