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GovWin Pulse: Health Care and Human Services September Review

A major focus in September was the Department of Health and Human Services' recent announcement of federal funding for states to develop strategic plans for their Affordable Care Act requires these exchanges to be operational in each state by 2014. These "one-stop-shops" will help alleviate Americans' struggle with the costs of health coverage by finding affordable options. Applications for the grant were due on September 1, 2010, and awarded states will receive up to $1 million in funds. States like Oregon are working on plans for their exchange. The Oregon Health Authority (OHA), in conjunction with the Oregon Health Policy Board (OHPB), asked for public GovWin on the state's Comprehensive Plan for Health Reform, which includes the health insurance exchange. Comments are due by the end of September 2010.

In other big September news, the Center for Disease Control (CDC) announced $42.5 million in funding for Public Health Systems. The grant will fund 94 new projects throughout the country. The grant is part of the National Public Health Improvement Program (NPHIP), which contains two major components: 1) Addressing performance management improvement. 2) Enhancing efforts to effect public health system changes that improve public health impact. California's health departments will receive the most funding ($2,060,128 for the state and $1,859,950 for Los Angeles County).

On the social services side, the Department of Agriculture (USDA) announced awarded technology grants of approximately $14 million to 13 states for their Special Supplemental Nutrition Program for Women, Infants and Children Programs (WIC). The grants will assist states in their electronic benefits transfer (EBT) implementation. The effort is part of the Obama administration's goal of ensuring all Americans have access to proper nutrition. The grants are expected to increase the effectiveness of WIC and its benefits. New York state was awarded $400,000 for EBT planning. The New York Department of Health (NYDOH), Bureau of Supplemental Food Program received approval from the USDA for its planning and advanced planning document (PAPD).

Noteworthy request for proposals (RFPs) released this month:

  • Texas- The Texas Department of State Health Services released a request for offers (RFO) on September 8, 2010 for the Electronic Benefit Transfer (EBT) Systems for Nontraditional Retail Outlets. Proposals are due on December 8, 2010.
  • Texas- The Texas Health and Human Services Commission (HHSC) released an RFP on September 17, 2010 for Independent Verification and Validation (IV&V) Services. Proposals are due on October 25, 2010.
  • New York- The city of New York Human Resources Administration (HRA) Office of Customized Assistance Services released an RFP on September 8, 2010 for a Wellness, Comprehensive Assessment, Rehabilitation and Employment (WeCARE) Program. Proposals are due on December 1, 2010.
  • Nebraska- The Nebraska Administrative Services, Material Division and Purchasing Bureau, on behalf of the Department of Health and Human Services released an RFP on September 8, 2010 for Medicaid Management Information System (MMIS) Consulting Services. Proposals are due on October 8, 2010.
  • Oklahoma- The Oklahoma Employment Security Commission (OESC) released an RFP on September 14, 2010 for Consulting Services for a Technology Based Overpayment Prevention, Detection and Collections System for Benefit Payment Control (BPC). Proposals are due on October 7, 2010.

Significant projects coming up:

  • Washington, D.C.- The District of Columbia Department of Health's Women, Infants and Children (WIC) Nutrition Program will be releasing an RFP for consulting and planning services.
  • Indiana- The state of Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning (OMPP) will be procuring for Customer Relationship Management for the MMIS Replacement Project.
  • Mississippi- The Mississippi Department of Health, Division of Medicaid is currently working on an RFP for Asset Verification System services.
  • Nevada- The Nevada Department of Health and Human Services, Division of Welfare and Supportive Services released a request for information (RFI) on September 27, 2010 for Asset Verification Services. RFI responses are due on October 25, 2010.
  • North Dakota- The North Dakota Department of Health (NDDOH) released an RFI on August 30, 2010 for a statewide public health information System. RFI Responses were due on September 24, 2010.

GovWin's Take:

September brought opportunities for states to receive funding in planning and implementation efforts for major systems mandated under the Health Reform Act. In the months to come, states will be heavily involved in finalizing plans for executing health insurance exchanges, public health system developments, and EBTs.

GovWin Pulse: Health Care and Human Services July Review

July ended with the Department of Health and Human Services' (HHS) huge announcement of a $51 million grant for health insurance exchanges. The grant will allow states to receive up to $1 million to stimulate the adoption of health insurance exchange systems recently mandated as part of the new Affordable Care Act. The exchanges are expected to be consolidated portals that will allow easier purchasing and comparing of various health insurance plans. Further, states will have the choice to build their own exchange, or receive HHS' help in the design. Grant applications are due by September 1, 2010, and can be found here.

Another major announcement was Microsoft's halt on the operations and sales of Amagala HIS, a former Global 2000 Electronic Medical Record (EMR) acquired by Microsoft two years ago. Microsoft's main reason for "pulling the plug" was poor adoption and implementation of the EMR in the acute care market. The system is being used by six customers-- all outside the United States-- in which Microsoft has agreed to continue providing support for the next five years.

July also saw additional states releasing requests for services for State Medicaid Health Information Technology Planning (SMHP). Nevada's Department of Health and Human Services released a request for proposals (RFP) on July 19, 2010, for Project Support Services for the state's SMHP and implementation advance planning document (IAPD). Proposals are due August 16, 2010. The Washington Department of Social and Health services closed its solicitation for SMHP planning on July 22, 2010.

Other projects released in the health market include:

  • Oregon - The Oregon Department of Human Services released an RFP on July 15, 2010, for an All Payer All Claims Data Program (APAC). Proposals are due August 19, 2010. The department also released an RFP on July 20, 2010 for a Hospital Computerized Maintenance Management System (CMMS), in which proposals are due August 24, 2010.
  • New Hampshire - The New Hampshire Department of Health and Human Services released an RFP for Medicaid Managed Care solutions on July 28, 2010. Proposals are due September 8, 2010.
  • Hawaii - The Hawaii Department of Health released an RFP on July 27, 2010, for Services to Maintain, Enhance and Provide Training for the Hawaii Immunization Registry. Proposals for the procurement are due September 27, 2010.

Some noteworthy awards made this month in the health services arena include:

  • New Hampshire - The Department of Health and Human Services entered into an agreement with the collaborative-- Waltham, MA--for the state-level health information exchange assessment and planning consulting services contract in an amount not to exceed $550,000.
  • Oregon - The Oregon Department of Human Services awarded Reimbursement Management Consultants, Inc. in the amount of $130,000 for the Medical Coding Services Initiative.
  • Montana - The Montana Department of Public Health and Human Services awarded Public Knowledge, LLC for the Medicaid Management Information System (MMIS), Independent Verification and Validation (IV&V) Services initiative.
  • Kentucky - The Kentucky Cabinet for Families and Children awarded the Statewide In-hospital Paternity Affidavit Services to Policy Studies, Inc. in the amount of $355,541.

The 13th National Child Welfare Data and Technology Conference was held in Bethesda, Maryland on July 19-21, 2010. The conference was hosted by the National Resource Center for Child Welfare Data and Technology (NRC-CWDT). The organization provides technical assistance to state and tribal welfare agencies and courts on data and systems used to administer program services and improve outcomes for children and families. The conference focused on how child welfare agencies can meet the needs of their clients in the most effective manner possible, despite the current financial situation.

The social services market received a considerable amount of attention in July, releasing several requests for services, particularly in the area of Child Support Enforcement and Women, Infant and Children (WIC) programs. The Colorado Department of Human Services released a request for information (RFI) on July 23, 2010, for Child Support Enforcement Training Monitoring Software. RFI responses are due by August 9, 2010.

Oregon's Department of Justice, Division of Child Support, released an RFP on July 29, 2010, for feasibility study services for its Child Support Enforcement Automated System (CSEAS). Proposals are due on August 31, 2010.

The Nevada Department of Health and Human Services released an RFP on July 9, 2010 for WIC Program Management Information System Services. Proposals are due on September 8, 2010. The winning vendor will develop an RFP for the transfer and implementation of the state's WIC management information system (WIC MIS) by September 2011.

Other social services projects/awards this month include:

  • Kentucky- The Commonwealth of Kentucky awarded the Child Support Web Portal to Deloitte Consulting LLP for approximately $3.2 million.
  • Montana - The Department of Public Health and Human Services released an RFI for Case Management and Reporting Solutions. RFI Responses were due July 30, 2010.
  • Kentucky- The Kentucky Department of Human Services issued an Intent to Award Deloitte Consulting LLP in the amount of approximately $8.9 million for the Child Care Tracking System project.
  • Wisconsin - The state of Wisconsin Department of Workforce Development (DWD) released an RFP on July 26, 2010, for Electronic Access Card Services for Unemployment Insurance Payments. Proposals are due August 27, 2010.

GovWin's Take:

The month of July encompassed several additional planning initiatives across the states in both the health and social services arena. As a result, vendors should expect to see more developments on the actual system designs in the near future. Further, it's expected that states will be heavily involved in completing their grant applications for Health Insurance Exchange funding.