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[null,null,"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "]
[null,null,"for Lee County Board of County Commissioners (County)","for "]
[]
["RFP170337LKD"]
["Request for Proposal"]

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[null,null,null,null,null,null,{"$f":"[53]Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"},null,null,null,null,null,"Yes","No","Not Applicable","No - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,"Minimum Requirements"]
[null,null,null,null,null,null,null,"Enter Proposer name below - carries through to all other tabs"]
[null,null,null,null,null,null,"Name of Proposer:","Test"]
[null,null,null,null,null,null,"To proposer:  Use Column K to provide a brief explanation for all responses.  If the length of the explanation is greater than 400 characters, proposer must use the \"Explanation\" worksheet to provide proposer detailed explanation."]
[null,null,null,null,""]
["id","RFP Tab","RFP No.","proposer","",null,"Medicare Retirees RFP 2018","Answer Format","Format Type","Response","Explanation"]
[1,{"$f":"G$4","v":"Minimum Requirements"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"1.",null,"Able to offer a national, passive Medicare Advantage PPO plan on the group basis, that provides the same benefit coverage to all eligible Lee County retirees regardless of where they live within the U.S. and regardless of their use of in-network vs. out-of-network providers.","drop down box","Listbox, ListYNNoExplain"]
[2,{"$f":"G$4","v":"Minimum Requirements"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"2.",null,"Experience in providing national, passive Medicare Advantage PPO plans on a group basis to at least two clients with at least 200 members each.","drop down box","Listbox, ListYNNoExplain"]
[3,"Minimum Requirements","RFP170337LKD","Test","3.",null,"In the table below, list the names of at least 2 clients that the Proposer has contracted with for a national passive PPO Medicare Advantage plans on a group basis with at least 200 Medicare retiree lives. Be sure to identify size of group. ","Client Name",null,null,"Number of Medicare Eligible Retiree Members"]
[4,"Minimum Requirements","RFP170337LKD","Test",null,"a.","Client 1"]
[5,"Minimum Requirements","RFP170337LKD","Test",null,"b.","Client 2"]
[6,"Minimum Requirements","RFP170337LKD","Test",null,"c.","Client 3"]
[7,"Minimum Requirements","RFP170337LKD","Test",null,"d.","Client 4"]
[2,"Minimum Requirements","RFP170337LKD","Test","4.",null,"For the entity that will be underwriting this coverage, provide the most recent financial ratings or filings and effective dates of the ratings from each of the following agencies:"]
[16,"Minimum Requirements","RFP170337LKD","Test","",null,"Comment:  Indicate whether Proposer's organization has received a financial rating for each of the rating agencies listed below by using the drop down box in the response cell to the right of each agency's name.  Do not respond by providing information about proposer organization's credit ratings."]
[17,"Minimum Requirements","RFP170337LKD","Test",null,"a.","A.M. Best: Financial Rating Status","drop down box","Listbox, ListRated NotRated"]
[18,"Minimum Requirements","RFP170337LKD","Test","","","Financial Rating (do not report credit rating)","text","Text"]
[19,"Minimum Requirements","RFP170337LKD","Test","","","Financial Rating Modifiers (if applicable)","text","Text"]
[null,null,null,null,"","","Date Rating Effective (if rated; if not financially rated, leave response cell blank)","Month Day, Year","Date"]
[null,null,null,null,null,"b.","Standard & Poor's: Financial Rating Status","drop down box","Listbox, ListRated NotRated"]
[null,null,null,null,"","","Financial Rating (do not report credit rating)","text","Text"]
[null,null,null,null,"","","Financial Rating Modifiers (if applicable)","text","Text"]
[null,null,null,null,"","","Date Rating Effective (if rated; if not financially rated, leave response cell blank)","Month Day, Year","Date"]
[null,null,null,null,null,"c.","Moody's: Financial Rating Status","drop down box","Listbox, ListRated NotRated"]
[null,null,null,null,"","","Financial Rating (do not report credit rating)","text","Text"]
[null,null,null,null,"","","Date Rating Effective (if rated; if not financially rated, leave response cell blank)","Month Day, Year","Date"]
[null,null,null,null,null,"d.","Fitch: Financial Rating Status","drop down box","Listbox, ListRated NotRated"]
[null,null,null,null,"","","Financial Rating (do not report credit rating)","text","Text"]
[null,null,null,null,"","","Date Rating Effective (if rated; if not financially rated, leave response cell blank).","Month Day, Year","Date"]
[null,null,null,null,"5.",null,"Proposer's financial rating change within the past 12 months:"]
[null,null,null,null,null,"a.","A.M. Best","drop down box","ListYesNo"]
[null,null,null,null,null,"b.","Standard & Poors","drop down box","ListYesNo"]
[null,null,null,null,null,"c.","Moody's","drop down box","ListYesNo"]
[null,null,null,null,null,"d.","Fitch","drop down box","ListYesNo"]

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[null,null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "},null,null,null,null,null,"Attached","Not Attached","Not Applicable","Not Attached - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"},null,null,null,null,null,"Rated","Not Rated"]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"},null,null,null,null,null,"Yes","No","Not Applicable","No - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,"Organization, Structure, Experience, Compliance, Contractual",null,null,null,null,null,"Completed","Not Completed"]
[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"To proposer:  Use Column K to provide a brief explanation for all responses requiring an Explanation or for any negative responses.  Please do not provide an Explanation for a positive response. However if the length of the explanation is greater than 400 characters, proposer must use the \"Explanation\" worksheet to provide proposer detail explanation."]
[null,null,null,null,""]
["id","RFP Tab","RFP No.","proposer","",null,"Medicare Retirees RFP 2018","Answer Format","Format Type","Response","Explanation"]
[1,{"$f":"G$4","v":"Organization, Structure, Experience, Compliance, Contractual"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"1.",null,"Please confirm that Proposer's proposal is issued in accordance with the specifications/assumptions stated in this Request for Proposal. If there are deviations, please identify them clearly. If Proposer needs more space, please use the \"Explanation\" column and/or worksheet. Indicate the question answered.","drop down box","Listbox, ListYNNoExplain"]
[2,{"$f":"G$4","v":"Organization, Structure, Experience, Compliance, Contractual"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"2.",null,"GENERAL proposer INFORMATION","Answer Format","Format Type","Response","Explanation"]
[3,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"a.","Proposer Name","text","Text"]
[4,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Proposer Brand Name","text","Text"]
[5,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Street Address","text","Text"]
[6,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"d.","City ","text","Text"]
[7,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"e.","State","text","Text"]
[8,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"f.","Zip Code","text","Text"]
[9,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"g.","Web Address","text","Text"]
[10,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","","","proposer Financial Strength/Stability","Answer Format","Format Type","Response","Explanation"]
[11,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","3.",null,"Provide NAIC code pertaining to Proposer's proposed plan","text","Text"]
[12,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","4.","","Indicate if the risk is held entirely by Proposer organization.","drop down box","Listbox, ListYNNoExplain"]
[13,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","","a.","If it is not, indicate the percentage of the risk passed on to other firms.","percent, 1","percent, 1"]
[35,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","proposer Accreditations","Answer Format","Format Type","Response","Explanation"]
[36,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","5.",null,"Does Proposer currently have URAC accreditation for:"]
[37,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"a.","Pharmacy Benefit Management","drop down box","Listbox, ListYNNoExplain"]
[38,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Specialty Pharmacy","drop down box","Listbox, ListYNNoExplain"]
[39,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Mail Order Pharmacy","drop down box","Listbox, ListYNNoExplain"]
[40,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","6.","a.","NCQA Disease Management Program Accreditation","drop down box","Listbox, ListYNNoExplain"]
[41,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Expiration date of accreditation/certification.","Month Day, Year","Date"]
[42,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","7.",null,"List any other accreditations for which Proposer has been certified:","Text","Text"]
[43,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Strategy, Experience, Capabilities","Answer Format","Format Type","Response","Explanation"]
[44,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","8.","a.","Describe your organization's strategy and key initiatives to ensure that Medicare Advantage will offer County members a sustainable value proposition.  Provide three specific examples of each initiative and an up-to-date summary of results by initiative. ","Text","Text"]
[45,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Briefly describe your firm's CMS Stars quality rating enhancement strategy and timeline.  Include a description of the continuous quality improvement initiatives included in this strategy. ","Text","Text"]
[46,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Please provide your STAR-rating for 2017 that impacts CMS funding for 2018 rates for the contract that you are proposing for the County Medicare Advantage Plan.","Text","Text"]
[47,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"d.","Indicate the number of years that your organization has offered group Medicare Advantage products.","number, 0","Number, 0"]
[48,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"e.","Provide your organization's year-end Medicare Advantage group membership for the past five years (year by year from Jan 2013 to Jan 2017). ","text","Text"]
[49,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"f.","Provide the number and percentage of government clients that your organization currently contracts with, that are similar in size to Lee County with respect to Medicare lives, for group Medicare Advantage (medical) on a national, passive PPO basis.","text","Text"]
[50,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"g.","Provide the number and percentage of government clients you have, that are similar in size to Lee County with respect to Medicare lives, that are fully insured group MAPD clients as of 1/1/2017.","text","Text"]
[51,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"h.","How many new group Medicare Advantage members did your organization add in the last three years (2014 through 2016)? ","number, 0","Number, 0"]
[52,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"i.","What percentage of your 2016 total group Medicare Advantage membership renewed for the 2017 plan year?  ","text","Text"]
[55,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"j.","Describe any CMS program or issue audits related to Part C that have been completed in 2015 - 2016 and CMS's findings and/or actions.","text","Text"]
[56,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"k.","Significant organizational changes (including changes in ownership, business operations, or partnerships) that were implemented within the past 24 months.  Complete the supporting tab \"Organizational Changes\".","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[57,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"l.","Significant changes in ownership, business operations, technologies, partnerships or staffing in the next 24 months that would impact services requested in this RFP or the level of service provided to the County.  Complete the supporting tab \"Organizational Changes\".","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[58,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"m.","Subcontracted Services","Answer Format","Format Type","Response","Explanation"]
[59,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","9.","a.","Will any other organization provide services that involve direct contact with Lee County retirees, as a subcontractor?","drop down box","Listbox, ListYNNoExplain"]
[60,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Please identify and describe the nature of the relationship with the outside firms.","text","Text"]
[61,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Specify how long (years) these relationships existed.","text","Text"]
[62,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"d.","Describe how Proposer guarantees the quality of their service delivery.","text","Text"]
[63,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","10.","","Do you subcontract any of the following services?  If yes, complete the requested information for each applicable service.  If No, leave the requested information boxes blank.","drop down box","Listbox, ListYNNoExplain"]
[64,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"a.","Appeals Processing:","drop down box","ListYesNo"]
[65,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[66,{"$f":"G$4","v":"Organization, Structure, Experience, Compliance, Contractual"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[67,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[68,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Biotech / Specialty Pharmacy Distribution or Management","drop down box","ListYesNo"]
[69,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[70,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[71,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[72,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Communications","drop down box","ListYesNo"]
[73,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[74,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[75,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[76,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"d.","Customer Service / Call Center","drop down box","ListYesNo"]
[77,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[78,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[79,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[80,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"e.","Data Warehousing / Integration","drop down box","ListYesNo"]
[81,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[82,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[83,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[84,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"f.","Disease Management","drop down box","ListYesNo"]
[85,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[86,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[87,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[88,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"g.","Electronic Claim Processing/Adjudication","drop down box","ListYesNo"]
[89,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[90,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[91,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[92,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"h.","Eligibility Maintenance","drop down box","ListYesNo"]
[93,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[94,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[95,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[96,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"i.","File Backup - System Security","drop down box","ListYesNo"]
[97,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[98,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[99,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[100,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"j.","Formulary Management:","drop down box","ListYesNo"]
[101,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[102,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[103,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[104,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"k.","Generic \"MAC\" List Establishment and Maintenance","drop down box","ListYesNo"]
[105,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted proposer, if outsourced/subcontracted","text","Text"]
[106,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[107,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[108,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"l.","ID Card Production and Distribution","drop down box","ListYesNo"]
[109,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[110,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[111,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[112,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"m.","Mail Order Dispensing/Fulfillment","drop down box","ListYesNo"]
[113,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted proposer, if outsourced/subcontracted","text","Text"]
[114,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[115,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[116,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"n.","Network Provider (Medical) Credentialing/Re-credentialing","drop down box","ListYesNo"]
[117,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[118,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[119,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[120,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"o.","Network Pharmacy Credentialing/Re-credentialing","drop down box","ListYesNo"]
[121,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[122,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[123,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[124,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"p.","P&T Committee","drop down box","ListYesNo"]
[125,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[126,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[127,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[128,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"q.","Paper Claim Processing","drop down box","ListYesNo"]
[129,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted proposer, if outsourced/subcontracted","text","Text"]
[130,{"$f":"G$4","v":"Organization, Structure, Experience, Compliance, Contractual"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[131,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[132,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"r.","Pharmacy Auditing","drop down box","ListYesNo"]
[133,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[134,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[135,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[136,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"s.","Reporting","drop down box","ListYesNo"]
[137,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[138,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[139,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[140,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"t.","Utilization Review","drop down box","ListYesNo"]
[141,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[142,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[143,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[144,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"u.","Coordination of Benefits","drop down box","ListYesNo"]
[145,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Name of Contracted proposer, if outsourced/subcontracted","text","Text"]
[146,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[147,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[148,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"v.","Other, specify","drop down box","ListYesNo"]
[149,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Name of Contracted Proposer, if outsourced/subcontracted","text","Text"]
[150,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Exclusive Relationship? (Yes / No)","drop down box","ListYesNo"]
[151,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Effective Date of Subcontract","Month Day, Year","Date"]
[152,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Client References","Answer Format","Format Type","Response","Explanation"]
[153,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","11.","","Please provide three of Proposer's employer client references of similar size that have your group Medicare Advantage with Medicare Part D coverage (MAPD). Please be sure to include the completed reference forms provided in the front end document. "]
[154,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"a.","Reference #1"]
[155,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Company Name","Text","Text"]
[156,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Contact Person","Text","Text"]
[157,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Title","Text","Text"]
[158,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Phone Number","Text","Text"]
[159,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Fax Number","Text","Text"]
[160,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"E-mail Address","Text","Text"]
[161,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"MAPD Members Enrolled","Text","Text"]
[162,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Reference #2"]
[163,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Company Name","Text","Text"]
[164,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Contact Person","Text","Text"]
[165,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Title","Text","Text"]
[166,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Phone Number","Text","Text"]
[167,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Fax Number","Text","Text"]
[168,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"E-mail Address","Text","Text"]
[169,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"MAPD Members Enrolled","Text","Text"]
[170,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Reference #3"]
[171,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Company Name","Text","Text"]
[172,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Contact Person","Text","Text"]
[173,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Title","Text","Text"]
[174,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Phone Number","Text","Text"]
[175,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Fax Number","Text","Text"]
[176,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","E-mail Address","Text","Text"]
[177,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","MAPD Members Enrolled","Text","Text"]
[178,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","12.","","Please provide three of Proposer's terminated employer clients of similar size that had your group MAPD coverage. "]
[179,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"a.","Reference #1"]
[180,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Company Name","Text","Text"]
[181,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Contact Person","Text","Text"]
[182,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Title","Text","Text"]
[183,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Phone Number","Text","Text"]
[184,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Fax Number","Text","Text"]
[185,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","E-mail Address","Text","Text"]
[186,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","MAPD Members Enrolled","Text","Text"]
[187,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Program Termination Date","Month Day, Year","Date"]
[188,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Reference #2"]
[189,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Company Name","Text","Text"]
[190,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Contact Person","Text","Text"]
[191,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Title","Text","Text"]
[192,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Phone Number","Text","Text"]
[193,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Fax Number","Text","Text"]
[194,{"$f":"G$4","v":"Organization, Structure, Experience, Compliance, Contractual"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},null,"","E-mail Address","Text","Text"]
[195,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","MAPD Members Enrolled","Text","Text"]
[196,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Program Termination Date","Month Day, Year","Date"]
[197,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Reference #3"]
[198,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Company Name","Text","Text"]
[199,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Contact Person","Text","Text"]
[200,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Title","Text","Text"]
[201,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Phone Number","Text","Text"]
[202,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Fax Number","Text","Text"]
[203,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","E-mail Address","Text","Text"]
[204,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","MAPD Members Enrolled","Text","Text"]
[205,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Program Termination Date","Month Day, Year","Date"]
[206,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"If the Proposer has had a contract terminated for default in the last five (5) years, describe such incident. Termination for default is defined as notice to stop performance due to the proposer's non-performance or poor performance. The issue of performance was either (a) not litigated due to inaction on the part of the proposer, or (b) litigated and such litigation determined that the proposer was in default. ","Text","Text"]
[207,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Systems - General","Answer Format","Format Type","Response","Explanation"]
[208,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","13.",null,"Proposer will store claims data on-line for a minimum of 36 months post adjudication, for ready access by the designated Account Team and by County designated staff.","drop down box","Listbox, ListYNNoExplain"]
[209,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","14.",null,"Proposer's networks serving the County members are supported by a computerized, on-line direct access claims processing system containing plan/claim information storage and retrieval.","drop down box","Listbox, ListYNNoExplain"]
[210,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","15.",null,"Are all of Proposer's internal systems integrated (e.g., claims payment, eligiblity, and customer service)?","drop down box","Listbox, ListYNNoExplain"]
[211,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","16.",null,"The claims system maintains on-line eligibility files that are updated at least weekly.","drop down box","Listbox, ListYNNoExplain"]
[212,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","17.",null,"The claims system automatically screens for duplicate bills.","drop down box","Listbox, ListYNNoExplain"]
[213,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","18.",null,"Proposer will accept from the incumbent a claims file that proposer can use to transfer current prior authorization approvals.","drop down box","Listbox, ListYNNoExplain"]
[214,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","19.",null,"Proposer will accept from the incumbent a refill file that proposer can use to transfer prescriptions to proposer mail and specialty pharmacy.","drop down box","Listbox, ListYNNoExplain"]
[215,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","20.","","Please describe your system security policy and how data will be secured.","Text","Text"]
[216,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","21.","","What is your standard user id and password policy? Can you force password resets?","Text","Text"]
[217,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","22.","","Are you able to recognize pre-authentication for single sign-on recognition?","drop down box","Listbox, ListYNNoExplain"]
[218,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","23.","","Describe your firm's disaster recovery procedures.","Text","Text"]
[219,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","24.","","In the event of a data breach that resulted from a non-County error, what efforts would your firm undertake to cover this risk for impacted members and for the County?","Text","Text"]
[220,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","Claims Administration","Answer Format","Format Type","Response","Explanation"]
[221,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","25.",null,"Describe process for updating claims system (e.g., real time or batch)? If batch, how often is the system updated? Please highlight both the process and timing for manual updates of all systems.","Text","Text"]
[222,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","26.",null,"Was the claim payment system developed internally or externally?","Text","Text"]
[223,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","27.",null,"Do you anticipate making any major changes to the claim payment system or implementing a new system before/after implementation date? If yes, please describe the changes.","Text","Text"]
[224,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","28.",null,"Please answer the following questions as they relate to claim adjudication:"]
[225,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"a.","Are claim forms required for any services incurred with a network provider? If so, please describe.","drop down box","Listbox, ListYNNoExplain"]
[226,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Are there any provisions that cannot be auto-adjudicated by your system? If so, what provisions?","drop down box","Listbox, ListYNNoExplain"]
[227,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Are claims incurred with network and non-network providers adjudicated by the same processors?","drop down box","Listbox, ListYNNoExplain"]
[228,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"d.","What claim adjudicator processing authority limits do you have in place?","Text","Text"]
[230,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"","CONTRACTUAL REQUIREMENTS"]
[231,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","","","General","Answer Format","Format Type","Response","Explanation"]
[232,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","29.","","Provide copies of any additional forms that Proposer will require the County to sign prior to the notice to proceed (e.g. HIPAA, Business Associate Agreement, Medicare Advantage with Medicare Part D EGWP Agreement).  Along with the forms, please include the specific law or regulation that mandates the form.  Name the file:  [Your Organization's Name]_Standard Forms, labeled Attachment C1.","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[233,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","30.",null,"County requires completion of this section to assess Proposer's ability to meet its specific standards and conditions. Proposer answers to the information listed in this section are crucial to the provider selection process."]
[234,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"a.","Health plan must unconditionally agree to provide coverage to all present retiree members enrolled on the program effective date.","drop down box","Listbox, ListYNNoExplain"]
[235,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Proposer will be responsible for incurred claims up to the expiration date of the contract, regardless of paid date.  The replacement Proposer will have the responsibility to pay claims incurred after the expiration of the contract.","drop down box","Listbox, ListYNNoExplain"]
[236,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","In the event the contract is terminated, the health plan agrees to maintain coverage for persons who are hospital confined on the date the agreement terminates until the individual is discharged (for fully-insured coverages).","drop down box","Listbox, ListYNNoExplain"]
[237,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"d.","Upon expiration of the contract, Proposer will provide all necessary documentation, claims files, prescription history and other data needed for the successful transition of the program, to the appointed Proposer, within a mutually agreed upon reasonable timeframe and at no additional cost to County.  This includes, but is not limited to, all open mail order and specialty pharmacy refills (to the extent permissible by law), prior authorization histories, accumulators used in all plan options and at least six months of historical claims data. ","drop down box","Listbox, ListYNNoExplain"]
[238,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"e.","The Proposer must agree to transfer to the County, within 30 days of notice of termination, all required data and records necessary to administer the plans subject to state and federal confidentiality considerations.  The transfer may be made electronically, in a file format to be determined based on the mutual agreement between the County and the provider of services.","drop down box","Listbox, ListYNNoExplain"]
[239,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"f.","The County will neither recognize the appointment of any agent, general agent or broker by a respondent to these bid specifications nor authorize any payment or remuneration of any kind by a health plan to a party not approved in writing by the County.","drop down box","Listbox, ListYNNoExplain"]
[240,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"g.","The health plan agrees to assume claim fiduciary responsibilities including appeals and defense of \"utilization review\" decisions.","drop down box","Listbox, ListYNNoExplain"]
[241,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"h.","Proposer agrees to prepare and file all legal documents necessary to implement and maintain the plan, including policies, amendments, contracts, required federal filings, and development of booklet/certificate formats.","drop down box","Listbox, ListYNNoExplain"]
[242,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"i.","Proposer agrees to monitor federal legislation affecting the delivery of medical benefits under the plan and to report to the County on those issues in a timely fashion prior to the effective date of any mandated plan changes.","drop down box","Listbox, ListYNNoExplain"]
[243,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","31.",null,"Should Proposer be acquired or enter into a merger arrangement with another firm, the County will have the right to terminate the contract without penalty (with 30 days notice) during the 18 months after the merger occurs for any reason.","drop down box","Listbox, ListYNNoExplain"]
[244,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","32.",null,"Your organization carries a fiduciary bond as any arrangements where you serve as fiduciary. Provide details on the fiduciary bond that you carry.","Text","Text"]
[245,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","33.",null,"Proposer will be designated as the final claims appeal fiduciary for the plans of the County. If not, describe why you would be unwilling to agree to this request.","drop down box","Listbox, ListYNNoExplain"]
[247,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Contractual","Answer Format","Format Type","Response","Explanation"]
[249,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","34.",null,"The County will not be required to pay taxes as it is a tax-exempt organization.","drop down box","Listbox, ListYNNoExplain"]
[251,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","35",null,"Proposer will make benefit revisions during the year with 90-days notice from the County employer / members.","drop down box","Listbox, ListYNNoExplain"]
[252,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","36.",null,"What is Proposer policy on selling the County's pharmacy data?","Text","Text"]
[253,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,null,"Liability/Regulatory","Answer Format","Format Type","Response","Explanation"]
[254,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","37.","a.","Please describe any judgment or settlement during the past three years or pending litigation that could result in judgments or settlements in excess of $100,000.","Text","Text"]
[255,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","The Proposer maintains executed contracts with all providers participating in the network.","drop down box","Listbox, ListYNNoExplain"]
[256,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","The provider contracts do not provide for any type of additional remuneration to the Proposer, such as commission, finder's fee, rebate, or other financial benefit.","drop down box","Listbox, ListYNNoExplain"]
[257,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"d.","Proposer is not a creditor of any provider/facility/physician in the network.","drop down box","Listbox, ListYNNoExplain"]
[258,{"$f":"G$4","v":"Organization, Structure, Experience, Compliance, Contractual"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},null,"e.","Service offered must include analysis and application of requirements promulgated by state and federal laws, rules, and regulations as well as Medicare laws, rules, and regulations governing Medicare Advantage and Prescription Drug Plans (MAPD).  This plan must be in compliance with all Medicare requirements for 2017 and after.","drop down box","Listbox, ListYNNoExplain"]
[259,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"f.","Do you send documentation to participants with notification of outcome of appeal? ","drop down box","Listbox, ListYNNoExplain"]
[260,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","","","Compliance - General","Answer Format","Format Type","Response","Explanation"]
[261,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","38.","a.","Proposer and Proposer subcontractors will comply with all CMS, HIPAA and DOL regulations, as applicable, around member services, complaints, appeals, timeliness of responses and confidentiality.  Any fines related to non-compliance will be Proposer sole responsibility.","drop down box","Listbox, ListYNNoExplain"]
[262,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Proposer maintains a dedicated individual or staff responsible for resolving HIPAA issues.  Please confirm that the County will be permitted to deal with the HIPAA Privacy Officer or Security Officer directly.","drop down box","Listbox, ListYNNoExplain"]
[263,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Proposer will notify the County of any HIPAA violations. ","drop down box","Listbox, ListYNNoExplain"]
[264,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"d.","Proposer processes, systems and reporting will be in full compliance with federal requirements, and compliant with HIPAA for acceptance of claim transactions in the applicable industry standard NCPDP format.  Any fines related to non-compliance will be Proposer sole responsibility.","drop down box","Listbox, ListYNNoExplain"]
[265,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"e.","Proposer will provide support for class action settlements and notify the County of litigation against Proposer organization.","drop down box","Listbox, ListYNNoExplain"]
[266,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"f.","Proposer will support health plan legislation reporting and other requirements (Medicare Part D, Medicare Advantage, Federal PPACA, and other State healthcare reform).","drop down box","Listbox, ListYNNoExplain"]
[270,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"g.","(a) The Proposer warrants that all services performed hereunder by the Proposer, its employees and Agents shall be performed by persons who are experienced and skilled in their profession, in accordance with standards of workmanship, and in accordance with accepted practices and procedures.\n\n(b) At no additional charge to Lee County, the Proposer shall correct any defects in materials, services or workmanship not in accordance with paragraph (a) above. Any claim to this Agreement must be in writing and received by the Proposer within two (2) years of the completion of services provided.\n","drop down box","Listbox, ListYNNoExplain"]
[271,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"h.","The Proposer shall preserve as confidential all information pertaining to Lee County business and all technical and proprietary information obtained from Lee County in the performance of the Agreement. The Proposer further agrees that any data and information generated or delivered in the performance of this Agreement and any information and data furnished by Lee County shall (1) be kept in confidence and not be disclosed to third parties without the prior written approval of Lee County, and (2) shall not be used in the production, manufacture, or design of any article or material,except as otherwise provided herein, without Lee County’s prior written consent. The Proposer agrees, this obligation shall survive the termination or expiration of this agreement. The Proposer shall deliver all data and information to Lee County upon Lee County’s request and, in any event, upon the completion of all work hereunder or the termination or expiration hereof, whichever shall first occur, and shall be fully responsible for the care and protection thereof until such delivery.","drop down box","Listbox, ListYNNoExplain"]
[272,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","","","Compliance - HIPAA","Answer Format","Format Type","Response","Explanation"]
[273,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","39.","a.","Proposer organization certifies that it reports to the national Healthcare Integrity and Protection Databank (HIPDB) as required and, as may be necessary, submits inquiries to the HIPDB to determine whether any final adverse legal actions have been taken against its suppliers, providers or practitioners.","drop down box","Listbox, ListYNNoExplain"]
[274,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Proposer organization certifies that, if it conducts Standard Transactions, it is in full compliance with HIPAA's administrative simplification standards relating to electronic data interchange (EDI).","drop down box","Listbox, ListYNNoExplain"]
[275,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Proposer will not require that enrollment and eligibility information electronically transmitted by County and member groups to Proposer comply with EDI.","drop down box","Listbox, ListYNNoExplain"]
[276,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"d.","Proposer organization certifies that it is in full compliance with HIPAA's regulations protecting the privacy of individually identifiable health information.","drop down box","Listbox, ListYNNoExplain"]
[277,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"e.","Proposer organization agrees to provide County's third party consultant access to protected health information under the employer's health plan if they execute a Business Associate Agreement with the health plan.","drop down box","Listbox, ListYNNoExplain"]
[278,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"f.","The expected file layout for enrollment and eligibility information is the standard HIPAA 834 layout. Proposer agrees that they are able to receive the data in this format.","drop down box","Listbox, ListYNNoExplain"]
[279,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","40.",null,"Proposer certifies that it will comply with the interim final rules on nondiscrimination in the group health market, including:"]
[280,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"a.","Coverage for self-inflicted injuries for persons who suffer from medical conditions (such as depression)","drop down box","Listbox, ListYNNoExplain"]
[281,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Coverage for persons who are hospital-confined","drop down box","Listbox, ListYNNoExplain"]
[282,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","41.",null,"Proposer confirms that all information sent or received through email is secured and compliant with all HIPAA requirements.","drop down box","Listbox, ListYNNoExplain"]
[283,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","","","Compliance - Privacy and Confidentiality","Answer Format","Format Type","Response","Explanation"]
[284,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","42.","a.","Proposer agrees to make internal practices, books, and records relating to the use and disclosure of PHI received from, or created or received by organization  available to the Secretary of the Department of Health and Human Services for purposes of the Secretary of the Department of Health and Human Services determining organization’s compliance with the privacy rules.","drop down box","Listbox, ListYNNoExplain"]
[285,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Proposer will adopt and implement written confidentiality policies and procedures in accordance with applicable law to ensure the confidentiality of member information used for any purpose.","drop down box","Listbox, ListYNNoExplain"]
[286,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"c.","Proposer will agree not to use or further disclose protected health information (PHI) other than as permitted or required by the Business Associate Agreement or as required by law.","drop down box","Listbox, ListYNNoExplain"]
[287,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"d.","Proposer agrees to use appropriate safeguards to prevent the unauthorized use or disclosure of the PHI.  Proposer agrees to report to the County any unauthorized use or disclosure of the PHI.","drop down box","Listbox, ListYNNoExplain"]
[288,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"e.","Proposer agrees to mitigate, to the extent practicable, any harmful effect that is known to Proposer of a use or disclosure of PHI by Proposer firm in violation of the requirements of the federal privacy rule.","drop down box","Listbox, ListYNNoExplain"]
[289,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"f.","The Proposer agrees to ensure that any agent, including a subcontractor, to whom it provides PHI received from, or created or received by the Proposer agrees to the same restrictions and conditions that apply to Proposer with respect to such information.","drop down box","Listbox, ListYNNoExplain"]
[290,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"g.","The Proposer certifies that data shared, whether fully insured or self-insured, is not individually identifiable, unless specific authorization is provided by members or a HIPAA plan amendment is in place.","drop down box","Listbox, ListYNNoExplain"]
[291,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"h.","The Proposer certifies that the confidentiality of patient information is protected by written confidentiality policies and procedures.","drop down box","Listbox, ListYNNoExplain"]
[292,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"i.","The Proposer certifies that it is in full compliance with HIPAA's regulations protecting the privacy of individually identifiable health information.","drop down box","Listbox, ListYNNoExplain"]
[293,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","","j.","Proposer agrees to provide access to PHI in a \"designated record set\" in order to meet the requirements under 45 CFR §164.524. ","drop down box","Listbox, ListYNNoExplain"]
[294,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"k.","Proposer agrees to make any amendment(s) to PHI in a \"designated record set\" pursuant to 45 CFR §164.526.","drop down box","Listbox, ListYNNoExplain"]
[295,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"l.","Proposer agrees to document such disclosures of PHI and information related to such disclosures as would be required to respond to a request by an individual for an accounting of disclosures of PHI in accordance with 45 CFR §164.528.","drop down box","Listbox, ListYNNoExplain"]
[296,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"m.","Proposer agrees to (i) implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic PHI that Proposer firm creates, receives, maintains, or transmits, (ii) report to County any security incident (within the meaning of 45 CFR § 164.304) of which Proposer become aware, and (iii) ensure that any employee of Proposer firm or agent, including any subcontractor to whom Proposer provide PHI received from, or created or received by Proposer firm agrees to implement reasonable and appropriate safeguards to protect such PHI.","drop down box","Listbox, ListYNNoExplain"]
[297,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"n.","Please confirm that you will not sell or lease County's protected health information to a third party in the course of administering this contract or after the contract has terminated. ","drop down box","Listbox, ListYNNoExplain"]
[298,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"o.","Proposer agrees to report any breach of unsecured PHI to County within 3 business days of discovery and to provide necessary support in notifying affected members and remediating any actual or potential damage incurred.","drop down box","Listbox, ListYNNoExplain"]
[299,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"p.","Proposer is fully compliant with the Genetic Information Nondiscrimination Act (GINA).","drop down box","Listbox, ListYNNoExplain"]
[300,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"q.","Will the Proposer agree to assist with the compliance of the provisions of the Affordable Care Act (ACA) and the associated fees related to ACA as necessary?","drop down box","Listbox, ListYNNoExplain"]
[301,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"r.","Will your organization enter into a business associate contract and/or agreement with the County, as plan sponsor, to comply with the HIPAA Privacy Rule and Security Standards?","drop down box","Listbox, ListYNNoExplain"]
[302,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","","","Officer","Answer Format","Format Type","Response","Explanation"]
[303,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test","43.","a.","Proposer acknowledges that the response provided to this proposal in entirety will become part of the contract with County. If any part of the contract does not agree with the response provided herein, Proposer will amend the contract or defer to the proposal.","drop down box","Listbox, ListYNNoExplain"]
[304,"Organization, Structure, Experience, Compliance, Contractual","RFP170337LKD","Test",null,"b.","Proposer agrees that all existing contractual terms and conditions not addressed in this Request for Proposal will remain unchanged in any future contract or amendment unless County decides otherwise.  ","drop down box","Listbox, ListYNNoExplain"]

{"sheet":"Organizational Changes","index":3,"n_rows":825,"n_cols":16,"rows_kept":825,"cut":false,"hidden":false,"merged":[[85,6,85,13],[8,7,10,7],[12,7,14,7],[16,7,18,7],[4,7,4,8],[6,6,6,7],[8,6,10,6],[12,6,14,6],[16,6,18,6]]}
[null,null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"},null,null,null,null,null,null," ",null," "]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"},null,null,null,null,null,null," "]
[null,null,null,null,null,null,"Organizational Changes"]
[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"Use the spaces below to describe the information requested.  Each cell has been formatted to wrap the text you enter.  The row heights should adjust for the amount of text you enter, as well.  You may attach a separate sheet and name the electronic file [Your Organization Name]_Organizational Changes."]
["id","RFP Tab","RFP No.","Offeror"]
[1,{"$f":"G$4","v":"Organizational Changes"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"1.",null,"Describe any significant organizational changes that were implemented within the past 24 months."]
[2,{"$f":"G$4","v":"Organizational Changes"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"}]
[3,{"$f":"G$4","v":"Organizational Changes"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"}]
[4,"Organizational Changes","RFP170337LKD","Test"]
[5,"Organizational Changes","RFP170337LKD","Test","2.",null,"Describe any Account Management turnover your organization has had with any state, city and/or government clients in the last 24 months. "]
[6,"Organizational Changes","RFP170337LKD","Test"]
[7,"Organizational Changes","RFP170337LKD","Test"]
[8,"Organizational Changes","RFP170337LKD","Test"]
[9,"Organizational Changes","RFP170337LKD","Test","3.",null,"Describe any significant changes in ownership, business operations, technologies, partnerships or staffing in the next 24 months that would impact services requested in this RFP or the level of service provided to the County."]
[10,"Organizational Changes","RFP170337LKD","Test"]
[11,"Organizational Changes","RFP170337LKD","Test"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"January 1, 2015 is to be the contract effective date. "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"The contract is to be issued in Kentucky"]

{"sheet":"Retiree Services_Administration","index":4,"n_rows":125,"n_cols":17,"rows_kept":125,"cut":false,"hidden":false,"merged":[[4,7,4,8],[6,6,6,10],[5,7,5,10]]}
[null,null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "},null,null,null,null,null,"Attached","Not Attached","Not Applicable","Not Attached - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"},null,null,null,null,null,"Rated","Not Rated"]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"},null,null,null,null,null,"Yes","No","Not Applicable","No - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,"Retiree Services and Plan Administration",null,null,null,null,null,"Completed","Not Completed"]
[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"To Proposer:  Use Column K to provide a brief explanation for all responses requiring an Explanation or for any negative responses.  Please do not provide an Explanation for a positive response. However if the length of the explanation is greater than 400 characters, Proposer must use the \"Explanation\" worksheet to provide Proposer detail explanation."]
[null,null,null,null,""]
[null,null,null,null,"",null,"Medicare Retirees RFP 2018"]
["id","RFP Tab","RFP No.","proposer",null,null,"Eligibility","Answer Format","Format Type","Response","Explanation"]
[1,{"$f":"G$4","v":"Retiree Services and Plan Administration"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},"1.",null,"Based on the eligibility data Proposer receives, Proposer will:"]
[2,{"$f":"G$4","v":"Retiree Services and Plan Administration"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},null,"a.","Process member data for submission to CMS within 48 hours of receipt of eligibility data","drop down box","Listbox, ListYNNoExplain"]
[3,{"$f":"G$4","v":"Retiree Services and Plan Administration"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},null,"b.","Update member information (e.g., address changes) within 48 hours of receipt of eligibility data","drop down box","Listbox, ListYNNoExplain"]
[4,{"$f":"G$4","v":"Retiree Services and Plan Administration"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},null,"c.","Notify appropriate party of eligibility file issues within 24 hours of receipt of eligibility data","drop down box","Listbox, ListYNNoExplain"]
[5,"Retiree Services and Plan Administration","RFP170337LKD",0,"2.",null,"Briefly describe Proposer's ongoing enrollment procedures.  Does Proposer recommend a specific process for new retirees who “age in” to the Medicare program?","Text","Text"]
[6,"Retiree Services and Plan Administration","RFP170337LKD",0,"3.",null,"Proposer will accept all members deemed eligible by County, including retiree members who come back to the County during open enrollment or a qualified status change.","drop down box","Listbox, ListYNNoExplain"]
[7,"Retiree Services and Plan Administration","RFP170337LKD",0,"4.",null,"Proposer will accept all disabled under 65 members on Medicare A and Medicare B under this contract, including those with ESRD.","drop down box","Listbox, ListYNNoExplain"]
[8,"Retiree Services and Plan Administration","RFP170337LKD",0,"5."," ","You must capture the 9-digit SSN in your eligibility system.","drop down box","Listbox, ListYNNoExplain"]
[9,"Retiree Services and Plan Administration","RFP170337LKD",0,null,null,"ID Cards","Answer Format","Format Type","Response","Explanation"]
[10,"Retiree Services and Plan Administration","RFP170337LKD",0,"6.","a.","Proposer will produce and send ID cards (medical and Rx) for receipt by County members on or before January 1st of each plan year (as needed for changes in card information).","drop down box","Listbox, ListYNNoExplain"]
[11,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","Proposer will produce and send ID cards to new County members within 4 business days or less of receipt of confirmed enrollment by CMS.","drop down box","Listbox, ListYNNoExplain"]
[12,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"c.","If related to PBM errors or PBM initiated changes, Proposer will be responsible for cost to reproduce ID cards (including priority shipping).","drop down box","Listbox, ListYNNoExplain"]
[13,"Retiree Services and Plan Administration","RFP170337LKD",0,null,null,"Customer (Member) Service","Answer Format","Format Type","Response","Explanation"]
[14,"Retiree Services and Plan Administration","RFP170337LKD",0,"7.",null,"Proposer has a single toll-free, customer service telephone number for addressing claims payment, member services and any appeals related to medical or Rx. ","drop down box","Listbox, ListYNNoExplain"]
[15,"Retiree Services and Plan Administration","RFP170337LKD",0,"8.","a.","Representatives must be trained in both Medicare specific programs and working with Medicare recipients.","drop down box","Listbox, ListYNNoExplain"]
[16,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","Proposer will provide a dedicated individual or staff responsible for resolving claim disputes or other issues.","drop down box","Listbox, ListYNNoExplain"]
[17,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"c.","Proposer will have a toll-free customer service telephone number that is operational 24 hours a day, 7 days a week.","drop down box","Listbox, ListYNNoExplain"]
[18,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"d.","Indicate hours, time zones, and days during which County members can reach live a customer service representative, during open enrollment and outside open enrollment if different.","Text","Text"]
[19,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"e.","Do you offer one, centralized customer service unit for all member calls? ","drop down box","Listbox, ListYNNoExplain"]
[20,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"f.","Do you have a pre-enrollment unit separate from a post-enrollment unit?","drop down box","Listbox, ListYNNoExplain"]
[21,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"g.","If yes, briefly describe the difference in skill sets of the representatives in these two units.","Text","Text"]
[22,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"h.","Provide the number of employees dedicated to providing post-enrollment retiree customer services, and the number of members who could potentially call these customer service reps as of January 1, 2018.","Text","Text"]
[23,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"i.","How will your organization assist the County with members who call their benefits department with questions concerning the transition from the current carrier? ","Text","Text"]
[24,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"j.","Would your company be willing to dedicate account members to accompany County on all open enrollment group meetings held each year at Proposer's expense? ","drop down box","Listbox, ListYesNo"]
[25,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"k.","Would your company be willing to dedicate account members to accompany County on periodic wellness and clinical focus retiree group meetings held during each year at Proposer's expense? ","drop down box","Listbox, ListYesNo"]
[26,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"l.","How many wellness and clinical group meeting days are included in your proposal? ","number, 0","Number, 0"]
[27,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"m.","What services does your organization provide for new member orientation to a Medicare Advantage Plan? ","drop down box","Listbox, ListYesNo"]
[28,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"n.","Proposer's member service representatives will always have access to a pharmacist or other applicable health care professional in the event the call requires the attention of a clinician.","drop down box","Listbox, ListYNNoExplain"]
[29,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"o.","Briefly describe who handles call escalations for Proposer.","Text","Text"]
[30,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"p.","Proposer will have available in its call center multilingual speaking service representatives.","drop down box","Listbox, ListYNNoExplain"]
[31,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"q.","Proposer will provide plan summaries and other multilingual materials to members if requested.","drop down box","Listbox, ListYNNoExplain"]
[32,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"r.","Proposer's customer service representatives will have access to tools that allows them to review alternative drug therapies (e.g., formulary status, generic alternatives available, etc.) for members requesting this information.","drop down box","Listbox, ListYNNoExplain"]
[33,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"s.","Proposer's customer service representatives will have access to tools that allows them to run \"test claims\" (to obtain prices for medical services, prescription drugs) for members requesting this information.","drop down box","Listbox, ListYNNoExplain"]
[34,"Retiree Services and Plan Administration","RFP170337LKD",0,"9.","a.","Is some or all of Proposer's Customer Service support provided offshore?","drop down box","Listbox, ListYNNoExplain"]
[35,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","If so, provide the following statistics on Proposer's offshore calls:"]
[36,"Retiree Services and Plan Administration","RFP170337LKD",0,null,null,"   # handled offshore","number, 0","Number, 0"]
[37,"Retiree Services and Plan Administration","RFP170337LKD",0,null,null,"   % handled offshore","percent, 1","percent, 1"]
[38,"Retiree Services and Plan Administration","RFP170337LKD",0,"10.","a.","Proposer measures Customer Service turnover.","drop down box","Listbox, ListYNNoExplain"]
[39,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","If \"yes,\" provide the following statistics:"]
[40,"Retiree Services and Plan Administration","RFP170337LKD",0,null,null,"  % turnover during last six months (include turnover due to \n  promotions, resignations and terminations).","percent, 1","percent, 1"]
[41,"Retiree Services and Plan Administration","RFP170337LKD",0,null,null,"   % turnover during last 12-month period (include turnover due \n   to promotions, resignations, and terminations).","percent, 1","percent, 1"]
[42,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"d.","Provide your definition of turnover","Text","Text"]
[43,"Retiree Services and Plan Administration","RFP170337LKD",0,"11.",null,"List the location(s) of Proposer service centers that would be servicing County's Medicare eligible retiree members.  Use the \"Explanation\" column and/or worksheet if Proposer need more space."]
[44,"Retiree Services and Plan Administration","RFP170337LKD",0,"","a.","Service Center 1"]
[45,"Retiree Services and Plan Administration","RFP170337LKD",0,"","","   Location 1","Text","Text"]
[46,"Retiree Services and Plan Administration","RFP170337LKD",0,"","","   Geographic Region(s) Covered 1","Text","Text"]
[47,"Retiree Services and Plan Administration","RFP170337LKD",0,"","b.","Service Center 2"]
[48,"Retiree Services and Plan Administration","RFP170337LKD",0,"","","   Location 2","Text","Text"]
[49,"Retiree Services and Plan Administration","RFP170337LKD",0,"","","   Geographic Region(s) Covered 2","Text","Text"]
[50,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"c.","Service Center 3"]
[51,"Retiree Services and Plan Administration","RFP170337LKD",0,"","","   Location 3","Text","Text"]
[52,"Retiree Services and Plan Administration","RFP170337LKD",0,"","","   Geographic Region(s) Covered 3","Text","Text"]
[53,"Retiree Services and Plan Administration","RFP170337LKD",0,"12.",null,"What is Proposer contingency plan in the event that the proposed customer service center is off-line/down?","Text","Text"]
[54,"Retiree Services and Plan Administration","RFP170337LKD",0,"13.","","Focusing specifically on the service office(s) that would be used for the County, indicate if performance for 2015 and 2016 did or did not meet the specified standards below.  If more than one Service Center proposed, provide requested data combined for all service centers."]
[55,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"a.","Customer Service Center"]
[56,"Retiree Services and Plan Administration","RFP170337LKD",0,"","","   At least 90% of telephone calls to member services were \n   answered within 20 seconds.","drop down box","Listbox, ListYNNoExplain"]
[57,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","Claims Center"]
[58,"Retiree Services and Plan Administration","RFP170337LKD",0,null,null,"   Financial Dollar Accuracy was 99% or greater.","drop down box","Listbox, ListYNNoExplain"]
[59,"Retiree Services and Plan Administration","RFP170337LKD",0,"","","   Procedural Accuracy was 98% or greater.","drop down box","Listbox, ListYNNoExplain"]
[60,"Retiree Services and Plan Administration","RFP170337LKD",0,"","","   90% of claims were processed in 10 business days or less.","drop down box","Listbox, ListYNNoExplain"]
[61,"Retiree Services and Plan Administration","RFP170337LKD",0,null,null,"Quality","Answer Format","Format Type","Response","Explanation"]
[62,"Retiree Services and Plan Administration","RFP170337LKD",0,"14.",null,"Service Quality"]
[63,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"a.","Service to Members:  Optimized member service experience"]
[64,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","Describe how at-risk members (e.g., nonresponding case management patients) who call customer service for non-care-related management issues (e.g. benefit design or claims payment status) are routed to the care management unit. ","Text","Text"]
[65,"Retiree Services and Plan Administration","RFP170337LKD",0,"15.",null,"Customer Service"]
[66,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"a.","Do you provide compliance/gaps messaging to members? ","drop down box","Listbox, ListYNNoExplain"]
[67,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","Do you provide compliance/gaps messaging to physicians? ","drop down box","Listbox, ListYNNoExplain"]
[68,{"$f":"G$4","v":"Retiree Services and Plan Administration"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},null,null,"Retiree Website/Online Tools","Answer Format","Format Type","Response","Explanation"]
[69,"Retiree Services and Plan Administration","RFP170337LKD",0,"16.",null,"Senior Focused Transparency Tools"]
[70,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"a.","Does your organization provide direct links to the CMS cost and quality transparency tools for seniors?  Do you provide links to any other third-party tools specifically designed for seniors? ","drop down box","Listbox, ListYesNo"]
[71,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","Confirm that a customized County Medicare Advantage retiree satisfaction surveys will be conducted around 6 months into 2018, with results provided to County within 2 months of survey close date.","drop down box","Listbox, ListYesNo"]
[72,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"c.","Confirm that a customized County Medicare Advantage retiree satisfaction surveys will be conducted annually beyond 2018, around 6 months into the plan year, with results provided to County within 2 months of survey close date.","drop down box","Listbox, ListYesNo"]
[73,"Retiree Services and Plan Administration","RFP170337LKD",0,"17.",null,"Do your senior-focused transparency tools contain any of the following features: "]
[74,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"a.","The ability for seniors to complete a patient survey about their experience with a physician that includes ratings and an opportunity to leave comments?  If yes, is this survey endorsed by the American Board of Medical Specialties? ","drop down box","Listbox, ListYNNoExplain"]
[75,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","The ability for seniors to specify the most important traits they desire in a physician and then display the best matching physicians in order of how well they meet their criteria (i.e. by displaying the % match score for easy identification of the best match)?","drop down box","Listbox, ListYNNoExplain"]
[76,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"c.","The ability to display photos of physicians? ","drop down box","Listbox, ListYNNoExplain"]
[77,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"d.","The ability to guide seniors to the appropriate physician/specialist by allowing them to visually select a body part and symptom? ","drop down box","Listbox, ListYNNoExplain"]
[78,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"e.","The ability to perform a side-by-side comparison of physicians? ","drop down box","Listbox, ListYNNoExplain"]
[79,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"f.","The ability to display US News & World Report rankings on the medical schools attended by each physician? ","drop down box","Listbox, ListYNNoExplain"]
[80,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"g.","The ability to display US News & World Report rankings on the attending and training hospitals (i.e., residency and fellowship training) for each physician? ","drop down box","Listbox, ListYNNoExplain"]
[81,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"h.","The ability to display professional appointments received by each physician? ","drop down box","Listbox, ListYNNoExplain"]
[82,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"i.","The ability to display awards and national professional recognitions for each physician? ","drop down box","Listbox, ListYNNoExplain"]
[83,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"j.","The ability to display research studies and publications completed by each physician? ","drop down box","Listbox, ListYNNoExplain"]
[84,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"k.","The ability for physicians to leave personal notes about his/her practice and interests in order to allow seniors to better match with a physician who is in tune with their specific needs and lifestyle preferences? ","drop down box","Listbox, ListYNNoExplain"]
[85,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"l.","A visual map that notes the approximate location of each physician office so that seniors can easily find the most convenient location for them? ","drop down box","Listbox, ListYNNoExplain"]
[86,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"m.","A link to directions that enables seniors to secure door-to-door driving instructions to the physician office? ","drop down box","Listbox, ListYNNoExplain"]
[87,"Retiree Services and Plan Administration","RFP170337LKD",0,"18.",null,"Medicare retiree members will have access to a web-based application, which allows them to review:"]
[88,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"a.","   Claims history","drop down box","Listbox, ListYNNoExplain"]
[89,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","   Deductible and out-of-pocket expenses year-to-date in \n   comparison to required annual amounts","drop down box","Listbox, ListYNNoExplain"]
[90,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"c.","   Plan design","drop down box","Listbox, ListYNNoExplain"]
[91,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"d.","   Doctor, hospital, and pharmacy locator","drop down box","Listbox, ListYNNoExplain"]
[92,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"e.","   Alternative drug therapies (i.e., formulary status, generic \n   alternatives available, etc.) and cost of each.","drop down box","Listbox, ListYNNoExplain"]
[93,"Retiree Services and Plan Administration","RFP170337LKD",0,"","f.","   Compare price of a medication at retail versus mail order. ","drop down box","Listbox, ListYNNoExplain"]
[94,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"g.","   Price a medication (including comparative retail pricing from\n   local retail pharmacies)","drop down box","Listbox, ListYNNoExplain"]
[95,"Retiree Services and Plan Administration","RFP170337LKD",0,"19.",null,"The member website has the following services/capabilities:"]
[96,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"a.","Email notification of next refill to participant","drop down box","Listbox, ListYNNoExplain"]
[97,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","Ability to develop and maintain custom websites for County plan members, as well as pre-member websites for prospective members.","drop down box","Listbox, ListYNNoExplain"]
[98,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"c.","Ability for member to run reports to analyze prescription drug spending","drop down box","Listbox, ListYNNoExplain"]
[99,"Retiree Services and Plan Administration","RFP170337LKD",0,"20.",null,"Proposer will have a web site available with comprehensive plan information easily accessible by members","drop down box","Listbox, ListYNNoExplain"]
[100,"Retiree Services and Plan Administration","RFP170337LKD",0,"21.",null,"Does Proposer have a free downloadable mobile app for smartphones?","drop down box","Listbox, ListYNNoExplain"]
[101,"Retiree Services and Plan Administration","RFP170337LKD",0,"22.",null,"If so, the mobile app has the following capabilities:"]
[102,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"a.","   Refill or transfer a prescription","drop down box","Listbox, ListYNNoExplain"]
[103,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","   Find the nearest pharmacy","drop down box","Listbox, ListYNNoExplain"]
[104,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"c.","   Access drug information including instructions for use, dosing \n   information, side effects and relevant safety warnings","drop down box","Listbox, ListYNNoExplain"]
[105,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"d.","   Check order status","drop down box","Listbox, ListYNNoExplain"]
[106,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"e.","   View prescription history","drop down box","Listbox, ListYNNoExplain"]
[107,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"f.","   Set up text message medication reminders","drop down box","Listbox, ListYNNoExplain"]
[108,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"g.","   Search formulary by generic or brand name drug, status, or\n   class","drop down box","Listbox, ListYNNoExplain"]
[109,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"h.","   View on-demand personalized out-of-pocket costs","drop down box","Listbox, ListYNNoExplain"]
[110,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"i.","   Access to a member's prescription drug card","drop down box","Listbox, ListYNNoExplain"]
[111,"Retiree Services and Plan Administration","RFP170337LKD",0,"23.",null,"Provide screenshots of the most utilized parts of Proposer online tools by Medicare retirees.  Label them:   [Proposer's Name]_Retiree Website Screenshots as Attachment C2.","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[112,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"","OTHER INFORMATION","Answer Format","Format Type","Response","Explanation"]
[113,"Retiree Services and Plan Administration","RFP170337LKD",0,"24.",null,"Please provide the following information in electronic format and name the file as specified:"]
[114,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"a.","Current member enrollment materials (for a group passive MAPD enrollment) that the health plan feels would be of assistance to the County in evaluating Proposer program.  Name the file: [Proposer Name]_Enrollment Materials as Attachment C3.","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[115,"Retiree Services and Plan Administration","RFP170337LKD",0,null,"b.","Sample ID Card and description of elements that may be customized. Name the file:  [Proposer Name]_ ID Card as Attachment C4.","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]

{"sheet":"Prescription Drugs","index":5,"n_rows":102,"n_cols":17,"rows_kept":102,"cut":false,"hidden":false,"merged":[[4,7,4,8],[6,6,6,10],[5,7,5,10],[74,11,74,17],[91,11,91,17]]}
[null,null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "},null,null,null,null,null,"Attached","Not Attached","Not Applicable","Not Attached - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"},null,null,null,null,null,"Rated","Not Rated"]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"},null,null,null,null,null,"Yes","No","Not Applicable","No - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,"Prescription Drugs ",null,null,null,null,null,"Completed","Not Completed"]
[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"To Proposer:  Use Column K to provide a brief explanation for all responses requiring an Explanation or for any negative responses.  Please do not provide an Explanation for a positive response. However if the length of the explanation is greater than 400 characters, Proposer must use the \"Explanation\" worksheet to provide Proposer detail explanation."]
[null,null,null,null,""]
[null,null,null,null,"",null,"Medicare Retirees RFP 2018"]
[null,null,null,null,"","","NETWORK ACCESS/PHARMACY NETWORK MANAGEMENT"]
["id","RFP Tab","RFP No.","Offeror","","","Retail Network","Answer Format","Format Type","Response","Explanation"]
[2,{"$f":"G$4","v":"Prescription Drugs "},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"1.",null,"Proposer agrees to base Proposer's bid on Proposer broadest retail network available that does not require the County mandate use. Do not submit pricing/cost information with the technical components of Proposer response.","drop down box","Listbox, ListYNNoExplain"]
[4,"Prescription Drugs ","RFP170337LKD","Test","2.",null,"If requested, Proposer is willing to recruit and add pharmacies in areas where access is limited.","drop down box","Listbox, ListYNNoExplain"]
[5,"Prescription Drugs ","RFP170337LKD","Test",null,"","Mail Order","Answer Format","Format Type","Response","Explanation"]
[6,"Prescription Drugs ","RFP170337LKD","Test","3.",null,"Provide the total number of mail order facilities nationwide:","number, 0","Number, 0"]
[7,"Prescription Drugs ","RFP170337LKD","Test","4.",null,"Proposer will communicate any delays beyond three days in the delivery of prescriptions to participants.","drop down box","Listbox, ListYNNoExplain"]
[8,"Prescription Drugs ","RFP170337LKD","Test","5.",null,"Proposer agrees to arrange and pay for a short-term retail supply of a delayed or incorrectly processed mail order prescription caused by Proposer organization.  In addition, Proposer agrees not to charge County members for expedited delivery of the mail order prescription if the prescription delay is caused by Proposer's organization.","drop down box","Listbox, ListYNNoExplain"]
[9,"Prescription Drugs ","RFP170337LKD","Test","8.",null,"In the event of a natural disaster or national emergency, Proposer will continue to fill all prescription requests, proactively obtaining any necessary overrides to facilitate this process, and provide members with expedited delivery to convenient locations.","drop down box","Listbox, ListYNNoExplain"]
[10,"Prescription Drugs ","RFP170337LKD","Test","7.",null,"Proposer will assure that 100% of mail order prescriptions will be imaged and entered when received at mail order (including Specialty prescriptions at a Specialty pharmacy).  Proposer will assure that Proposer will be able to electronically track 100% of all mail order prescriptions (Including Specialty at a Specialty pharmacy) throughout the filling process, on a timely basis, from the point of prescription is received until it is shipped to the member.","drop down box","Listbox, ListYNNoExplain"]
[11,"Prescription Drugs ","RFP170337LKD","Test","8.",null,"Proposer assures that, within 24 hours, Proposer will contact prescribers and/or members via a telephone call or email for 100% of incomplete mail order prescriptions (including Specialty) that require additional information.","drop down box","Listbox, ListYNNoExplain"]
[12,"Prescription Drugs ","RFP170337LKD","Test","9.",null,"Proposer will provide both email and telephone voicemail capabilities to communicate to members their mail order has been received and the date the order has been shipped to members.","drop down box","Listbox, ListYNNoExplain"]
[13,"Prescription Drugs ","RFP170337LKD","Test","10.",null,"Proposer will have the capability to accept early refill orders and suspend or “queue” these orders in Proposer system until the earliest refill date for processing.","drop down box","Listbox, ListYNNoExplain"]
[14,"Prescription Drugs ","RFP170337LKD","Test","11.",null,"Proposer will have the capability to accept major credit cards and store credit card number(s) by member account for future mail order prescriptions.  Proposer must have the capability to advise members 30 days in advance of the date their credit card number is going to expire.","drop down box","Listbox, ListYNNoExplain"]
[15,"Prescription Drugs ","RFP170337LKD","Test","12.",null,"If requested, Proposer will provide members with checks for monies owed to them instead of maintaining credits at Proposer mail facility?","drop down box","Listbox, ListYNNoExplain"]
[16,"Prescription Drugs ","RFP170337LKD","Test","13.",null,"Confirm Proposer can support a floor limit of $250 for accepting prescription orders from members without the correct payment? ","drop down box","Listbox, ListYNNoExplain"]
[17,"Prescription Drugs ","RFP170337LKD","Test","14.",null,"Proposer agrees not to bill members for copayments greater than $200 without first contacting them to advise them of their copayment (not applicable under current design but requested in case of future need).","drop down box","Listbox, ListYNNoExplain"]
[18,"Prescription Drugs ","RFP170337LKD","Test","15.",null,"Proposer will not require the County to pay outstanding balances owed by membership.","drop down box","Listbox, ListYNNoExplain"]
[19,"Prescription Drugs ","RFP170337LKD","Test","16.",null,"The County shall have the right to advise you in writing to change the floor limit for all members or just those with unpaid balances after 120 days of dispensing.","drop down box","Listbox, ListYNNoExplain"]
[20,"Prescription Drugs ","RFP170337LKD","Test","17.",null,"If requested, Proposer will provide members who are currently using the incumbent's mail facility an 800-number that may be called to provide Proposer the information necessary to transfer their current mail order prescriptions to Proposer's mail facility.","drop down box","Listbox, ListYNNoExplain"]
[21,"Prescription Drugs ","RFP170337LKD","Test",null,null,"Mail Order Facilities","Answer Format","Format Type","Response","Explanation"]
[22,"Prescription Drugs ","RFP170337LKD","Test","18.","","Provide information on the proposed Mail Order Facilities for County (use the Census file to determine the geographic location of retirees):"]
[23,"Prescription Drugs ","RFP170337LKD","Test","","a.","Primary Mail Order Facility Location:","Text","Text"]
[24,"Prescription Drugs ","RFP170337LKD","Test","","","Address:"]
[25,"Prescription Drugs ","RFP170337LKD","Test","","","Street Address","Text","Text"]
[26,"Prescription Drugs ","RFP170337LKD","Test","","","City","Text","Text"]
[27,"Prescription Drugs ","RFP170337LKD","Test","","","State","Text","Text"]
[28,"Prescription Drugs ","RFP170337LKD","Test","","","Zip Code","Text","Text"]
[29,"Prescription Drugs ","RFP170337LKD","Test","","","% Current Capacity/month in use today","percent, 1","percent, 1"]
[30,"Prescription Drugs ","RFP170337LKD","Test","","","What is the mail order dispensing capacity per month","number, 0","Number, 0"]
[31,"Prescription Drugs ","RFP170337LKD","Test","","b.","Secondary Mail Order Facility Location(s)"]
[32,"Prescription Drugs ","RFP170337LKD","Test","","","Facility #1","Text","Text"]
[33,"Prescription Drugs ","RFP170337LKD","Test","","","Address:"]
[34,"Prescription Drugs ","RFP170337LKD","Test","","","Street Address","Text","Text"]
[35,"Prescription Drugs ","RFP170337LKD","Test","","","City","Text","Text"]
[36,"Prescription Drugs ","RFP170337LKD","Test","","","State","Text","Text"]
[37,"Prescription Drugs ","RFP170337LKD","Test","","","Zip Code","Text","Text"]
[38,"Prescription Drugs ","RFP170337LKD","Test","","","% Current Capacity in use today","percent, 1","percent, 1"]
[39,"Prescription Drugs ","RFP170337LKD","Test","","","What is the mail order dispensing capacity per month","number, 0","Number, 0"]
[40,"Prescription Drugs ","RFP170337LKD","Test","19.",null,"What are Proposer standard hours of operation for the mail facility(ies)?","Text","Text"]
[41,"Prescription Drugs ","RFP170337LKD","Test","20.",null,"Service Statistics for all Mail Order Facilities (not just the ones proposed for County):"]
[42,"Prescription Drugs ","RFP170337LKD","Test","","a.","Quarterly Dispensing Capacity","number, 0","Number, 0"]
[43,"Prescription Drugs ","RFP170337LKD","Test","","b.","Number of Prescriptions Dispensed in the Most Recent Quarter","number, 0","Number, 0"]
[44,"Prescription Drugs ","RFP170337LKD","Test","","c.","Ratio of Pharmacists to Pharmacy Technicians","X:XX","Ratio, X:XX"]
[45,"Prescription Drugs ","RFP170337LKD","Test","","d.","Average Number of Prescriptions Dispensed per Pharmacist per Hour","number, 1","Number, 1"]
[46,"Prescription Drugs ","RFP170337LKD","Test","21.",null,"Average turnaround time in the most recent quarter for prescriptions that:"]
[47,"Prescription Drugs ","RFP170337LKD","Test",null,"a.","Required intervention (in days)","number, 2","Number, 2"]
[48,"Prescription Drugs ","RFP170337LKD","Test",null,"b.","Did not require intervention (in days)","number, 2","Number, 2"]
[49,"Prescription Drugs ","RFP170337LKD","Test",null,"","Specialty Pharmacy Services","Answer Format","Format Type","Response","Explanation"]
[50,"Prescription Drugs ","RFP170337LKD","Test","22.",null,"Provide the total # of Specialty pharmacies (exclude Retail pharmacies providing Specialty medications) nationwide in Proposer's network:","number, 0","Number, 0"]
[51,"Prescription Drugs ","RFP170337LKD","Test","23.",null,"Describe Proposer shipping and handling policy for Specialty products. Indicate Proposer primary shipping carrier.","Text","Text"]
[52,"Prescription Drugs ","RFP170337LKD","Test","24.",null,"Will Proposer Specialty pharmacy ship to members choice of location (i.e., physician office, etc.)?","drop down box","Listbox, ListYNNoExplain"]
[53,"Prescription Drugs ","RFP170337LKD","Test","25.","a.","Indicate if Proposer receives educational funding or support from specialty pharmaceutical manufacturers.","drop down box","Listbox, ListYNNoExplain"]
[54,"Prescription Drugs ","RFP170337LKD","Test",null,"b.","Describe exactly how these monies are used.","Text","Text"]
[55,"Prescription Drugs ","RFP170337LKD","Test","26.","","Describe the contracts you have in place to provide drugs that you do not buy and dispense.  Include limited and closed distribution drugs and drug categories where you do not hold distribution rights or contracts.","Text","Text"]
[56,"Prescription Drugs ","RFP170337LKD","Test","27.",null,"Briefly describe Proposer Specialty clinical management capabilities, including the UM programs offered.","Text","Text"]
[57,"Prescription Drugs ","RFP170337LKD","Test","28.","","Do Proposer Specialty pharmacies have access to complete patient profiles (i.e., are the Specialty, Retail and Mail systems fully integrated so that a complete patient profile is accessible)?","drop down box","Listbox, ListYNNoExplain"]
[58,"Prescription Drugs ","RFP170337LKD","Test","29.","","Briefly describe Proposer's specialty patient support services.  When and how are patients identified, contacted, and monitored?","Text","Text"]
[59,"Prescription Drugs ","RFP170337LKD","Test","30.","","Briefly describe how Proposer improves the compliance of participants receiving specialty pharmacy products.  Include methods used to measure compliance, reports for documentation, frequency of measurement, and any costs associated.  ","Text","Text"]
[60,"Prescription Drugs ","RFP170337LKD","Test","31.","","How do you confirm appropriateness of therapy? ","Text","Text"]
[61,"Prescription Drugs ","RFP170337LKD","Test","32."," ","Confirm that any or all UM programs can be suppressed.  ","drop down box","Listbox, ListYNNoExplain"]
[62,"Prescription Drugs ","RFP170337LKD","Test","33.","","Describe the standard reporting, including new and/or critical patient alerts, available as part of Proposer specialty program?","Text","Text"]
[63,"Prescription Drugs ","RFP170337LKD","Test","34.","","If a Specialty drug package is lost, stolen, or not delivered, you will not charge the County or County participant for the Specialty Drug.","drop down box","Listbox, ListYNNoExplain"]
[64,"Prescription Drugs ","RFP170337LKD","Test","","","Pharmacy & Therapeutic Committee","Answer Format","Format Type","Response","Explanation"]
[65,"Prescription Drugs ","RFP170337LKD","Test","35.","","Pharmacy & Therapeutic Committee employs:"]
[66,{"$f":"G$4","v":"Prescription Drugs "},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},null,"a.","AMCP's formulary submission process","drop down box","Listbox, ListYNNoExplain"]
[67,"Prescription Drugs ","RFP170337LKD","Test","","b.","Data provided by one or more of Proposer employees","drop down box","Listbox, ListYNNoExplain"]
[68,"Prescription Drugs ","RFP170337LKD","Test","","c.","Multi-disciplinary approach","drop down box","Listbox, ListYNNoExplain"]
[69,"Prescription Drugs ","RFP170337LKD","Test",null,"d.","Outcomes data","drop down box","Listbox, ListYNNoExplain"]
[70,"Prescription Drugs ","RFP170337LKD","Test","","e.","Pharmaceutical manufacturer representatives or their prepared data in decision-making","drop down box","Listbox, ListYNNoExplain"]
[71,"Prescription Drugs ","RFP170337LKD","Test","","f.","Pharmacoeconomical data.","drop down box","Listbox, ListYNNoExplain"]
[72,"Prescription Drugs ","RFP170337LKD","Test","36.",null,"You utilize a Pharmacy & Therapeutic Committee to develop and maintain:"]
[73,"Prescription Drugs ","RFP170337LKD","Test",null,"a.","Proposer formulary(ies)","drop down box","Listbox, ListYNNoExplain"]
[74,"Prescription Drugs ","RFP170337LKD","Test",null,"b.","Utilization management programs and coverage rules.","drop down box","Listbox, ListYNNoExplain"]
[75,"Prescription Drugs ","RFP170337LKD","Test","37.",null,"Provide the following information concerning the Pharmacy & Therapeutic Committee:"]
[76,"Prescription Drugs ","RFP170337LKD","Test",null,"a.","Frequency of meetings","Text","Text"]
[77,"Prescription Drugs ","RFP170337LKD","Test",null,"b.","Number of physicians","number, 0","Number, 0"]
[78,"Prescription Drugs ","RFP170337LKD","Test",null,"c.","Number of pharmacists","number, 0","Number, 0"]
[79,"Prescription Drugs ","RFP170337LKD","Test",null,"d.","Number of nurses","number, 0","Number, 0"]
[80,"Prescription Drugs ","RFP170337LKD","Test",null,"e.","Number of insurer employees","number, 0","Number, 0"]
[81,"Prescription Drugs ","RFP170337LKD","Test",null,"f.","Do insurer employees have voting rights?","drop down box","Listbox, ListYNNoExplain"]
[82,"Prescription Drugs ","RFP170337LKD","Test",null,"g.","List disciplines represented","Text","Text"]
[83,"Prescription Drugs ","RFP170337LKD","Test","38.",null,"The P&T Committee considers the non-clinical considerations like member impact and the costs of products, net of rebates, during their review for formulary representation.","drop down box","Listbox, ListYNNoExplain"]
[84,"Prescription Drugs ","RFP170337LKD","Test","39.",null,"The P&T Committee accepts funds from pharmaceutical manufacturers.","drop down box","Listbox, ListYNNoExplain"]
[85,"Prescription Drugs ","RFP170337LKD","Test","40.",null,"The P&T Committee considers the costs of products, including rebates, during its review for formulary representation.","drop down box","Listbox, ListYNNoExplain"]
[86,"Prescription Drugs ","RFP170337LKD","Test","41.",null,"Proposer formulary always follows the recommendations of the P&T Committee.","drop down box","Listbox, ListYNNoExplain"]
[99,"Prescription Drugs ","RFP170337LKD","Test",null,"","Channel Management - Internal Audits","Answer Format","Format Type","Response","Explanation"]
[100,"Prescription Drugs ","RFP170337LKD","Test","42.","","Indicate the percentage of Proposer network pharmacies in Proposer Broadest Retail Network for which:"]
[101,"Prescription Drugs ","RFP170337LKD","Test",null,"a.","On-site audits are conducted","percent, 1","percent, 1"]
[102,"Prescription Drugs ","RFP170337LKD","Test",null,"b.","Desk-top audits are conducted.","percent, 1","percent, 1"]
[104,"Prescription Drugs ","RFP170337LKD","Test","43.",null,"Confirm that the same audits performed on Proposer retail pharmacy network will be conducted on the: "]
[105,"Prescription Drugs ","RFP170337LKD","Test",null,"a.","Mail Order Pharmacies utilized","drop down box","Listbox, ListYNNoExplain"]
[106,"Prescription Drugs ","RFP170337LKD","Test",null,"b.","Specialty Pharmacies utilized.","drop down box","Listbox, ListYNNoExplain"]

