YH19-0025 – Electronic Visit Verification (EVV) Bidders’ Library

Disclaimer

The Bidders’ Library is a site to assist Offerors with information and resources regarding the EVV RFP. The information in the Bidders’ Library is not intended to be comprehensive. It is the responsibility of the Offeror to obtain and review all pertinent information relating to the EVV RFP.

RFP information: AHCCCS Open Solicitations – Request for Proposals (RFPs) – YH19-0025
Closure Date: November 23, 2018

Pre-Release Information

All information previously released can be found on the AHCCCS and Med-QUEST websites.

Request for Proposal

Policy

As a courtesy, AHCCCS is providing a draft Electronic Visit Verification (EVV) policy, AHCCCS Medical Policy Manual (AMPM) 540. This policy is not final and subject to change.

540, Electronic Visit Verification

The following are links to other pertinent AHCCCS policies.

Data Supplement for Offerors

AHCCCS and Med-QUEST are providing the supplemental data located below. This supplemental data contains various utilization, cost, and demographic information.

  • Section A – AHCCCS EVV utilization data

    The data provided in this report relays the AHCCCS membership utilization of services and service providers that are subject to EVV including a breakdown of claims versus encounter utilization data.

    • ALTCS_Acute tab = displays the difference in member population between ALTCS programs and acute care programs
    • Age tab = membership utilization by age: Under 18 for children, and 18 and Over for adults
    • County tab = membership utilization by County
    • Procedure tab = membership utilization by each service code and provider type subject to EVV
    • Provider Types by POS tab = membership utilization by each service code and provider type subject to EVV and the location in which these services take place.
    • Provider Count tab = The count of each provider type who has billed for services subject to EVV

    AZ EW Data

  • Section B – Med-QUEST EVV utilization data

    The data provided in this report relays the Med-QUEST membership utilization of services and service providers that are subject to EVV including a breakdown of claims versus encounter utilization data.

    • Age tab = membership utilization by age: Under 18 for children, and 18 and Over for adults
    • County tab = membership utilization by County
    • Procedure tab = membership utilization by each service code and provider type subject to EVV
    • Provider Type by POS tab = membership utilization by each service code and provider type subject to EVV and the location in which these services take place.
    • Self Directed tab = The utilization of services subject to EVV by Hawaii’s self-directed population

    HI EW Data

  • Section C – AHCCCS geographic utilization data
    • Member Count by County = a map of the members in each county that utilize services subject to EVV
    • Claim Count by County = a map of the claims/encounters for services subject to EVV

    AHCCCS Member Count by County

    AHCCCS Claim Count by County

  • Section D – Med-QUEST geographic utilization data

Workforce Retention Metrics

Below is a draft of the workforce retention tracking standards and metrics that AHCCCS/Med-QUEST will be requiring the Contractor (EVV Vendor) to track and report as outlined in the RFP.

Workforce Retention Metrics


Contact

Contact

Questions about Solicitations, Contracts and Purchasing should be directed to Meggan LaPorte, Chief Procurement Officer: