Kyle L. Janek, M.D., Executive Commissioner
VENDOR CONFERENCE
Electronic Visit Verification (EVV)
Request for Proposal No. 529-14-0060
December 3, 2013
Welcome
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Introductions
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Rick Blincoe, Procurement and Contracting
Services (PCS)
Deborah Keyser, Medicaid Chip Project
Management
Jimmy Ramirez, Asst. General Counsel
Housekeeping Items
HHSC Procurement Roles
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PCS- Responsible for procurement activity
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Program- Responsible for project scope,
requirements, performance,
results, contract
management/monitoring
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Legal- Questions/answers and legal activity
Vendor Conference Overview
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Procurement Activities
RFP Overview
Legal Overview
Questions
Break
Preliminary Responses to Questions
Closing
Procurement Activities
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Sole Point of Contact -- Section 1.2
Procurement Schedule -- Section 1.3
Solicitation Access
http://www.hhsc.state.tx.us/about_hhsc/BusOpp/BO_opportunities.asp
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Submission Requirements – Section 3.14
Solicitation Changes
Proposal Screening and Evaluation
Award Information
Procurement Schedule
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RFP Release Date
Vendor Conference
Respondent Questions Due
Post Response to Questions (est.)
Proposals Due (2:00 PM Central Time)
Deadline for Proposal Withdrawal
Tentative Award Posting (est.)
Anticipated Contract Start Date
November 21, 2013
December 3, 2013
December 10, 2013
December 16, 2013
January 3, 2014
January 3, 2014
February 7, 2014
March 3, 2014
HUB Subcontracting Plan
(HSP) Requirements
Historically Underutilized Business Participation
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Because the estimated value of the solicitation or resulting contract is less than
$100,000, respondents are not required to submit a HUB Subcontracting Plan
with their proposal at the time of submission. If subcontractors are used in the
delivery of the goods and/or services, the awarded contractor(s) is requested to
submit monthly progress reports, in the prescribed format, to HHSC’s HUB Program
Office. When applicable, the reports should include a narrative description of the
contractor’s good faith efforts and accomplishments, and financial information
reflecting payments to all subcontractors, including HUBs.
During the term of the original contract, HHSC and the awarded contractor(s) may
have the opportunity to modify its arrangement, which may require a new scope of
work through an amendment, renewal, or extension of the contract. As a result, the
amendment, renewal, or extension of the contract may potentially increase the
contract value to equal or exceed $100,000. As applicable and in accordance with
statute and the HUB rules, the HHSC HUB Program Office may review the proposed
amendment, renewal, or extension for potential subcontracting opportunities and
determine if there is a probability for subcontracting and make an assessment for the
inclusion of the HUB Subcontracting Plan.
Request for Proposals No. 529-14-0060
RFP Overview
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Mission Objectives
 Project Objectives
 Project Scope
 Contractor Responsibilities
 Value-Added Benefits
 Evaluation Criteria
Mission Objectives
The Texas Health and Human Services Commission’s (HHSC) objectives for this
procurement are as follows:
 To promote program efficiencies and realize savings during the current
biennium by the utilization of EVV systems to verify individuals are receiving
authorized services for which the state is being billed.
 A statewide implementation of EVV to require certain home and communitybased providers in both managed care and Fee-for-Service (FFS) to utilize
EVV systems.
 To secure EVV vendors who are knowledgeable of current EVV telephony
technology, products and services available, as well as the Texas Medicaid
programs and services in which HHSC plans to utilize EVV.
 To secure EVV vendors who provide excellent customer service in the
delivery of EVV services and who demonstrate best practices used in
providing customer service, including responding to issues and concerns from
contracting entities and providers.
Project Objectives
Texas Government Code §531.024172 requires HHSC, if it is costeffective and feasible, to implement an electronic visit verification
system to electronically verify and document, through a telephone
or computer-based system, basic information relating to the delivery
of Medicaid acute nursing services, including the provider's name;
the recipient's name; and the date and time the provider begins and
ends each service delivery visit. In addition, the 2012-13 and 201415 appropriations acts require HHSC to reduce the amount of
general revenue funds expended for Medicaid by implementing a
plan that may include an initiative to conduct “statewide monitoring
of community care and home health through electronic visit
verification in Medicaid fee-for-service and managed care.” General
Appropriations Act, 83d Leg., R.S., ch. 1411, art. II, rider 51(b)(8),
at II-100 (Health & Human Servs. Section, Health & Human Servs.