{"sheet":"AcctMgt_Report_Implement","index":6,"n_rows":112,"n_cols":17,"rows_kept":112,"cut":false,"hidden":false,"merged":[[4,7,4,8],[6,6,6,10],[5,7,5,10],[71,11,71,18]]}
[null,null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "},null,null,null,null,null,"Attached","Not Attached","Not Applicable","Not Attached - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"},null,null,null,null,null,"Rated","Not Rated"]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"},null,null,null,null,null,"Yes","No","Not Applicable","No - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,"Account Management, Reporting, Implementation","    ",null,null,null,null,"Completed","Not Completed"]
[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"To Proposer:  Use Column K to provide a brief explanation for all responses requiring an Explanation or for any negative responses.  Please do not provide an Explanation for a positive response. However if the length of the explanation is greater than 400 characters, Proposer must use the \"Explanation\" worksheet to provide Proposer detail explanation."]
[null,null,null,null,""]
[null,null,null,null,"",null,"Medicare Retirees RFP 2017"]
["id","RFP Tab","RFP No.","Offeror",null,null,"Account Management","Answer Format","Format Type","Response","Explanation"]
[1,{"$f":"G$4","v":"Account Management, Reporting, Implementation"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},"1.","a.","Identify key personnel that will directly support this contract, and whose performance appraisal is impacted by their performance on this contract with County.  Be sure to include, at a minimum, the Strategic Account Manager, Day-to-day Account Specialist, Implementation Manager, Executive Sponsor.   Also, please indicate years of experience within Proposer's organization servicing clients similar (size of Medicare retiree population, public entity) to County, number of similar clients with number of Medicare retiree members serviced, and years of experience in the retiree healthcare industry.  Provide individual bios.  Name the file:  [Proposer Organization's Name]_Account Team as Attachment C6.","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[2,{"$f":"G$4","v":"Account Management, Reporting, Implementation"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},null,"b.","Under Attachment C7 also briefly describe Proposer's plan [Proposer's Organization]_ Account Management Plan for managing the account, including periodic reviews of cost and utilization and recommendations for plan design changes to County’s representatives. ","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[3,{"$f":"G$4","v":"Account Management, Reporting, Implementation"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},null,"c.","County's satisfaction with the account manager will be measured how, and how often, during the contract period?","Text","Text"]
[4,{"$f":"G$4","v":"Account Management, Reporting, Implementation"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},null,"d.","The account manager will participate on the implementation team.","drop down box","Listbox, ListYNNoExplain"]
[5,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"e.","Provide a separate bio on the account manager that would be assigned to County.  Name the file:   [Proposer's Name]_County Acct Manager Bio include in  Attachment C6.","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[6,"Account Management, Reporting, Implementation","RFP170337LKD",0,"2.","","Proposer agrees to provide account management and/or member services support for and attendance at at least three (3) open enrollment meetings each fall plus at least one quarterly wellness event each year on a topic impacting the County's Medicare retiree population.","drop down box","Listbox, ListYNNoExplain"]
[7,"Account Management, Reporting, Implementation","RFP170337LKD",0,"3.","a.","Proposer will provide educational materials in a variety of formats (e.g., print, webinar, video) for open enrollment and other needs","drop down box","Listbox, ListYNNoExplain"]
[8,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"b.","Proposer will collaborate with County on initial and ongoing communications","drop down box","Listbox, ListYNNoExplain"]
[9,"Account Management, Reporting, Implementation","RFP170337LKD",0,"4.",null,"Proposer agrees to assign a designated contact person for enrollment and claims management for medical and Part D Rx coverage.","drop down box","Listbox, ListYNNoExplain"]
[10,"Account Management, Reporting, Implementation","RFP170337LKD",0,"5.",null,"Will Proposer perform low income subsidy (LIS) premium subsidy administration and distributions (i.e. return of premium subsidies directly to members)?","drop down box","Listbox, ListYNNoExplain"]
[11,"Account Management, Reporting, Implementation","RFP170337LKD",0,"6.",null,"Describe assistance Proposer will provide in acquiring missing Health Insurance Claim Numbers (HICNs) for Medicare retired members.","Text","Text"]
[12,"Account Management, Reporting, Implementation","RFP170337LKD",0,"7.",null,"Please confirm Proposer's responsibility for distributing all required communication per CMS rules, and not required communications, including but not limited to:"]
[13,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"a.","Pre-Notification mailing of pending group enrollment and ability to opt-out","drop down box","Listbox, ListYNNoExplain"]
[14,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"b.","Exhibit and Event Letters ","drop down box","Listbox, ListYNNoExplain"]
[15,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"c.","Welcome Kit Package","drop down box","Listbox, ListYNNoExplain"]
[16,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"d.","Transition Supply Services","drop down box","Listbox, ListYNNoExplain"]
[17,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"e.","Formulary Changes","drop down box","Listbox, ListYNNoExplain"]
[18,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"f.","Formulary 60-Day Notice","drop down box","Listbox, ListYNNoExplain"]
[19,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"g.","CMS Excluded Provider","drop down box","Listbox, ListYNNoExplain"]
[20,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"h.","Medication Therapy Management (MTM)","drop down box","Listbox, ListYNNoExplain"]
[21,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"i.","Evidence of Coverage (EOC)","drop down box","Listbox, ListYNNoExplain"]
[22,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"j.","Summary of Benefits (SOB)","drop down box","Listbox, ListYNNoExplain"]
[23,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"k.","Targeted mailing 45 days prior to initial plan effective date to members who will experience negative formulary change (based on utilization data obtained from current PBM)","drop down box","Listbox, ListYNNoExplain"]
[24,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"l.","Annual Notice of Change (ANOC)","drop down box","Listbox, ListYNNoExplain"]
[25,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"m.","Explanation of Benefits (EOB)","drop down box","Listbox, ListYNNoExplain"]
[26,"Account Management, Reporting, Implementation","RFP170337LKD",0,"8.",null,"Will Proposer provide the following communications for Rx coverage:"]
[27,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"a.","Suggested retail to mail conversion for maintenance Rx","drop down box","Listbox, ListYNNoExplain"]
[28,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"b.","Benefits of mail order, generic awareness","drop down box","Listbox, ListYNNoExplain"]
[29,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"c.","Therapy-specific generic education (options awareness, encourage physician discussion)","drop down box","Listbox, ListYNNoExplain"]
[30,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"d.","Generics launch (new generic for major brand name medication)","drop down box","Listbox, ListYNNoExplain"]
[31,"Account Management, Reporting, Implementation","RFP170337LKD",0,"9.",null,"Will Proposer provide co-branding and customization for communications materials?","drop down box","Listbox, ListYNNoExplain"]
[32,"Account Management, Reporting, Implementation","RFP170337LKD",0,"10.","","When customized printing is required, the health plan must present a proof to County for approval. Please confirm.","drop down box","Listbox, ListYNNoExplain"]
[33,"Account Management, Reporting, Implementation","RFP170337LKD",0,"11.","","Proposer agrees that no external communications material that mentions the County's benefit plans may be circulated without written approval from the County. ","drop down box","Listbox, ListYNNoExplain"]
[34,"Account Management, Reporting, Implementation","RFP170337LKD",0,"12.",null,"Describe the training Proposer will provide County staff who could take calls from Medicare retired members.","Text","Text"]
[35,"Account Management, Reporting, Implementation","RFP170337LKD",0,"13.",null,"Will the Proposer's staff taking calls from Medicare retired members be specifically dedicated to MAPD plans?","drop down box","Listbox, ListYNNoExplain"]
[36,"Account Management, Reporting, Implementation","RFP170337LKD",0,"14.","","Attach a description of premium billing procedures.  Include information on the timing of billing, billing-payment reconciliations and ability to provide for client self-billing if County decides to institute that type of billing procedure.  Name the file:  [Proposer's Name]_ County Premium/Fee Billing as Attachment C8.","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[null,null,null,null,"15.",null,"The County requires a 45-60 billing grace period.  Please confirm you are willing to accommodate. ","drop down box"]
[37,"Account Management, Reporting, Implementation","RFP170337LKD",0,"16.","","For national passive PPO plan(s), are participants required to submit claim forms and bills for services received:"]
[38,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"a."," In-Network","drop down box","Listbox, ListYNNoExplain"]
[39,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"b.","Out-of-Network","drop down box","Listbox, ListYNNoExplain"]
[40,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"c.","Out-of-Area","drop down box","Listbox, ListYNNoExplain"]
[41,"Account Management, Reporting, Implementation","RFP170337LKD",0,"17.",null,"Please confirm that you are willing to distribute open enrollment materials other than CMS required materials on behalf of the County. If yes, are there additional costs associated with distribution of open enrollment communications?  Answer Yes or No only in your response here to the additional cost question, and enter the additional cost in your Cost Proposal identified as such.","Text","Text"]
[42,"Account Management, Reporting, Implementation","RFP170337LKD",0,"","","REPORTING","Answer Format","Format Type","Response","Explanation"]
[43,"Account Management, Reporting, Implementation","RFP170337LKD",0,"18.","","Please indicate Proposer's willingness to provide reports to County and to comply with  the following reporting requirements for this contract. Each report must reflect claims and enrollment (members) by lines of coverage (Medicare Advantage medical and Part D Rx), plus a total for all activity. \n"]
[44,"Account Management, Reporting, Implementation","RFP170337LKD",0,"19.","","Proposer agrees to production of promised reports and data on agreed upon dates.","drop down box","Listbox, ListYNNoExplain"]
[45,"Account Management, Reporting, Implementation","RFP170337LKD",0,"20.","","Proposer agrees to analyze County utilization and claims data and meet with them on at least a semi-annual basis to review emerging trends and account servicing.","drop down box","Listbox, ListYNNoExplain"]
[46,"Account Management, Reporting, Implementation","RFP170337LKD",0,"21.","a.","Proposer will provide County with access to a web-based reporting platform.","drop down box","Listbox, ListYNNoExplain"]
[47,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"b.","Employer reports can be exported into a csv or excel format.","drop down box","Listbox, ListYNNoExplain"]
[48,"Account Management, Reporting, Implementation","RFP170337LKD",0,"22.","","Monthly reporting for this contract contains at least the following information:"]
[49,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"a.","Paid Claims","drop down box","Listbox, ListYNNoExplain"]
[50,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"b.","Subsidies received for Part D, separately for each type of subsidy","drop down box","Listbox, ListYNNoExplain"]
[51,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"c.","Subsidies received for Medicare Advantage medical","drop down box","Listbox, ListYNNoExplain"]
[52,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"d.","CMS average risk score for the group, separately for Medicare Advantage medical and Part D Rx","drop down box","Listbox, ListYNNoExplain"]
[53,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"e.","Administrative Fees (if applicable)","drop down box","Listbox, ListYNNoExplain"]
[54,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"f.","Premiums (insured programs)","drop down box","Listbox, ListYNNoExplain"]
[55,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"g.","Large Claims Report (> $25,000)","drop down box","Listbox, ListYNNoExplain"]
[56,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"h.","Monthly enrollment counts (members).","drop down box","Listbox, ListYNNoExplain"]
[57,"Account Management, Reporting, Implementation","RFP170337LKD",0,"23.",null,"Eligibility reporting to validate data, including full and changes only reports","drop down box","Listbox, ListYNNoExplain"]
[58,"Account Management, Reporting, Implementation","RFP170337LKD",0,"24.","","General/Management-type claim utilization reports for this contract will be provided semi-annually or on an as-needed basis by plan identifying at a minimum: "]
[59,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"a.","Medicare Advantage medical subsidies from Federal government","drop down box","Listbox, ListYNNoExplain"]
[60,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"b.","Benefits paid","drop down box","Listbox, ListYNNoExplain"]
[61,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"c.","Subsidies received for Part D, separately for each type of subsidy","drop down box","Listbox, ListYNNoExplain"]
[62,"Account Management, Reporting, Implementation","RFP170337LKD",0,"25.","","These utilization management reports will also include actual utilization statistics and measures compared to Proposer's book of business or industry-specific benchmarks, such as:","drop down box","Listbox, ListYNNoExplain"]
[63,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"a.","ALOS","drop down box","Listbox, ListYNNoExplain"]
[64,"Account Management, Reporting, Implementation","RFP170337LKD",0,"","b.","Days/1,000","drop down box","Listbox, ListYNNoExplain"]
[65,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"c.","ER visits","drop down box","Listbox, ListYNNoExplain"]
[66,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"d.","Office visits","drop down box","Listbox, ListYNNoExplain"]
[67,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"e.","Trend","drop down box","Listbox, ListYNNoExplain"]
[68,{"$f":"G$4","v":"Account Management, Reporting, Implementation"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},null,"f.","Other standard utilization measures and benchmarks","drop down box","Listbox, ListYNNoExplain"]
[69,"Account Management, Reporting, Implementation","RFP170337LKD",0,"26.",null,"If the relationship is terminated, do you have the ability to provide the County with a detailed report of the status of each participant, to transition these participants to another health plan?","drop down box","Listbox, ListYNNoExplain"]
[70,"Account Management, Reporting, Implementation","RFP170337LKD",0,"27.",null,"What are your standard reports that are provided at no additional cost?","Text","Text"]
[71,"Account Management, Reporting, Implementation","RFP170337LKD",0,"28.",null,"Attach one sample of all standard reports that would be provided to the County. Name the file:  [Proposer's Name]_ Standard Reports as Attachment C9.","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[73,"Account Management, Reporting, Implementation","RFP170337LKD",0,"29.",null,"List the key drivers that you track to assess / explain improved clinical outcomes and lower costs.","Text","Text"]
[74,"Account Management, Reporting, Implementation","RFP170337LKD",0,"30.",null,"Will the County's specific results be compared to national averages, your book of business and/or government averages?","Text","Text"]
[75,"Account Management, Reporting, Implementation","RFP170337LKD",0,"31.",null,"Confirm that you agree to provide the CMS Monthly Membership Report (MMR) to the County on a monthly basis, a Transaction Reply Report on a weekly basis, a Termination Report on a weekly basis, and a Discrepancy Report on a monthly basis. ","drop down box","Listbox, ListYNNoExplain"]
[76,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,null,"Implementation Support ","Answer Format","Format Type","Response","Explanation"]
[77,"Account Management, Reporting, Implementation","RFP170337LKD",0,"32.","a.","Proposer will provide a designated implementation team for County that will include an implementation manager and the Strategic Account Manager; they will provide assistance during the transition/implementation process and participate in regularly scheduled status meetings (at least weekly by phone or in person) with County.","drop down box","Listbox, ListYNNoExplain"]
[78,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"b.","Proposer will maintain an implementation project plan and issue log documenting all implementation issues, actions, due dates, at risk tasks and responsible parties.  Implementations must be supported year round as required by County.","drop down box","Listbox, ListYNNoExplain"]
[79,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"c.","Please provide a copy of an Implementation plan assuming a kickoff meeting in late July / early August 2017. Name the file:  [Proposer's Name]_Implementation Plan as Attachment C9","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[80,"Account Management, Reporting, Implementation","RFP170337LKD",0,"33.",null,"Indicate Proposer willingness to provide the following services:"]
[81,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"a.","Design, submit for County approval, and print forms for claim submission, open enrollment and educational materials sent to County's members, including all materials with County's logo.","drop down box","Listbox, ListYNNoExplain"]
[82,"Account Management, Reporting, Implementation","RFP170337LKD",0,"","b.","Load, audit and insure clean eligibility data at least 60 days prior to program effective date.","drop down box","Listbox, ListYNNoExplain"]
[83,"Account Management, Reporting, Implementation","RFP170337LKD",0,"34.","","For each of the following, provide a \"yes\" answer if Proposer agrees to each provisions without condition.  Answer \"no\" if Proposer does not agree, or if there are stipulations.  List any stipulations and/or conditions in the Explanation column."]
[84,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"a.","Be able to implement plan in 120 days and meet deadlines set forth in an agreed upon implementation schedule.","drop down box","Listbox, ListYNNoExplain"]
[85,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"b.","Production and distribution of ID cards prior to effective date with accuracy equal to data provided by the County.","drop down box","Listbox, ListYNNoExplain"]
[86,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"c.","Appropriate members of account team to perform a service and operational audit for the County within the first three months of the program. ","drop down box","Listbox, ListYNNoExplain"]
[87,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"d.","Meet or exceed the County subjective assessment of satisfaction with program implementation.","drop down box","Listbox, ListYNNoExplain"]
[88,"Account Management, Reporting, Implementation","RFP170337LKD",0,"35.",null,"You agree to accept and load all open mail order and specialty pharmacy refills, prior authorization histories, and at least six months of historical claims data at no additional cost to the County during the implementation process.","drop down box","Listbox, ListYNNoExplain"]
[89,"Account Management, Reporting, Implementation","RFP170337LKD",0,"36.",null,"You can provide alternative approaches to minimize the need for members to request new prescriptions during transition.","drop down box","Listbox, ListYNNoExplain"]
[90,"Account Management, Reporting, Implementation","RFP170337LKD",0,"","","PERFORMANCE GUARANTEES/STANDARDS"]
[91,"Account Management, Reporting, Implementation","RFP170337LKD",0,"","","Performance Guarantees","Answer Format","Format Type","Response","Explanation"]
[92,"Account Management, Reporting, Implementation","RFP170337LKD",0,"37.","","County is seeking performance guarantees to encourage the selected bidder to provide superior service. Proposer failure to meet the performance guarantee(s) would result in a financial penalty.  Please indicate Proposer concurrence below."]
[93,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"a.","Confirm Proposer willingness to offer performance guarantees. ","drop down box","Listbox, ListYNNoExplain"]
[94,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"b.","Proposer agrees to provide quarterly reports (or other frequency as mutually defined) to validate compliance with the service and performance guarantees.  Reports will be provided automatically without a written request requirement.","drop down box","Listbox, ListYNNoExplain"]
[95,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"c.","Proposer agrees that County can allocate up to 30% of the annual aggregate dollars at risk to any one performance guarantee?","drop down box","Listbox, ListYNNoExplain"]
[96,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"d.","Proposer agrees to allow County the flexibility to allocate in writing the total amount at risk among the various performance categories at least 30 days prior to the start of each contract year.","drop down box","Listbox, ListYNNoExplain"]
[97,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"e.","Proposer agrees that the guarantees will be measured and reconciled on a quarterly basis within 45 days from the close of the quarter, with the exception of annual guarantees which will be measured and reconciled within 45 days from the close of the year.  All performance guarantees will be audited on a scheduled basis.","drop down box","Listbox, ListYNNoExplain"]
[98,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"f.","Proposer agrees that penalties will automatically be paid annually within 90 days of the close of the measurement period without any written request requirement.","drop down box","Listbox, ListYNNoExplain"]
[99,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"g.","Proposer agrees that all performance guarantees must be measured and reported on client-specific data, not book of business.","drop down box","Listbox, ListYNNoExplain"]
[100,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"h.","Proposer agrees that should Proposer require County to migrate adjudication platforms or service facilities, Proposer will guarantee that County will be satisfied with the migration. County's satisfaction will be measured as \"satisfied\" or \"not satisfied\". This will be a separate, stand-alone performance guarantee. The amount at risk will be equal to 30% of the combined total amount at risk for all other ongoing performance guarantees.","drop down box","Listbox, ListYNNoExplain"]
[101,"Account Management, Reporting, Implementation","RFP170337LKD",0,null,"i.","Proposer agrees to place a portion of its fees or premiums at risk annually for ongoing service performance. Do not provide dollar guarantees in your response here; enter in your Cost Proposal.","drop down box","Listbox, ListYNNoExplain"]
[102,"Account Management, Reporting, Implementation","RFP170337LKD",0,"","j.","Proposer will measure, report and pay implementation guarantees within 120 days after implementation.","drop down box","Listbox, ListYNNoExplain"]

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[null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"}]
[null,null,null,null,null,"Account Team Breakdown"]
[]
[null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6","v":"Test"}]
[]
["id","RFP Tab","RFP No.","proposer",null,null,"Years with proposer Servicing Similar Size Medicare Clients","Years Working in Retiree Health Benefits","Number of Similar Sized Medicare Clients","# of Medicare Retiree Lives Serviced","Services Retiree Only Clients (Y/N)"]
[1,{"$f":"F$4","v":"Account Team Breakdown"},{"$f":"F$3","v":"RFP170337LKD"},{"$f":"G$6","v":"Test"},null,"Strategic Account Manager"]
[2,{"$f":"F$4","v":"Account Team Breakdown"},{"$f":"F$3","v":"RFP170337LKD"},{"$f":"G$6","v":"Test"},null,"Day-to-day Account Specialist"]
[3,"Account Team Breakdown","RFP170337LKD","Test",null,"Implementation Manager"]
[4,"Account Team Breakdown","RFP170337LKD","Test",null,"Executive Sponsor"]
[5,"Account Team Breakdown","RFP170337LKD","Test"]
[6,"Account Team Breakdown","RFP170337LKD","Test",null,null,"Number of Accounts Currently Servicing"]
[7,"Account Team Breakdown","RFP170337LKD","Test",null,null,"<200 Medicare lives","200 but <500 Medicare lives","500 but <1000 Medicare lives","1000 but <2000 Medicare lives","2000+ Medicare lives"]
[8,"Account Team Breakdown","RFP170337LKD","Test",null,"Strategic Account Manager"]
[9,"Account Team Breakdown","RFP170337LKD","Test",null,"Day-to-day Account Specialist"]

{"sheet":"Plan Design_Clinical_Formulary","index":8,"n_rows":93,"n_cols":17,"rows_kept":93,"cut":false,"hidden":false,"merged":[[4,7,4,8],[5,7,5,10],[6,6,6,10]]}
[null,null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "},null,null,null,null,null,"Attached","Not Attached","Not Applicable","Not Attached - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"},null,null,null,null,null,"Rated","Not Rated"]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"},null,null,null,null,null,"Yes","No","Not Applicable","No - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[null,null,null,null,null,null,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption",null,null,null,null,null,"Completed","Not Completed"]
[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"To Proposer:  Use Column K to provide a brief explanation for all responses requiring an Explanation or for any negative responses.  Please do not provide an Explanation for a positive response. However if the length of the explanation is greater than 400 characters, Proposer must use the \"Explanation\" worksheet to provide Proposer detail explanation."]
[null,null,null,null,""]
["id","RFP Tab","RFP No.","Offeror","","","Plan Design","Answer Format","Format Type","Response","Explanation"]
[1,{"$f":"G$4","v":"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"1.",null,"County is requesting a national, passive PPO Medicare Advantage with Part D employer group plan that for medical services has no benefit differential in-network and out-of-network . The Rx plan duplicates as closely as possible the 2017 Retiree Rx plan (with adjustments for 2018 Medicare Part D parameters issued by CMS). Please list any deviations on the Plan Design tabs (PPO Design Deviations, Part D Plan Design Deviations) in this workbook.  Design deviation should be detailed in the Plan Design Deviation Tabs.  Also include as attachment  labled Attachment C10 Plan Designs a detailed summary of your proposed benefit design.","drop down box","Listbox, ListCompletedNot Completed"]
[2,{"$f":"G$4","v":"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"2.",null,"For the proposed national passive PPO plan proposal, please describe how Proposer handles coverage for individuals who live outside the network service area.","Text","Text"]
[3,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","3.",null,"For the proposed national passive PPO plan proposal, please describe how Proposer handles coverage for individuals who travel outside the network service area.","Text","Text"]
[4,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","4.",null,"For the proposed national passive PPO plan  proposal, please describe how Proposer handles coverage and communication for individuals who move outside the network service area.","Text","Text"]
[5,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","5.",null,"Are there any CMS filing limitations that would impact benefit coverage levels for any benefit design elements?  If yes, please explain.","drop down box","Listbox, ListYNNoExplain"]
[6,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","6.",null,"Explain the process for submitting emergency claims incurred outside the U.S. ","Text","Text"]
[7,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","7.",null,"Confirm whether coverage is extended to any portion of hospitalization that occurs prior to the effective date of coverage under your plan. ","drop down box","Listbox, ListYNNoExplain"]
[8,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","8.",null,"Confirm whether the entire hospitalization charge is covered under your plan where a member terminates coverage and is hospitalized prior to the termination date and remains hospitalized subsequent to the coverage termination date. ","drop down box","Listbox, ListYNNoExplain"]
[9,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","9.",null,"Please indicate in which of the 50 states your organization is licensed to offer employer-sponsored PPO network-based Medicare Advantage solutions that are filed and approved by CMS.","text","Text"]
[10,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","10.",null,"Provide a description of any advanced illness or end-of-life programs available to the County members. ","Text","Text"]
[11,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","","Prescription Drugs","Answer Format","Format Type","Response","Explanation"]
[12,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","11.","","Confirm your firm's ability to administer the following Rx plan designs even though some may not be part of the current benefit design, but may be considered in the future:"]
[13,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","a.","Co-insurance at Retail","drop down box","Listbox, ListYNNoExplain"]
[14,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","b.","Co-insurance at Mail","drop down box","Listbox, ListYNNoExplain"]
[15,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","c.","Mixed copayments at Retail (fixed dollar and coinsurance)","drop down box","Listbox, ListYNNoExplain"]
[16,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","d.","Mixed copayments at Mail (fixed dollar and coinsurance)","drop down box","Listbox, ListYNNoExplain"]
[17,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","e.","Coinsurance with Min/Max amounts per Rx","drop down box","Listbox, ListYNNoExplain"]
[18,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","f.","Annual OOP maximums per person","drop down box","Listbox, ListYNNoExplain"]
[19,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","g.","OOP max per Rx","drop down box","Listbox, ListYNNoExplain"]
[20,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","h.","Greater than four tiers","drop down box","Listbox, ListYNNoExplain"]
[21,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","i.","Coverage of OTC products","drop down box","Listbox, ListYNNoExplain"]
[22,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","j.","Waive copays for the first x-number of fills ","drop down box","Listbox, ListYNNoExplain"]
[23,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","k.","Value based design with reduced or waived copays for certain drug classes ","drop down box","Listbox, ListYNNoExplain"]
[24,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","l.","Copay proration at retail, mail and specialty based on days supply (e.g., apply retail copay for a specialty claim with a 30-day supply)","drop down box","Listbox, ListYNNoExplain"]
[25,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"m.","Limit specialty drugs to a 30-day supply via mail/specialty pharmacies","drop down box","Listbox, ListYNNoExplain"]
[27,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",12,null,"Proposer's standard policy is to ensure that \"once a generic, always a generic.\" In other words, members will pay a generic copay for single-source and multi-source generics regardless of Proposer drug-type classification policy.","drop down box","Listbox, ListYNNoExplain"]
[28,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","13.",null,"Retail claims will be processed such that members always pay the lowest of the discounted price, U&C price (including the pharmacy's sale price, if any), or the plan's applicable copayments/coinsurance. County experience shall not be charged for any zero balance due claims.","drop down box","Listbox, ListYNNoExplain"]
[29,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","14.",null,"Mail claims will be processed such that members always pay the lower of the discounted price or the plan copayments/coinsurance. County experience shall not be charged for any zero balance due claims.","drop down box","Listbox, ListYNNoExplain"]
[30,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","","MAC","Answer Format","Format Type","Response","Explanation"]
[31,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","15.","a.","Proposer's MAC list must include a minimum of 95% of all generic drugs.","drop down box","Listbox, ListYNNoExplain"]
[32,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"b.","Proposer will apply the same MAC list at mail order and at retail.","drop down box","Listbox, ListYNNoExplain"]
[33,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"c.","Indicate the number of months after patent expiration that drugs are added to Proposer's MAC list. ","number, 0","Number, 0"]
[34,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,null,"Overrides for Rx","Answer Format","Format Type","Response","Explanation"]
[35,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","16.","a.","Proposer can be flexible with administering overrides and will work with County to satisfy any override requests by County.","drop down box","Listbox, ListYNNoExplain"]
[36,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"b.","Proposer must have the ability to override retail and mail order prescriptions and provide County discretion for determining days supply provided, respectively for overseas travel/vacation.","drop down box","Listbox, ListYNNoExplain"]
[45,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,null,"Clinical Programs","Answer Format","Format Type","Response","Explanation"]
[47,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","17.",null,"Please provide a listing and brief description  in electronic format and name the file as specified:"]
[48,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"a.","Clinical programs available under Proposer Medicare Advantage with Part D Rx program offer to County, including how Proposer identifies eligible members, and how Proposer engages such members and keep them engaged in Proposer programs.  Name the file:  [Proposer Name]_Clinical Program, as Attachment C11, and provide descriptions of these programs for retirees as an attachment.","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[49,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"b.","Wellness programs available to members under Proposer Medicare Advantage with Part D Rx program offer to County.  Name the file:  [Proposer Name]_Wellness Programs, as Attachment C12, and provide descriptions of these programs for retirees as an attachment.","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[50,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","18.","a.","Are your MAPD clinical programs designed specifically for seniors?  ","Text","Text"]
[null,null,null,null,null,"b.","Do your MAPD clinical teams support  retirees only? ",null,"Text"]
[51,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","19.",null,"Identify any outsourced Proposers that are utilized for senior-focused clinical programs. ","Text","Text"]
[52,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","20.",null,"Describe your transition plan for the County's Medicare-eligible retiree population who currently participate in clinical programs with the incumbent vendor.  Indicate the activities and/or communication with impacted members that will take place before, during, and after the effective date. ","Text","Text"]
[53,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","21.",null,"How does your organization's Medicare case management program identify members with home safety issues or environmental concerns that impact a member's overall health and well-being and that cannot be identified telephonically?  Does your organization have a process established for assessing members in their home environment?","Text","Text"]
[54,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","22.",null,"What percentage of your organization's diabetic Medicare population is managed by a case management program?  Describe your organization's strategy for managing your diabetic Medicare membership. ","Text","Text"]
[55,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","23.",null,"How are members with both medical and behavioral concerns identified?  How are members with both medical and behavioral health issues / conditions managed by your organization?  Who manages these members?  Does your organization have a process for collaboratively managing members with both medical and behavioral health problems?","Text","Text"]
[56,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","24.",null,"How is your organization leveraging data and technology to engage physicians in better compliance with evidence-based medicine and getting a broader view of their patient's health status and healthcare experiences?","Text","Text"]
[57,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","25.",null,"How does your organization use data to develop a comprehensive view of a member's health needs and how is your organization using this information to ensure that the most effective interventions are being delivered to the member?  Provide examples of any innovative outreach programs used by your organization to provide educational material to members and their caregivers? ","Text","Text"]
[58,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","26.",null,"What tools does your organization provide to members to educate and assist them about their disease states and what programs are available to help them deal with their conditions? ","Text","Text"]
[59,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","27.",null,"Does your organization use predictive scoring to identify high risk, high need retirees that require outreach or more aggressive case management? ","Text","Text"]
[60,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","28.",null,"How does your organization stratify your population to optimize the balance between intensive disease management and a population-based approach? ","Text","Text"]
[62,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","29.",null,"How are your organization's member-facing employees (e.g. customer service taking calls from retirees) incentivized?  What is the focus of your organization's customer service audit process and what special recognition programs does your organization have to reward exemplary customer service?","Text","Text"]
[64,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","","Rx Clinical Programs","Answer Format","Format Type","Response","Explanation"]
[65,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","30.","","You have the capability to integrate medical and prescription drug claims data to enhance:"]
[66,{"$f":"G$4","v":"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},null,"a.","Concurrent Drug Utilization Reviews (i.e., drug-disease interactions)","drop down box","Listbox, ListYNNoExplain"]
[67,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"b.","Therapeutic management initiatives (i.e., prior authorization programs)","drop down box","Listbox, ListYNNoExplain"]
[68,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"c.","Compliance programs","drop down box","Listbox, ListYNNoExplain"]
[69,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"d.","Gaps in (Omissions in) care","drop down box","Listbox, ListYNNoExplain"]
[71,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","31.",null,"Clinical program offering includes: "]
[72,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"a.","Evidenced-based approach","drop down box","Listbox, ListYNNoExplain"]
[73,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"b.","Compliance (poor adherence)","drop down box","Listbox, ListYNNoExplain"]
[74,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","c.","Funding from pharmaceutical manufacturers","drop down box","Listbox, ListYNNoExplain"]
[75,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","d.","Information available via the web","drop down box","Listbox, ListYNNoExplain"]
[76,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","e.","Outcomes data (savings and member impact)","drop down box","Listbox, ListYNNoExplain"]
[77,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","32.",null,"You will only communicate with participants about alternative medications or places of service when a change will save both the participant and the plan money.","drop down box","Listbox, ListYNNoExplain"]
[78,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","33.",null,"You will allow the County the ability to \"opt-out\" of Part D clinical programs, or components of programs, which include but are not limited to therapeutic substitution, step therapy programs.","drop down box","Listbox, ListYNNoExplain"]
[79,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","34.",null,"You are willing and capable of providing reporting specific to the activity and outcomes associated with all of the utilization management tools and programs under this contract.","drop down box","Listbox, ListYNNoExplain"]
[85,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","35.",null,"How often are your clinical programs reviewed to ensure they remain up-to-date?","text","Text"]
[86,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","","","Formulary","Answer Format","Format Type","Response","Explanation"]
[88,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","36."," ","Please confirm whether your formulary requires the County to exclude drugs from coverage, other than Part D statutory exclusions and Part B prescriptions.","drop down box","Listbox, ListYNNoExplain"]
[89,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","37."," ","Your process requires the Pharmacy and Therapeutics (P&T) committee to review and approve all drugs that are excluded.","drop down box","Listbox, ListYNNoExplain"]
[91,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,null,"Access, Provider Network","Answer Format","Format Type","Response","Explanation"]
[92,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","48.",null,"Compliance with minimum access requirements (i.e., sufficiently comprehensive coverage across specialties and services that meet the geographic access requirements)"]
[93,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"a.","Identify your geographic operating area (network) for your Medicare Advantage program for the County retirees","Text","Text"]
[94,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"b.","The County feels the importance of strength of PPO network is critical to competitive pricing.With that in mind, the County will assess provider strenth of network based on the more common distance-to-provider standard. Please complete the access to network providers, using the Workbook tab labeled\"Access Standards - Medical Prov\", and the standards included there. ","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[96,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"c.","Demonstrate your ability to pass the \"nexus test\" by demonstrating more than 50% of retirees reside in the network service areas for your group national passive PPO and/or HMO plan. ","text","Text"]
[97,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","49.",null,"Provide disruption analysis using the Provider Disruption workbooks ","drop down box","Listbox, ListAttachedNot AttachedNAExplain"]
[98,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test","49.","a.","For County member zipcode areas in which you do not have strong network access, describe the process and timing for creating a network in those areas.","text","Text"]
[99,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"b.","Would County be able to nominate physicians to be included in the network? ","drop down box","Listbox, ListYNNoExplain"]
[100,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"c.","Will the Proposer actively pursue physicians nominated by County retirees to participate in the network? ","drop down box","Listbox, ListYNNoExplain"]
[101,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"d.","How will you notify plan members if their selected provider is no longer in the network? ","text","Text"]
[102,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"e.","Describe your organization's approach for selecting, recruiting and retaining providers to participate in your Medicare Advantage PPO network. ","Text","Text"]
[103,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"f.","What is the annual turnover of providers in your network area for the past three years? ","Text","Text"]
[104,"Plan Design, Clinical and Wellness, Provider Networks, Formulary Disruption","RFP170337LKD","Test",null,"g.","Is there a strategy for negotiating provider reimbursements that would be below Medicare fee schedule payments. If yes, has your company determined disruption since employing this strategy? What has the disruption been over the last 6 months?","Text","Text"]

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[null,null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"}]
[null,null,null,null,null,null,"PPO Design Deviations"]
[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Organization and Experience'!H6","v":"Test"}]
[null,null,null,null,null,null,"Complete based on what retiree pays (highlight in bold and red font, deviations from current design requested)"]
[null,null,null,null,null,null,"proposers are encouraged to provide benefits above the minimum requested"]
[null,null,null,null,null,null,"proposers must provide a detailed summary of proposed coverage under Attachment C10:  "]
[]
[null,null,null,null,null,null,null,"Minimum Requirements Based on Current Plan Coverage*","National Passive MA PPO 1/1/2018\n (no network differential in design)"]
["id","RFP Tab","RFP No.","proposer"]
[1,{"$f":"G$4","v":"PPO Design Deviations"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"1.",null,"Annual Out-of-Pocket Maximum (Part B medical cost share applies to the maximum)",1500]
[2,{"$f":"G$4","v":"PPO Design Deviations"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"2.",null,"Annual Deductible "]
[3,"PPO Design Deviations","RFP170337LKD","Test","3.",null,"Inpatient (per Benefit Period): "]
[4,"PPO Design Deviations","RFP170337LKD","Test",null,"a.","Hospital Inpatient","$500 per admit"]
[5,"PPO Design Deviations","RFP170337LKD","Test",null,"b.","Hospital Inpatient - Lifetime max on days","Unlimited"]
[6,"PPO Design Deviations","RFP170337LKD","Test",null,"c.","Professional services",0]
[7,"PPO Design Deviations","RFP170337LKD","Test",null,"d.","Mental Health - partial hospitalization","$55 per day"]
[8,"PPO Design Deviations","RFP170337LKD","Test","4.",null,"Skilled Nursing Facility (per Benefit Period)"]
[9,"PPO Design Deviations","RFP170337LKD","Test",null,"a."," Days 1-100 ","$20 (Days 1-5)\n$0 (Days 6-100)"]
[10,"PPO Design Deviations","RFP170337LKD","Test",null,"b."," Days 100+ ","Not covered"]
[11,"PPO Design Deviations","RFP170337LKD","Test","5.",null,"Home Health "]
[12,"PPO Design Deviations","RFP170337LKD","Test",null,"a.","Outpatient/Professional: ",0]
[13,"PPO Design Deviations","RFP170337LKD","Test",null,"b.","Physician Services:",0]
[14,"PPO Design Deviations","RFP170337LKD","Test","6.",null,"Lab, Xray ",35]
[15,"PPO Design Deviations","RFP170337LKD","Test","7.",null,"Complex radiology (CAT, PET, MRI)",50]
[16,"PPO Design Deviations","RFP170337LKD","Test","8.",null,"Hospice ","$0 (Care must be from Medicare certified hospice)"]
[17,"PPO Design Deviations","RFP170337LKD","Test","9.",null,"Physician Visits"]
[18,"PPO Design Deviations","RFP170337LKD","Test",null,"a."," Primary Care Physician ",10]
[19,"PPO Design Deviations","RFP170337LKD","Test",null,"b."," Physician Specialist ",35]
[21,"PPO Design Deviations","RFP170337LKD","Test","10.","a."," Podiatry Services (Medicare covered)",35]
[22,"PPO Design Deviations","RFP170337LKD","Test",null,"b."," Routine Footcare (6 visits)",35]
[23,"PPO Design Deviations","RFP170337LKD","Test","11.","a."," Mental Health / Substance Abuse (outpatient - individual)",35]
[24,"PPO Design Deviations","RFP170337LKD","Test",null,"b."," Mental Health / Substance Abuse (outpatient - group)",35]
[25,"PPO Design Deviations","RFP170337LKD","Test","12.",null," Physical Exams",0]
[26,"PPO Design Deviations","RFP170337LKD","Test","13.","a."," Vision Exam (Medicare covered)","$35, one every 12 months"]
[27,"PPO Design Deviations","RFP170337LKD","Test",null,"b."," Vision Exam (routine)",35]
[28,"PPO Design Deviations","RFP170337LKD","Test",null,"c."," Vision hardware (frames, lenses, contacts)","Not Covered"]
[29,"PPO Design Deviations","RFP170337LKD","Test","14.","a."," Hearing Exam (Medicare Covered)",35]
[30,"PPO Design Deviations","RFP170337LKD","Test",null,"b."," Hearing Exam (routine)",0]
[31,"PPO Design Deviations","RFP170337LKD","Test",null,"c."," Hearing Aids","$500 allowance, every 3 years"]
[32,"PPO Design Deviations","RFP170337LKD","Test","15.","a."," Dental (Medicare Covered) ",35]
[33,"PPO Design Deviations","RFP170337LKD","Test",null,"b."," Dental (cleaning) ","Not covered"]
[34,"PPO Design Deviations","RFP170337LKD","Test",null,"c."," Dental (preventive) ","Not covered"]
[35,"PPO Design Deviations","RFP170337LKD","Test","16.","a."," Chiropractic Services (Medicare covered)",10]
[36,"PPO Design Deviations","RFP170337LKD","Test",null,"b."," Chiropractic Services (routine)","Not covered"]
[37,"PPO Design Deviations","RFP170337LKD","Test","17.",null,"Physical Therapy/Speech Therapy/Occupational Therapy (Outpatient) ",35]
[38,"PPO Design Deviations","RFP170337LKD","Test","18.",null,"CORF (Comprehensive Outpatient Rehab Facility) ",35]
[39,"PPO Design Deviations","RFP170337LKD","Test","19.",null,"Emergency ",65]
[40,"PPO Design Deviations","RFP170337LKD","Test","20.",null,"Urgent Care / Immediate Care",50]
[41,"PPO Design Deviations","RFP170337LKD","Test","21.",null,"Foreign Travel (Emergency)",65]
[42,"PPO Design Deviations","RFP170337LKD","Test","22.",null,"Ambulance (Medicare covered)",0]
[43,"PPO Design Deviations","RFP170337LKD","Test","23.",null,"Outpatient Hospital Surgery/Services, including professional services",200]
[44,"PPO Design Deviations","RFP170337LKD","Test","24.",null,"Ambulatory Surgical Center Services, including professional services",200]
[45,"PPO Design Deviations","RFP170337LKD","Test","25.",null,"Durable Medical Equipment (from designated provider)",0]
[46,"PPO Design Deviations","RFP170337LKD","Test","26.",null,"Prosthetics and Orthotics (from designated provider)",0]
[47,"PPO Design Deviations","RFP170337LKD","Test","27.","a.","Dialysis (at facility)",30]
[48,"PPO Design Deviations","RFP170337LKD","Test",null,"b.","DialysisSelf-training ",0]
[49,"PPO Design Deviations","RFP170337LKD","Test","28.",null,"Part B Pharmacy",0.2]
[50,"PPO Design Deviations","RFP170337LKD","Test","29.",null,"Routine & Additional Preventive: "]
[51,"PPO Design Deviations","RFP170337LKD","Test",null,"a.","Pap Smear/Pelvic Exam - lab will take lab cost share ",0]
[52,"PPO Design Deviations","RFP170337LKD","Test",null,"b.","Immunizations - Medicare covered ",0]
[53,"PPO Design Deviations","RFP170337LKD","Test",null,"c.","Prostate Cancer Screening Exam ",0]
[54,"PPO Design Deviations","RFP170337LKD","Test",null,"d.","Colorectal Screening ",0]
[55,"PPO Design Deviations","RFP170337LKD","Test",null,"e.","Bone Mass Measurement ",0]
[56,"PPO Design Deviations","RFP170337LKD","Test",null,"f.","Mammography Screening ",0]
[57,"PPO Design Deviations","RFP170337LKD","Test","30.",null,"Wigs due to chemotherapy","Not covered"]
[58,"PPO Design Deviations","RFP170337LKD","Test","31.",null,"Organ transplants & travel benefits due to transplants","Covered"]
[59,"PPO Design Deviations","RFP170337LKD","Test","32.",null,"​Acupuncture ​","Not covered"]
[60,"PPO Design Deviations","RFP170337LKD","Test","33.",null,"Fitness Program","$0, Silver Sneakers"]
[60,{"$f":"G$4","v":"PPO Design Deviations"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"34.",null,"Other:"]

{"sheet":"Part D Plan Design Deviations","index":10,"n_rows":26,"n_cols":27,"rows_kept":26,"cut":false,"hidden":false,"merged":[[5,9,5,12],[23,3,23,14],[23,15,23,26],[24,3,24,14],[24,15,24,26],[25,3,25,14],[25,15,25,26],[6,3,6,7],[10,15,10,17],[10,18,10,20],[10,21,10,23],[10,24,10,26],[11,3,11,5],[11,6,11,8],[11,9,11,11],[11,12,11,14],[12,3,12,5],[12,6,12,8],[12,9,12,11],[12,12,12,14]]}
[null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[null,{"$f":"Cover!A10","v":"RFP170337LKD"}]
[null,"2018 United Healthcare Medicare Part D Design"]
[]
[]
[null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6","v":"Test"}]
[]
[]
[null,null,"Plan Design","2016 Pharmacy Part D Plan Design",null,null,null,null,null,null,null,null,null,null,null,"2017 Deviations"]
[null,null,null,"Stage 1: Deductible\n",null,null,"Stage 2: Initial Coverage",null,null,"Stage 3: Coverage Gap",null,null,"Stage 4: Catastrophic",null,null,"Stage 1: Deductible",null,null,"Stage 2: Initial Coverage",null,null,"Stage 3: Coverage Gap",null,null,"Stage 4: Catastrophic"]
[null,null,"Deductible","N/A",null,null,"N/A",null,null,"N/A",null,null,"N/A"]
[null,null,"Maximum Annual Out-of-Pocket Cost for Retiree Member Only Cost share","N/A",null,null,"N/A",null,null,"N/A",null,null,"TrOOP is $4,950 (This is not a MOOP). Moves member into the Catastrophic phase of the Part D plan"]
[null,null,"Drug Type","Retail Copay\n30 days","Retail Copay\n31-60 days","Retail Copay\n61-90 days","Retail Copay\n30 days","Retail Copay\n31-60 days","Retail Copay\n61-90 days","Retail Copay\n30 days","Retail Copay\n31-60 days","Retail Copay\n61-90 days","Retail Copay\n30 days","Retail Copay\n31-60 days","Retail Copay\n61-90 days","Retail Copay\n0-34 days","Retail Copay\n35-60 days","Retail Copay\n61-90 days","Retail Copay\n0-34 days","Retail Copay\n35-60 days","Retail Copay\n61-90 days","Retail Copay\n0-34 days","Retail Copay\n35-60 days","Retail Copay\n61-90 days","Retail Copay\n0-34 days","Retail Copay\n35-60 days","Retail Copay\n61-90 days"]
[null,null,"Tier 1 (Generic/Preferred Generic)",10,20,30,10,20,30,10,20,30,"$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) "]
[null,null,"Tier 2 (Brand/Preferred Brand)",20,40,60,20,40,60,20,40,60,"$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) "]
[null,null,"Tier 3  (Non-Preferred Brand)",35,70,105,35,70,105,35,70,105,"$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) "]
[null,null,"Tier 4  (High Cost Tier)",35,70,105,35,70,105,35,70,105,"$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) "]
[null,null,"Drug Type","Mail Copay\n0-30 days","Mail Copay\n31-60 days","Mail Copay\n61-90 days","Mail Copay\n30 days","Mail Copay\n31-60 days","Mail Copay\n61-90 days","Mail Copay\n0-30 days","Mail Copay\n31-60 days","Mail Copay\n61-90 days","Mail Copay\n0-30 days","Mail Copay\n31-60 days","Mail Copay\n61-90 days","Mail Copay\n0-34 days","Mail Copay\n35-60 days","Mail Copay\n61-90 days","Mail Copay\n0-34 days","Mail Copay\n35-60 days","Mail Copay\n61-90 days","Mail Copay\n0-34 days","Mail Copay\n35-60 days","Mail Copay\n61-90 days","Mail Copay\n0-34 days","Mail Copay\n35-60 days","Mail Copay\n61-90 days"]
[null,null,"Tier 1 (Generic/Preferred Generic)",10,10,10,10,10,10,10,10,10,"$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) "]
[null,null,"Tier 2 (Brand/Preferred Brand)",20,40,40,20,40,40,20,40,40,"$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) "]
[null,null,"Tier 3  (Non-Preferred Brand)",35,70,70,35,70,70,35,70,70,"$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) "]
[null,null,"Tier 4  (High Cost Tier)",35,70,70,35,70,70,35,70,70,"$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) ","$3.30 for generic/multile source drugs ($8.25 for all others) "]
[null,null,"Questions",null,null,null,null,null,null,null,null,null,null,null,null,"Response"]
[null,null,"Does Offeror Proposal Require Prior Authorization, Quantity Limits and Step Therapy?"]
[null,null,"Can County elect to apply one or more of Offeror's Prior Authorization, Quantity Limits and Step Therapy programs, or do they come as a bundled package?"]

{"sheet":"Access Standards - Medical Prov","index":11,"n_rows":28,"n_cols":11,"rows_kept":28,"cut":false,"hidden":false,"merged":[[6,6,6,12],[8,6,8,12],[5,7,5,12],[4,7,4,8],[3,11,4,15]]}
[null,null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"}]
[null,null,null,null,null,null,"Access Standards - Medical Providers - Medicare Advantage National Passive PPO and/or HMO"]
[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"Provide the total number of providers for the below practice specialties in the County retirees' top network areas.  The access standards we will look for in each area are listed in the table below.  "]
[]
[null,null,null,null,null,null,"Please provide a complete list of the hospitals in each of your network areas.  Name your attachment \"C13 In-Network Hospitals\" and provide in Excel format."]
[]
["id","RFP Tab","RFP No.","Offeror",null,null,"Practice/Specialty","3 Digit Zip - 339","3 Digit Zip - 341"]
[1,{"$f":"G$4","v":"Access Standards - Medical Providers - Medicare Advantage National Passive PPO and/or HMO"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},null,null,"Primary Care Physicians"]
[2,{"$f":"G$4","v":"Access Standards - Medical Providers - Medicare Advantage National Passive PPO and/or HMO"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"I$6","v":0},null,null,"Adult Physicians (Family Practice, General Practice, General Internal Medicine)"]
[3,"Access Standards - Medical Providers - Medicare Advantage National Passive PPO and/or HMO","RFP170337LKD",0,null,null,"Specialists (excluding OB/GYN)"]
[4,"Access Standards - Medical Providers - Medicare Advantage National Passive PPO and/or HMO","RFP170337LKD",0,null,null,"Gynecologists"]
[5,"Access Standards - Medical Providers - Medicare Advantage National Passive PPO and/or HMO","RFP170337LKD",0,null,null,"Acute Care Hospitals"]
[6,"Access Standards - Medical Providers - Medicare Advantage National Passive PPO and/or HMO","RFP170337LKD",0,null,null,"Mental Health Providers"]
[7,"Access Standards - Medical Providers - Medicare Advantage National Passive PPO and/or HMO","RFP170337LKD",0,null,null,"Psychiatric Hospitals"]
[]
[]
[null,null,null,null,null,null,"Practice/Specialty","# of Providers Available","Miles from EE's Residence (Urban)","Miles from EE's Residence (Suburban)","Miles from EE's Residence (Rural)"]
[null,null,null,null,null,null,"Primary Care Physicians",2,8,15,25]
[null,null,null,null,null,null,"Adult Physicians (Family Practice, General Practice, General Internal Medicine)",2,8,15,25]
[null,null,null,null,null,null,"Specialists (excluding OB/GYN)",2,8,15,25]
[null,null,null,null,null,null,"Gynecologists",2,8,15,25]
[null,null,null,null,null,null,"Acute Care Hospitals",1,10,15,25]
[null,null,null,null,null,null,"Mental Health Providers",1,30,35,45]
[null,null,null,null,null,null,"Psychiatric Hospitals",1,30,35,45]

{"sheet":"Extended Explanations","index":12,"n_rows":165,"n_cols":9,"rows_kept":165,"cut":false,"hidden":false,"merged":[[5,7,5,8],[4,7,4,8]]}
[null,null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"}]
[null,null,null,null,null,null,"Extended Explanation Worksheet"]
[]
[null,null,null,null,null,null,"Name of Offeror:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"To Offeror: If Offeror is unable to fit explanation for any question throughout this questionnaire, please use this sheet to provide "]
[null,null,null,null,null,null,"further clarifications. Please insert explanations in the appropriate section corresponding to each tab in this document. Add more"]
[null,null,null,null,null,null,"lines as needed."]
[]
[]
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["Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "]
[{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[{"$f":"Cover!A10","v":"RFP170337LKD"}]
[]
["Gender Key","Birth date","Home Zip Code","Relationship "]
["M","1942-12-28",33905,"RETR"]
["M","1931-05-17",33903,"RETR"]
["F","1932-02-16",33903,"RCLR"]
["M","1946-11-07",33906,"RETR"]
["M","1943-07-14",33976,"RETR"]
["F","1948-03-04",33919,"RETR"]
["F","1941-12-23",32034,"RETR"]
["F","1939-04-16",33936,"RETR"]
["F","1939-07-16",726538948,"RETR"]
["M","1934-10-17",28906,"RETR"]
["F","1944-05-06",33971,"RETR"]
["M","1942-09-19",34607,"RETR"]
["M","1946-05-12",33919,"RETR"]
["M","1949-08-04",33907,"RETR"]
["F","1948-06-27",33919,"RETR"]
["M","1942-07-05",33990,"RETR"]
["M","1938-06-30",28219,"RETR"]
["M","1946-01-30",33919,"RETR"]
["F","1943-01-01",33976,"RETR"]
["F","1927-09-09",33904,"RETR"]
["M","1939-08-12",32541,"RETR"]
["F","1942-03-07",48316,"RETR"]
["F","1945-08-03",76210,"RETR"]
["F","1939-04-09",29407,"RETR"]
["M","1938-12-01",15554,"RETR"]
["F","1936-11-29",33905,"RETR"]
["M","1944-08-05",33974,"RETR"]
["F","1943-07-23",33928,"RETR"]
["F","1944-08-10",33907,"RETR"]
["F","1934-11-14",33912,"RETR"]
["M","1947-08-01",33918,"RETR"]
["F","1942-10-25",34135,"RETR"]
["F","1951-02-19",33907,"RETR"]
["F","1946-08-27",33901,"RETR"]
["M","1943-12-06",33936,"RETR"]
["F","1936-11-09",37128,"RETR"]
["M","1938-05-20",37128,"RETR"]
["F","1944-08-27",33904,"RETR"]
["F","1950-11-16",33991,"RETR"]
["F","1944-10-12",33917,"RETR"]
["F","1943-11-28",33917,"RETR"]
["F","1933-10-14",33903,"RETR"]
["M","1941-08-31",33908,"RETR"]
["F","1942-11-07",33919,"RETR"]
["M","1934-10-29",33919,"RETR"]
["F","1944-06-01",33904,"RETR"]
["F","1947-09-22",33908,"RETR"]
["M","1945-07-23",33966,"RETR"]
["F","1947-06-11",33950,"RETR"]
["M","1946-04-28",33916,"RETR"]
["F","1948-10-30",33903,"RETR"]
["F","1950-04-04",33993,"RETR"]
["M","1938-11-12",33914,"RETR"]
["M","1947-05-18",33904,"RETR"]
["M","1944-12-01",33919,"RETR"]
["F","1950-01-29",27910,"RETR"]
["F","1950-04-21",33907,"RETR"]
["F","1948-07-14",33922,"RETR"]
["M","1946-07-05",33936,"RETR"]
["M","1945-09-09",33936,"RETR"]
["F","1930-11-11",33936,"RETR"]
["F","1946-09-28",15535,"RETR"]
["M","1935-07-26",15535,"RETR"]
["F","1937-05-15",33904,"RETR"]
["M","1947-07-16",33920,"RETR"]
["F","1940-12-12",33903,"RETR"]
["F","1948-09-28",33901,"RETR"]
["M","1950-08-23",33917,"RETR"]
["M","1945-11-07",33914,"RETR"]
["M","1932-04-14",33919,"RETR"]
["F","1945-02-02",33904,"RETR"]
["F","1948-12-04",33936,"RCLR"]
["F","1937-08-14",33904,"RETR"]
["F","1946-08-20",33967,"RETR"]
["M","1938-03-21",43228,"RETR"]
["M","1931-07-06",33919,"RETR"]
["F","1932-03-02",33919,"RETR"]
["M","1947-05-04",33913,"RETR"]
["M","1947-12-20",33905,"RETR"]
["F","1949-08-11",30546,"RETR"]
["F","1951-02-14",33902,"RETR"]
["F","1938-10-08",86325,"RETR"]
["F","1942-01-14",33912,"RETR"]
["F","1951-03-27",33990,"RETR"]
["M","1946-04-24",33919,"RETR"]
["F","1949-12-19",33917,"RETR"]
["F","1933-12-23",33919,"RETR"]
["F","1942-08-21",33912,"RETR"]
["F","1938-09-09",33905,"RETR"]
["F","1946-10-16",33901,"RETR"]
["F","1943-03-22",33990,"RETR"]
["M","1947-03-26",33913,"RETR"]
["M","1941-03-13",33917,"RETR"]
["F","1938-04-09",33919,"RETR"]
["M","1941-10-25",39845,"RETR"]
["F","1942-08-08",43078,"RETR"]
["M","1950-09-16",33917,"RETR"]
["M","1947-06-14",34481,"RETR"]
["F","1935-08-25",33919,"RETR"]
["F","1947-01-06",33936,"RETR"]
["M","1939-04-23",33917,"RETR"]
["F","1942-10-14",94591,"RETR"]
["M","1947-01-27",33909,"RETR"]
["F","1941-06-20",33902,"RETR"]
["F","1938-06-27",33901,"RCLR"]
["M","1932-06-04",32340,"RETR"]
["F","1941-09-22",33905,"RETR"]
["F","1947-01-07",27612,"RETR"]
["M","1949-05-19",33955,"RETR"]
["M","1935-12-10",33917,"RETR"]
["M","1948-02-04",33960,"RETR"]
["F","1943-07-21",33903,"RETR"]
["F","1949-05-10",33903,"RETR"]
["M","1947-01-04",33904,"RETR"]
["F","1949-03-16",33919,"RCLR"]
["M","1942-04-24",33990,"RETR"]
["F","1942-04-27",33919,"RETR"]
["F","1943-08-21",33919,"RETR"]
["M","1944-06-05",33936,"RETR"]
["M","1947-09-29",33919,"RETR"]
["M","1946-08-29",33953,"RETR"]
["F","1938-07-21",33917,"RETR"]
["F","1946-12-04",33916,"RETR"]
["M","1948-08-04",33919,"RETR"]
["M","1944-09-28",33919,"RETR"]
["M","1946-07-12",33919,"RETR"]
["F","1943-02-22",40228,"RETR"]
["F","1943-01-15",33903,"RETR"]
["M","1935-01-18",33912,"RETR"]
["F","1936-04-01",33903,"RETR"]
["M","1948-08-12",33935,"RETR"]
["M","1937-01-17",33917,"RETR"]
["F","1941-11-04",33917,"RETR"]
["F","1947-10-15",33903,"RETR"]
["F","1949-06-21",339661516,"RETR"]
["F","1946-12-07",33919,"RETR"]
["M","1936-01-28",33905,"RETR"]
["M","1946-01-12",33993,"RETR"]
["M","1933-01-01",92646,"RETR"]
["F","1948-05-23",33907,"RETR"]
["F","1944-10-31",33905,"RETR"]
["F","1950-01-08",33908,"RCLR"]
["M","1939-03-17",33917,"RETR"]
["F","1940-09-03",33967,"RETR"]
["M","1943-08-30",33909,"RETR"]
["M","1953-07-02",33990,"RETR"]
["M","1945-05-08",33917,"RETR"]
["F","1949-12-05",33917,"RETR"]
["F","1943-08-25",32024,"RETR"]
["M","1949-02-01",33914,"RETR"]
["M","1946-05-07",33907,"RETR"]
["F","1940-07-24",33914,"RETR"]
["F","1949-05-29",33916,"RETR"]
["F","1947-05-18",33903,"RCLR"]
["M","1946-11-06",33991,"RETR"]
["M","1944-06-29",34293,"RETR"]
["M","1946-05-30",33917,"RETR"]
["M","1948-06-10",33922,"RETR"]
["M","1945-04-01",33901,"RETR"]
["F","1948-02-01",33901,"RCLR"]
["F","1945-10-05",33917,"RETR"]
["M","1945-10-17",33990,"RETR"]
["M","1943-03-13",33928,"RETR"]
["M","1949-07-06",37938,"RETR"]
["F","1935-07-15",33917,"RETR"]
["F","1944-08-10",44203,"RETR"]
["M","1944-06-04",33823,"RETR"]
["F","1944-01-20",33823,"RETR"]
["F","1947-02-04",33904,"RETR"]
["M","1937-06-13",30512,"RETR"]
["M","1945-09-01",33993,"RETR"]
["M","1955-03-02",33993,"RETR"]
["F","1940-03-22",33905,"RETR"]
["M","1941-06-22",33905,"RETR"]
["M","1945-07-04",33966,"RETR"]
["F","1947-06-11",33966,"RETR"]
["F","1933-10-07",33917,"RETR"]
["F","1949-12-08",33914,"RETR"]
["M","1950-12-02",32608,"RETR"]
["M","1947-11-11",33905,"RETR"]
["F","1941-09-13",33990,"RETR"]
["F","1941-05-06",33908,"RETR"]
["M","1950-06-28",33904,"RETR"]
["F","1936-06-23",33991,"RETR"]
["M","1948-01-10",33905,"RETR"]
["F","1946-08-06",33919,"RETR"]
["F","1941-09-05",24416,"RETR"]
["F","1946-06-12",32792,"RETR"]
["M","1949-10-26",33914,"RETR"]
["M","1944-06-28",33990,"RETR"]
["F","1937-11-18",33801,"RETR"]
["F","1946-10-17",33919,"RETR"]
["M","1937-10-20",29654,"RETR"]
["M","1947-04-25",38558,"RETR"]
["F","1924-04-09",33901,"RCLR"]
["M","1950-02-14",33928,"RETR"]
["M","1948-04-09",33901,"RETR"]
["F","1932-10-07",33907,"RETR"]
["F","1947-12-01",33905,"RETR"]
["M","1947-05-16",33990,"RETR"]
["M","1941-12-28",33936,"RETR"]
["M","1943-02-13",339528121,"RETR"]
["F","1945-04-09",33917,"RETR"]
["M","1944-09-02",33972,"RETR"]
["M","1946-08-13",33966,"RETR"]
["M","1947-04-21",33908,"RETR"]
["M","1945-05-29",33936,"RETR"]
["M","1948-02-16",33908,"RETR"]
["F","1929-12-03",33917,"RETR"]
["F","1950-12-22",33905,"RETR"]
["M","1949-06-06",33971,"RETR"]
["F","1946-03-13",33950,"RETR"]
["M","1943-06-10",33907,"RETR"]
["F","1951-07-05",33903,"RETR"]
["F","1939-11-06",33928,"RETR"]
["M","1950-06-20",33904,"RETR"]
["F","1946-03-22",33991,"RETR"]
["F","1948-01-12",33907,"RETR"]
["M","1947-10-19",33901,"RETR"]
["M","1946-10-01",33905,"RETR"]
["F","1946-07-13",339193388,"RETR"]
["F","1933-02-28",33950,"RETR"]
["M","1939-04-28",33907,"RETR"]
["M","1925-08-24",339016022,"RCLR"]
["F","1946-06-18",33901,"RCLR"]
["F","1936-10-12",17551,"RETR"]
["F","1948-12-27",33922,"RETR"]
["F","1943-02-28",49201,"RETR"]
["M","1948-07-01",27612,"RETR"]
["F","1937-04-16",33903,"RETR"]
["F","1949-05-19",33917,"RETR"]
["M","1935-07-25",33967,"RETR"]
["M","1945-08-15",33903,"RETR"]
["F","1937-05-11",33904,"RCLR"]
["M","1939-09-25",33907,"RETR"]
["F","1946-12-12",72512,"RETR"]
["M","1944-03-30",33919,"RETR"]
["F","1941-09-07",33905,"SPOUSE"]
["F","1948-12-15",28906,"SPOUSE"]
["F","1945-01-18",34607,"SPOUSE"]
["F","1946-10-18",33919,"SPOUSE"]
["F","1946-09-27",33990,"SPOUSE"]
["F","1950-08-22",28219,"SPOUSE"]
["M","1932-10-23",48316,"SPOUSE"]
["M","1943-02-20",29407,"SPOUSE"]
["F","1938-06-26",15554,"SPOUSE"]
["M","1941-06-26",33907,"SPOUSE"]
["M","1950-09-23",33907,"SPOUSE"]
["F","1945-06-22",33936,"SPOUSE"]
["M","1943-07-17",33904,"SPOUSE"]
["F","1945-11-12",33908,"SPOUSE"]
["M","1933-12-12",33904,"SPOUSE"]
["F","1948-05-25",33966,"SPOUSE"]
["M","1948-06-16",33950,"SPOUSE"]
["F","1945-05-18",33916,"SPOUSE"]
["F","1934-09-30",33914,"SPOUSE"]
["M","1949-02-13",33907,"SPOUSE"]
["M","1938-06-02",33922,"SPOUSE"]
["M","1939-07-18",33904,"SPOUSE"]
["M","1946-04-20",33936,"SPOUSE"]
["F","1940-02-16",43228,"SPOUSE"]
["F","1947-10-21",33905,"SPOUSE"]
["F","1946-10-22",33919,"SPOUSE"]
["M","1936-08-19",33912,"SPOUSE"]
["F","1950-01-29",33913,"SPOUSE"]
["F","1948-08-27",33917,"SPOUSE"]
["F","1947-05-29",39845,"SPOUSE"]
["M","1940-01-02",43078,"SPOUSE"]
["F","1946-04-23",34481,"SPOUSE"]
["F","1932-10-18",32340,"SPOUSE"]
["M","1942-01-31",33905,"SPOUSE"]
["F","1951-08-25",33955,"SPOUSE"]
["F","1937-02-18",33917,"SPOUSE"]
["F","1955-04-03",33960,"SPOUSE"]
["M","1947-09-09",33903,"SPOUSE"]
["F","1947-12-04",33990,"SPOUSE"]
["F","1947-06-27",33936,"SPOUSE"]
["F","1947-03-02",33919,"SPOUSE"]
["F","1943-01-28",33953,"SPOUSE"]
["M","1935-07-10",33917,"SPOUSE"]
["F","1950-02-07",33919,"SPOUSE"]
["M","1934-05-31",33903,"SPOUSE"]
["F","1939-02-11",33912,"SPOUSE"]
["M","1936-06-18",33919,"SPOUSE"]
["F","1939-07-31",33905,"SPOUSE"]
["F","1956-05-17",33993,"SPOUSE"]
["F","1940-08-15",92646,"SPOUSE"]
["M","1937-09-23",33907,"SPOUSE"]
["F","1938-07-21",33917,"SPOUSE"]
["F","1947-01-24",33909,"SPOUSE"]
["F","1951-05-05",33914,"SPOUSE"]
["F","1939-06-10",33907,"SPOUSE"]
["M","1943-03-02",33917,"SPOUSE"]
["F","1947-08-25",33990,"SPOUSE"]
["F","1945-11-20",33928,"SPOUSE"]
["M","1930-06-28",33917,"SPOUSE"]
["M","1944-08-19",33904,"SPOUSE"]
["F","1938-07-30",30512,"SPOUSE"]
["F","1936-08-15",33993,"SPOUSE"]
["F","1950-06-15",32608,"SPOUSE"]
["F","1949-08-15",33904,"SPOUSE"]
["F","1953-03-20",33905,"SPOUSE"]
["M","1944-12-21",33919,"SPOUSE"]
["M","1942-03-07",24416,"SPOUSE"]
["M","1939-10-19",32792,"SPOUSE"]
["F","1938-03-11",33914,"SPOUSE"]
["F","1946-08-18",33990,"SPOUSE"]
["F","1951-02-15",33901,"SPOUSE"]
["F","1943-08-30",33936,"SPOUSE"]
["M","1947-02-08",33917,"SPOUSE"]
["F","1946-03-18",33972,"SPOUSE"]
["F","1950-05-18",33908,"SPOUSE"]
["F","1949-05-17",33908,"SPOUSE"]
["M","1928-05-29",33917,"SPOUSE"]
["M","1942-05-28",33905,"SPOUSE"]
["F","1948-11-26",33971,"SPOUSE"]
["M","1943-05-12",33950,"SPOUSE"]
["F","1948-10-20",33907,"SPOUSE"]
["M","1948-02-29",33907,"SPOUSE"]
["F","1945-09-09",33901,"SPOUSE"]
["M","1930-06-23",33950,"SPOUSE"]
["M","1934-02-28",17551,"SPOUSE"]
["M","1948-01-24",33922,"SPOUSE"]
["F","1943-09-23",33967,"SPOUSE"]
["F","1946-06-17",33903,"SPOUSE"]
["M","1942-01-12",72512,"SPOUSE"]
["F","1945-01-30",33919,"SPOUSE"]

{"sheet":"Rates","index":14,"n_rows":17,"n_cols":4,"rows_kept":17,"cut":false,"hidden":false,"merged":[]}
[null,null,"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "]
[null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[null,null,{"$f":"Cover!A10","v":"RFP170337LKD"}]
[null,null,"Fully Insured Pricing:  Medicare Advantage"]
[]
[]
[null,null,"UHC MA Rates"]
[null,null,"2017 Group/Member Premium",450.74]
[null,null,"2017 Group/Member Premium less ACA Insurer Fee",450.74]
[]
[null,null,"UHC MA Rates"]
[null,null,"2016 Group/Member Premium",450.74]
[null,null,"2016 Group/Member Premium less ACA Insurer Fee",450.74]
[]
[null,null,"UHC MA Rates"]
[null,null,"2015 Group/Member Premium",425.23]
["fv",null,"2015 Group/Member Premium less ACA Insurer Fee",425.23]

{"sheet":"Financial Questionniare","index":15,"n_rows":114,"n_cols":12,"rows_kept":114,"cut":false,"hidden":false,"merged":[[15,7,15,10],[16,6,16,10]]}
[]
[null,null,null,null,null,null,"Completed","Not Completed"]
[]
[null,null,null,null,null,null,"Yes","No","Not Applicable","No - See \"Explanation\"","Not Applicable - See \"Explanation\""]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,{"$f":"[54]Cover!C19","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"}]
[null,null,null,null,null,null," Financial Questionnaire"]
[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"To proposer:  Use Column K to provide a brief explanation. However if the length of the explanation is greater than 400 characters, you must use the \"Explanation\" worksheet to provide your detail explanation.",null,null,null,null,"\n"]
[null,null,null,null,""]
["id","RFP Tab","RFP No.","proposer","","","Financial - Proposals Provided","Answer Format","Format Type","Response","Explanation"]
[1,{"$f":"G$14","v":" Financial Questionnaire"},{"$f":"G$13","v":"RFP170337LKD"},{"$f":"H$6","v":0},"1.",null,"Please confirm that you have completed the tab labeled \"MAPD Proposed Rates\" for a fully-insured group MAPD plan.","drop down box","Listbox,ListCompleted"]
[2," Financial Questionnaire","RFP170337LKD",0,"","","Financial - Underwriting Requirements/Fully Insured Premium Quotation","Answer Format","Format Type","Response","Explanation"]
[3," Financial Questionnaire","RFP170337LKD",0,"2.","","Provide your financial quotation in the worksheet, \"MAPD Proposed Rates\", and provide requested information outlined in \"FI Offer Proj Cost As\" to support your fully insured quotes.","drop down box","Listbox,ListCompleted"]
[4," Financial Questionnaire","RFP170337LKD",0,null,"a.","Proposed Rate Cap or guarantee beyond the first year (2018).","drop down box","Listbox,ListYesNoNotRequested"]
[5," Financial Questionnaire","RFP170337LKD",0,null,"b.","If yes, provide the basis for your cap and/or guarantee.","text","Text"]
[6," Financial Questionnaire","RFP170337LKD",0,"3.","","Describe the terms and conditions under which you have the right to modify the rates.  If you need more space, please use the \"Explanation\" column and/or worksheet.","text","Text"]
[7," Financial Questionnaire","RFP170337LKD",0,"4.","","The quoted rates/fees include commissions/compensation.","drop down box","Listbox,ListYesNo"]
[8," Financial Questionnaire","RFP170337LKD",0,"","","Financial - Renewal Services","Answer Format","Format Type","Response","Explanation"]
[9," Financial Questionnaire","RFP170337LKD",0,"5.","","Please indicate your willingness to comply with the following renewal requirements and services:"]
[10," Financial Questionnaire","RFP170337LKD",0,null,"a.","For fully-insured coverages requested, renewal underwriting of rates is to be completed annually with any adjustments effective on the contract anniversary date, unless an alternate date is mutually agreed to in advance by the County.","drop down box","Listbox, ListYNNAExplain"]
[11," Financial Questionnaire","RFP170337LKD",0,null,"b.","proposer will provide routine underwriting- and actuarial-related contract services.","drop down box","Listbox, ListYNNAExplain"]
[12," Financial Questionnaire","RFP170337LKD",0,null,"c.","The proposer will provide a complete description of the methodology inherent in the renewal work up and any changes in the fees/rates.","drop down box","Listbox, ListYNNAExplain"]
[13," Financial Questionnaire","RFP170337LKD",0,null,"d.","The proposer will provide a definition of all terms and an itemization of all assumptions used including projected claims, trend factors and the formula involved, plus a complete explanation of the logic inherent in the final renewal rate/fee package.","drop down box","Listbox, ListYNNAExplain"]
[14," Financial Questionnaire","RFP170337LKD",0,null,"e.","The proposer will provide estimated or actual identification of expenses, including the change in IBNR, pool charges (if appropriate), claim administration expenses, other expenses (such as, number of transactions/EOBs), and a detailed allocation of your administrative cost projections.","drop down box","Listbox, ListYNNAExplain"]
[15," Financial Questionnaire","RFP170337LKD",0,"","f.","For fully-insured coverages requested, can proposer provide a single national rate regardless of where retirees reside?","drop down box","Listbox, ListYNNAExplain"]
[16," Financial Questionnaire","RFP170337LKD",0,"6.","","The proposer will pay for printing and mailing costs for:"]
[17," Financial Questionnaire","RFP170337LKD",0,null,"a.","ID Cards","drop down box","Listbox, ListYNNAExplain"]
[18," Financial Questionnaire","RFP170337LKD",0,null,"b.","CMS Required communications","drop down box","Listbox, ListYNNAExplain"]
[19," Financial Questionnaire","RFP170337LKD",0,null,"c.","Targeted mailings as agreed to with County","drop down box","Listbox, ListYNNAExplain"]
[20," Financial Questionnaire","RFP170337LKD",0,"7.","","Reporting requested in the Technical propsoal will be provided for no additional charge.","drop down box","Listbox, ListYNNAExplain"]
[21," Financial Questionnaire","RFP170337LKD",0,"8.","","Ad-hoc reporting will be provided for no additional charge.","drop down box","Listbox, ListYNNAExplain"]
[22," Financial Questionnaire","RFP170337LKD",0,"9.",null,"There are no other programs for which the Plan will be charged that is not disclosed as \"Other Program Fee(s)/Cost(s)\" in the \"MAPD Proposed Rates\" Worksheet.","drop down box","Listbox, ListYNNAExplain"]
[23," Financial Questionnaire","RFP170337LKD",0,null,null,"Pricing / Actuarial","Answer Format","Format Type","Response","Explanation"]
[24," Financial Questionnaire","RFP170337LKD",0,"10.",null,"Please outline your organization's renewal methodology guarantee and include your step-by-step calculation for creating renewal rates. ","Text","Text"]
[25," Financial Questionnaire","RFP170337LKD",0,"11.",null,"For the last three years, in a composite of your group-market national passive PPO and/or HMO offerings, provide (for a standardized benefit package representative of the County's plan):"]
[26," Financial Questionnaire","RFP170337LKD",0,null,"a.","The underlying cost increase of the total cost of the program (claims and administration)","Text","Text"]
[27," Financial Questionnaire","RFP170337LKD",0,null,"b.","The underlying Medicare revenue increase.","Text","Text"]
[28," Financial Questionnaire","RFP170337LKD",0,null,"c.","The resultant increase to the purchaser (increase in the market price)","Text","Text"]
[30," Financial Questionnaire","RFP170337LKD",0,"12.","","You will agree to invoice the County monthly for any Additional Professional Services fees.","drop down box","Listbox, ListYNNoExplain"]
[31," Financial Questionnaire","RFP170337LKD",0,"13.",null,"Please describe your banking arrangements for the fully-insured MAPD plan. ","text","Text"]
[32," Financial Questionnaire","RFP170337LKD",0,"14.",null,"Your organization is held accountable for the integrity of the financial transactions.","drop down box","Listbox, ListYNNoExplain"]
[33,{"$f":"G$14","v":" Financial Questionnaire"},{"$f":"G$13","v":"RFP170337LKD"},{"$f":"H$6","v":0},"15.",null,"All disbursements must be supported by a claim for payment event.","drop down box","Listbox, ListYNNoExplain"]
[34," Financial Questionnaire","RFP170337LKD",0,"16.",null,"Please confirm that there will not be a minimum deposit requirement. If there is, please state the amount.","drop down box","Listbox, ListYNNoExplain"]
[35," Financial Questionnaire","RFP170337LKD",0,null,null,"Medicare Risk Adjustment (MRA) Data/Processes","Answer Format","Format Type","Response","Explanation"]
[36," Financial Questionnaire","RFP170337LKD",0,"17.",null,"Complete and Accurate Submissions to CMS"]
[37," Financial Questionnaire","RFP170337LKD",0,null,"a.","What efforts does your organization take to identify and collect complete and accurate risk adjustment data for submission to CMS?","text","Text"]
[38," Financial Questionnaire","RFP170337LKD",0,null,"b.","What process is in place to assess and/or monitor the potential financial impact for instances of noncompliance?  (Particularly as it relates to the submission of duplicate transactions.)","text","Text"]
[39," Financial Questionnaire","RFP170337LKD",0,null,"c.","What process is in place to reconcile your organization's member risk scores with the risk scores on file for the member at CMS?","text","Text"]
[40," Financial Questionnaire","RFP170337LKD",0,null,"d.","What process is in place to ensure that the correct CMS capitated premium was paid based on the most accurate risk score? ","text","Text"]
[41," Financial Questionnaire","RFP170337LKD",0,"","","PERFORMANCE GUARANTEES/STANDARDS","Answer Format","Format Type","Response","Explanation"]
[42," Financial Questionnaire","RFP170337LKD",0,"","","Performance Guarantees"]
[44," Financial Questionnaire","RFP170337LKD",0,"18.","","Implementation:"]
[45," Financial Questionnaire","RFP170337LKD",0,null,"a.","All services are implemented as proposed within specified timeframe and to County’s satisfaction - Measured by proposer’s ability to complete all key functions in an accurate and timely manner according to the detailed work plan.  Specifically, County may assess a penalty if, three (3) months after the Effective Date, County does not rate proposer’s  performance in implementing the Program in an accurate and timely manner an average of 4 or better on a scale of 1 to 5 (5 being the best).","drop down box","Listbox, ListYNNoExplain"]
[46," Financial Questionnaire","RFP170337LKD",0,null,"b.","Benefit Set Up - Guarantee that upon receipt of final sign-off from County of plan parameters, proposer will load, fully test, and release the plan benefit coding information for production within 6 weeks of County’s final sign off. Plan parameters shall include but not be limited to member cost share (e.g. integrated deductible, copayments,  maximums, etc.) plan limitations (e.g. days supply, refills allowed, refill-too-soon, etc.) compensable medications (e.g. covered drugs, exclusions, etc.)","drop down box","Listbox, ListYNNoExplain"]
[47," Financial Questionnaire","RFP170337LKD",0,null,"c.","ID Card Production & Mailing - Accurate ID cards will be mailed by December 15, 2017, for complete enrollment data submitted by County before December 1, 2017.","drop down box","Listbox, ListYNNoExplain"]
[48," Financial Questionnaire","RFP170337LKD",0,null,"d.","Open Enrollment Support - proposer will guarantee to provide support for five (5) open enrollment meetings.","drop down box","Listbox, ListYNNoExplain"]
[49," Financial Questionnaire","RFP170337LKD",0,null,"e.","Pre-implementation Audit - proposer will guarantee that the pre-implementation audit will be completed, including follow up test claims, at least 10 days prior to the implementation date.  The penalty for this stand-alone performance guarantee is $25,000.","drop down box","Listbox, ListYNNoExplain"]
[50," Financial Questionnaire","RFP170337LKD",0,"","f.","Year 1: Implementation Service Guarantees - Total Dollar Amount at Risk","dollar, 0","Text"]
[51," Financial Questionnaire","RFP170337LKD",0,"19.","","Ongoing Service: The following lists ongoing service performance guarantees. "]
[52," Financial Questionnaire","RFP170337LKD",0,null,"a.","Member service telephone response time - On average 100% of calls will be answered by a live voice within thirty (30) seconds or less.\nThe amount of time that elapses between the times a call is received into a member service queue to the time the phone is answered by a Customer Service Representative (CSR). Measurement excludes calls to routed to the IVR. ","drop down box","Listbox, ListYNNoExplain"]
[53," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[54," Financial Questionnaire","RFP170337LKD",0,"","b.","Member service call abandonment rate - 2.0% or less of calls will be abandoned (i.e. caller hangs up) before call is answered by CSR. \nCalculated as the number of calls that are not answered divided by the number of calls received Measurement excludes calls routed to IVR and includes calls abandoned within the first 20 seconds.","drop down box","Listbox, ListYNNoExplain"]
[55," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[56," Financial Questionnaire","RFP170337LKD",0,null,"c.","Member service first call resolution - At least 98% of all calls will be resolved at first point of contact. Calculated as the total calls to proposer minus total number of unresolved calls divided by the total number of calls received. Measurement excludes calls routed to IVR.","drop down box","Listbox, ListYNNoExplain"]
[57," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[58," Financial Questionnaire","RFP170337LKD",0,"","d.","Member service written inquiry (paper or electronic mail) response time - 98% within 5 business days (not an average) and 100% within 7 business days (not an average). Response time for all written inquiries will be based on the number of calendar days subtracting the date received by proposer from the date the response was sent.","drop down box","Listbox, ListYNNoExplain"]
[59," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[60," Financial Questionnaire","RFP170337LKD",0,null,"e.","Overall account satisfaction guarantee - At least a 4.0 on a scale of 1 to 5 (with 5 being the best).\n\nDesignated members of client's staff will complete an annual report card to evaluate proposer account team, or the overall service performance. Guarantee will be measured using a mutually agreed upon survey tool. Scorings can be pass/fail or based on a rating such as:\n5 = Outstanding\n4 = Commendable\n3 = Satisfactory\n2 = Needs improvement\n1 = Unacceptable\n\nAccount team is typically scored on:                                                                                                                                                                                                                                                          - Technical knowledge\n- Accessibility \n- Interpersonal skills\n- Communication skills\n- Overall performance\n\nproposer’s overall service may be scored on such dimensions as:                                                                                                                                                                                                                -  Proactiveness in communication of issues and recommendations\n- Timeliness and accuracy of reports\n- Responsiveness to day to day needs\n- Adequacy of staffing and training\n- Ability to meet performance standards\n","drop down box","Listbox, ListYNNoExplain"]
[61," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Annually","drop down box","Listbox, ListYNNoExplain"]
[62," Financial Questionnaire","RFP170337LKD",0,null,"f.","Timeliness of Billing Reports - proposer will mail Billing Reports, within five (5) business days of the end of each claim cycle report period.","drop down box","Listbox, ListYNNoExplain"]
[63," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[64," Financial Questionnaire","RFP170337LKD",0,null,"g.","Maintenance ID Cards - proposer will mail at least 99% of all maintenance and new member ID cards within four (4) business days following proposer receipt of CMS enrollment confirmation.","drop down box","Listbox, ListYNNoExplain"]
[65,{"$f":"G$14","v":" Financial Questionnaire"},{"$f":"G$13","v":"RFP170337LKD"},{"$f":"H$6","v":0},"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[66," Financial Questionnaire","RFP170337LKD",0,null,"h.","Eligibility Updates - proposer will process any processable maintenance eligibility transactions received in a mutually agreed upon format within two (2) business days of receipt (if received before 12:00 p.m. E.T. on any business day).","drop down box","Listbox, ListYNNoExplain"]
[67," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[68," Financial Questionnaire","RFP170337LKD",0,null,"i.","Plan Design Changes Implemented - Plan will implement on-line all plan changes communicated to proposer by the County within 5.0 business days by 5 p.m. EST","drop down box","Listbox, ListYNNoExplain"]
[69," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Annually","drop down box","Listbox, ListYNNoExplain"]
[70," Financial Questionnaire","RFP170337LKD",0,null,"j.","Annual benefit plan review - proposer will maintain a documented quality control and pre-implementation document and provide it to the County for review and approval at least 15 days prior to implementation of any benefit or program change.\n\nproposer will conduct an annual benefit plan review by mid-October to coincide with the County’s plan implementation of benefit plan modifications. If such reviews identify any systems set in error by proposer, then proposer will reconcile such errors on a dollar for dollar basis, and shall pay the County’s penalty amount at risk\n","drop down box","Listbox, ListYNNoExplain"]
[71," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Annually","drop down box","Listbox, ListYNNoExplain"]
[72," Financial Questionnaire","RFP170337LKD",0,null,"k.","Timeliness of reporting - Vendor will deliver standard financial and clinical reports within 30 days from the close of each reporting period.","drop down box","Listbox, ListYNNoExplain"]
[73," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[74," Financial Questionnaire","RFP170337LKD",0,null,"l.","Plan Management Meetings - proposer will provide attendance by plan representatives trained on the County's plan benefits at 100% of meetings scheduled by the County, for 100% of the meeting's duration, including all Wellness and Benefit Fairs, and the County-sponsored open enrollment meetings.","drop down box","Listbox, ListYNNoExplain"]
[75," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[76," Financial Questionnaire","RFP170337LKD",0,"20.","","Ongoing Pharmacy Service Guarantees:  The following lists ongoing service performance guarantees pertaining to Medicare Part D portion only, and will require a separate dollar guarantee that will be in place if this portion of the RFP is awarded. "]
[77," Financial Questionnaire","RFP170337LKD",0,null,"a.","Pharmacy Network Access - At least 95% of participants shall reside within 5 miles of a network pharmacy ","drop down box","Listbox, ListYNNoExplain"]
[78," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[79," Financial Questionnaire","RFP170337LKD",0,null,"b.","Retail direct reimbursement claims  timeliness of processing and response - At least 97% of retail direct reimbursement claims processed for payment or rejected and responded to within 5 business days","drop down box","Listbox, ListYNNoExplain"]
[80," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[81," Financial Questionnaire","RFP170337LKD",0,"","c.","Mail order turnaround time for prescription drugs requiring no intervention (Non-Protocol or Clean Rxs) - 95% shipped within 2.0 business days (measured in business days from the date the prescription drug claim is received by the vendor (either via paper, phone, fax, or Internet) to the date it is shipped).  ","drop down box","Listbox, ListYNNoExplain"]
[82," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[83," Financial Questionnaire","RFP170337LKD",0,null,"d.","Mail order turnaround time for prescription drugs requiring administrative /clinical intervention (Protocol Rxs) - 100% of prescriptions requiring administrative/clinical intervention will be shipped within 5 business days (measured in business days from the date the prescription drug claim is received by the vendor (either via paper, phone, fax, or Internet) to the date it is shipped).  ","drop down box","Listbox, ListYNNoExplain"]
[84," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[85," Financial Questionnaire","RFP170337LKD",0,null,"e.","Mail order dispensing accuracy - At least 99.99% or greater.\nDispensing Accuracy Rate means (i) the number of all mail order prescriptions dispensed in a contract quarter less the number of those prescriptions dispensed in such contract quarter which are reported and verified as having been dispensed with the incorrect drug, strength, form, patient name, directions, packing non-conformance, or address causing medication to be delivered incorrectly divided by (ii) the number of all mail order prescriptions dispensed in such contract quarter.\n","drop down box","Listbox, ListYNNoExplain"]
[86," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[87," Financial Questionnaire","RFP170337LKD",0,"","f.","Claims processing accuracy (retail, mail, and specialty) -  >99.9% Retail >99.99% Mail >99.99% Specialty \nBased on vendor’s internal quality review. Calculated as all claims audited and found to be without adjudication error of any kind (i.e. any claim processing inaccuracy that results in an incorrect charge to the County or its plan members), divided by all claims audited.","drop down box","Listbox, ListYNNoExplain"]
[88," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Quarterly","drop down box","Listbox, ListYNNoExplain"]
[89," Financial Questionnaire","RFP170337LKD",0,null,"g.","Member satisfaction with retail, mail order, and specialty program - At least 95% satisfaction. \nMeasured as the number of satisfied to highly satisfied survey ratings divided by the total number of survey responses. Survey tool and survey methodology will be mutually agreed upon by vendor and the County.","drop down box","Listbox, ListYNNoExplain"]
[90," Financial Questionnaire","RFP170337LKD",0,"","","Will Measure and Report Annually","drop down box","Listbox, ListYNNoExplain"]
[91," Financial Questionnaire","RFP170337LKD",0,"21.","a.","Year 1: Total Amount at Risk (Ongoing Service Guarantees ONLY) - Excluding Additional Pharmacy Guarantees","dollar, 0","Text"]
[92," Financial Questionnaire","RFP170337LKD",0,null,"b.","Year 1: Total Amount at Risk (Ongoing Service Guarantees ONLY) - Additional Pharmacy Guarantees","dollar, 0","Text"]
[93," Financial Questionnaire","RFP170337LKD",0,null,"c.","Year 1: Aggregate Amount at Risk (Sum of Year 1 Implementation + Ongoing Service Guarantees:  \n19.f. + 22.a. + 22.b.)","dollar, 0","Text"]
[94," Financial Questionnaire","RFP170337LKD",0,"22.","a.","Year 2: Aggregate Amount at Risk (Ongoing Service Guarantees) - Excluding Additional Pharmacy Guarantees","dollar, 0","Text"]
[95," Financial Questionnaire","RFP170337LKD",0,null,"b.","Year 2:  Aggregate Amount at Risk (Ongoing Service Guarantees) - Additional Pharmacy Guarantees","dollar, 0","Text"]
[96," Financial Questionnaire","RFP170337LKD",0,"23.","a.","Year 3: Aggregate Amount at Risk (Ongoing Guarantees) - Excluding Additional Pharmacy Guarantees","dollar, 0","Text"]
[97," Financial Questionnaire","RFP170337LKD",0,null,"b.","Year 3: Aggregate Amount at Risk (Ongoing Guarantees) - Additional Pharmacy Guarantees","dollar, 0","Text"]

{"sheet":"MAPD Proposed Rates","index":16,"n_rows":103,"n_cols":12,"rows_kept":103,"cut":false,"hidden":false,"merged":[[79,6,79,7],[78,6,78,7],[76,6,76,7],[82,6,82,7],[87,6,87,7],[102,6,102,7],[80,6,80,7],[81,6,81,7],[95,6,95,7],[96,6,96,7],[97,6,97,7],[91,6,91,7],[101,6,101,7],[94,6,94,7],[93,6,93,7],[92,6,92,7],[90,6,90,7],[89,6,89,7],[84,6,84,7],[83,6,83,7],[67,6,67,7],[98,6,98,7],[99,6,99,7],[100,6,100,7],[68,6,68,7],[69,6,69,7],[70,6,70,7],[77,6,77,7],[71,6,71,7],[72,6,72,7],[73,6,73,7],[74,6,74,7],[75,6,75,7],[86,6,86,7],[85,6,85,7],[88,6,88,7],[62,6,62,7],[63,6,63,7],[64,6,64,7],[65,6,65,7],[66,6,66,7],[57,6,57,7],[58,6,58,7],[59,6,59,7],[60,6,60,7],[61,6,61,7],[52,6,52,7],[53,6,53,7],[54,6,54,7],[55,6,55,7],[56,6,56,7],[47,6,47,7],[48,6,48,7],[49,6,49,7],[50,6,50,7],[51,6,51,7],[42,6,42,7],[43,6,43,7],[44,6,44,7],[45,6,45,7],[46,6,46,7],[37,6,37,7],[38,6,38,7],[39,6,39,7],[40,6,40,7],[41,6,41,7],[32,6,32,7],[33,6,33,7],[34,6,34,7],[35,6,35,7],[36,6,36,7],[29,6,29,7],[30,6,30,7],[23,6,23,7],[24,6,24,7],[31,6,31,7],[28,6,28,7],[5,7,5,8],[6,6,6,8],[13,6,13,7],[27,6,27,7],[18,6,18,7],[11,6,11,7],[12,6,12,7],[26,6,26,7],[25,6,25,7],[14,6,14,7],[15,6,15,7],[16,6,16,7],[17,6,17,7],[19,6,19,7],[22,6,22,7],[21,6,21,7]]}
[null,null,null,null,null,null,{"$f":"[54]Cover!C19","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"}]
[null,null,null,null,null,null,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx"]
[null,null,null,null,null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,"Name of proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"To proposer: Provide a 2018 rate based on the indicated benefit design (updated for CMS' 2018 Financial Announcement issued April 2017).  Provide a definition of all terms and an itemization of all assumptions used including, but not limited to, all components requested as well as trend factors and the formulas involved, plus a complete explanation of the logic inherent in the proposed rate in your response to \"FI Offer Proj Cost\" worksheet."]
[]
[null,null,null,null,null,null,null,null,"Passive PPO - MAPD"]
[]
[null,null,null,null,null,null,"Assume ESRD members are enrolled at initial enrollment."]
["id","RFP Tab","RFP No.","proposer",null,null,"Please provide the following components of the quoted premium on a PMPM basis:",null,"2017\nMonthly Premium\nNational Passive PPO"]
[1,{"$f":"G$4","v":"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"1.",null,"Medical with Rx Plan"]
[2,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"a.","Star Rating",null,0]
[6,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"b.","PMPM Rate (less ACA Insurance Industry Fee)",null,0]
[7,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"c.","ACA Insurance Industry Fee (if applicable)",null,0]
[8,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"d.","Total County Premium",null,{"$f":"I15+I16","v":0}]
[9,{"$f":"G$4","v":"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},null,"e.","# Medicare Enrolled Retiree Members ",null,327]
[10,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"f.","Monthly Cost",null,{"$f":"I17*I18","v":0}]
[11,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"g.","Annual Cost",null,{"$f":"I19*12","v":0}]
[24,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test"]
[25,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test","2.",null,"Hourly Rate for Additional Professional Services",null,2018]
[26,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"a.","Hourly Rate",null,0]
[27,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test","3.",null,"Rate increase guarantee for 2019",null,2019]
[28,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"a.","Rate increase",null,0]
[27,{"$f":"G$4","v":"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"4.",null,"Rate increase guarantee for 2020",null,2020]
[28,{"$f":"G$4","v":"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},null,"a.","Rate increase",null,0]
[29,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,null,"Other Program Fees",null,"Included (Yes/No)"]
[30,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,null,"Confirm that the following services are included in the quoted fully insured rates above by responding \"Yes\".  If any of these services are:  1.  either not offered, and therefore, not included in the quote; or 2.  not included in the quote, but at an additional cost, please answer \"no\" and provide the additional fee."]
[31,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test","5.",null,"All required communication per CMS rules, and not required communications, including but not limited to:"]
[32,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"a.","Pre-Notification mailing of pending group enrollment and ability to opt-out"]
[33,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"b.","Exhibit and Event Letters "]
[34,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"c.","Welcome Kit Package"]
[35,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"d.","Transition Supply Services"]
[36,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"e.","Formulary Changes"]
[37,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"f.","Formulary 60-Day Notice"]
[38,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"g.","CMS Excluded Provider"]
[39,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"h.","Medication Therapy Management (MTM)"]
[40,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"i.","Evidence of Coverage (EOC)"]
[41,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"j.","Summary of Benefits (SOB)"]
[42,{"$f":"G$4","v":"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},null,"k.","Targeted mailing 45 days prior to initial plan effective date to members who will experience negative formulary change (based on utilization data obtained from current PBM)"]
[43,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"l.","Annual Notice of Change (ANOC)"]
[44,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"m.","Explanation of Benefits (EOB)"]
[45,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"n.","Customized Messages"]
[46,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"o.","Checks/Remittance/Processing Charge (unless indicated otherwise)"]
[47,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"p.","Charges for on-line adjudication (paid, reversed and denied claims)"]
[48,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"q.","Mail order claims integration"]
[49,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"r.","Specialty pharmacy claims integration"]
[50,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"s.","Toll-Free Numbers for Participants, Pharmacies and Providers"]
[51,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"t.","Member welcome packages including ID card production with medical vendor information for each member and delivery to household"]
[52,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"u.","Replacement ID cards (production and delivery to household)"]
[53,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"v.","Eligibility maintenance and support, including manual eligibility updates as needed"]
[54,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"w.","Hard copy of network listing when requested"]
[55,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"x.","Account management team and support "]
[56,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"y.","Designated implementation team and support"]
[57,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"z.","Support for open enrollment benefit fairs"]
[58,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"aa.","Plan design set-up and maintenance"]
[59,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test","6.",null,"Clinical Programs:"]
[60,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"a.","Concurrent Drug Utilization Reviews (CDUR)"]
[61,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"b.","Drug utilization review, Retrospective (RDUR)"]
[62,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"c.","Controlled substance excessive use programs"]
[63,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"d.","Formulary management"]
[64,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"e.","Medication adherence programs (e.g., refill reminders)"]
[65,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"f.","Communications to participants about lower cost alternatives (generics, mail, etc.) when available"]
[66,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"g.","Member access to web-based drug information"]
[67,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"h.","Member access to web-based patient claims history records"]
[68,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"i.","Appeals (first level, second level and urgent)"]
[69,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"j.","Prior authorization"]
[70,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"k.","Quantity duration/level limits"]
[71,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"l.","Step therapy protocols."]
[72,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"m.","Disease Management programs"]
[73,"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx","RFP170337LKD","Test",null,"n.","Fraud and Abuse program"]
[74,{"$f":"G$4","v":"Fully Insured Rate Quote - Medicare Advantage and Part D EGWP Rx"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},null,"o.","Other:"]
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{"sheet":"FI Offer Proj Cost As","index":17,"n_rows":10,"n_cols":10,"rows_kept":10,"cut":false,"hidden":false,"merged":[[5,7,5,9]]}
[null,null,null,null,null,null,{"$f":"[54]Cover!C19","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
[null,null,null,null,null,null,{"$f":"Cover!A10","v":"RFP170337LKD"}]
[null,null,null,null,null,null,"Fully Insured Pricing:  Medicare Advantage"]
[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[]
["id","RFP Tab","RFP No.","Offeror",null,null,"Fully Insured Offer Projected Cost Assumptions","Answer Format","Response","Explanation"]
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[2,{"$f":"G$4","v":"Fully Insured Pricing:  Medicare Advantage"},{"$f":"G$3","v":"RFP170337LKD"},{"$f":"H$6","v":"Test"},"2.",null,"Provide the detailed development calculation for the Projected Medicare Advantage Medical Rate including all assumptions in the projection, including the trend assumptions Offeror used for the fully insured offer in an attachment, Tab F2:  [Your Organization Name]_Fully Insured Offer Projected Cost Assumptions for Medicare Advantage Medical. ","drop down box"]

{"sheet":"Ext Explanations - Financial","index":18,"n_rows":165,"n_cols":9,"rows_kept":165,"cut":false,"hidden":false,"merged":[[4,7,4,8],[5,7,5,8]]}
[null,null,null,null,null,null,{"$f":"Cover!C7","v":"Request for Proposal (RFP) for Medicare Retiree Medicare Advantage Plan "}]
[null,null,null,null,null,null,{"$f":"Cover!C8","v":"for Lee County Board of County Commissioners (County)"}]
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[]
[null,null,null,null,null,null,"Name of Proposer:",{"$f":"'Minimum Requirements'!H6:K6","v":"Test"}]
[null,null,null,null,null,null,"To proposer: If proposer is unable to fit explanation for any question throughout this questionnaire, please use this sheet to provide "]
[null,null,null,null,null,null,"further clarifications. Please insert explanations in the appropriate section corresponding to each tab in this document. Add more"]
[null,null,null,null,null,null,"lines as needed."]
[]
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