Comm'n); General Appropriations Act, 82d Leg., R.S., ch. 1355, art.
II, rider 61(b)(8), at II-94 (Health & Human Servs. Section, Health
& Human Servs. Comm'n).
Project Objectives
The State of Texas, by and through HHSC, seeks to select a pool of
vendors to develop and provide products, solutions, tools, and
other applicable services for statewide implementation of EVV
through the use of telephony in managed care and FFS programs in
a consistent and standardized manner, in accordance with the
specifications contained in this Request for Proposals (“RFP”).
EVV refers to various home visit tracking systems that verify
service visits occur in the home or in the community and document
the precise time the provision of service begins and ends. Subject
to positive vendor performance, and success with this initiative,
HHSC may expand services, such as therapy services and
habilitative services, of the procured EVV system(s) throughout the
state of Texas dependent upon the need and type of services.
Project Objectives
The vendor(s) approved for participation will negotiate contracts
directly with managed care health plans that require EVV services
to provide EVV services to managed care providers, and the
Medicaid claims administrator, Xerox State Healthcare, LLC (dba
Texas Medicaid & Healthcare Partnership (TMHP)), to provide
EVV services to FFS providers. The contract(s) with TMHP will
also include all functionality under the current Department of Aging
and Disability Services (DADS) EVV system in seven regions for
long-term care services providers, and provide for expansion to the
remaining regions in Texas, and the inclusion of nursing services.
Texas Medicaid providers enrolled to deliver services utilizing EVV
will have the option to select an EVV vendor(s) contracted with the
managed care health plan or TMHP for delivery of EVV services.
Project Objectives
Selected vendor(s) will implement EVV in several phases as follows:
 Phase 1:
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Phase 2:
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Implement personal assistance services (PAS) and nursing services in the managed care
STAR+PLUS program by June 1, 2014
Implement personal care services (PCS) and acute nursing services in FFS by June 1, 2014
Implement DADS EVV programs/services and expand those services in remaining regions
by June 1, 2014, adding nursing services statewide
Implement select services in the managed care STAR program
Possible implementation of therapy services and habilitative services
Possible implementation of EVV services in the HCS and TxHmL waiver programs
Phase 3:
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Possible implementation of a closed loop system (also referred to as “claims scrubbing”)
NOTE: EVV implementation in phases of services or programs as described above is
subject to change as needed, or not be implemented at all, if HHSC determines it is not in
the best interest of the State.
Project Scope – Required Program Coverage
The EVV system must capture data for the services provided
statewide in the following programs:
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Managed Care (STAR+PLUS; later expansion to STAR):
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Personal Assistance Services (PAS)
Nursing Services
FFS:
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Personal Care Services (PCS)
Acute Nursing Services
Project Scope – Required Program Coverage
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DADS (current regions with expansion to remaining regions):
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Personal assistance services and in-home respite in the Community Based Alternatives
Program (CBA)
Habilitation and in-home respite in the Community Living Assistance and Support Services
Program (CLASS)
In-home respite and flexible family support services provided by a non-licensed service
provider in the Medically Dependent Children Program (MDCP)
Personal assistance services in Primary Home Care (PHC)
Personal assistance services in Community Attendant Services (CAS)
Personal assistance services in Family Care services (FC)
Individuals in the Consumer Directed Services (CDS) option of the aforementioned
programs may choose their level of participation in EVV.
The EVV system(s) must have flexibility to accommodate a range and scope
of services across multiple programs as well as additional services and/or
programs that may be added by HHSC to the EVV program after initial
implementation.
Project Scope - Tracking
The proposed EVV system must include, at a minimum, the
capacity to electronically track and document:
 the service recipient’s (individual’s) identity;
 the service provider’s identity;
 the date and time the service provider begins and ends the
delivery of services;
 location of service delivery;
 changes made to the EVV system data after the service provider
has recorded their time, including the name of the program
provider staff making the changes, the date the changes were
made, and the reason for changes; and
 on a standardized format approved by HHSC.
Project Scope - Training
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The selected EVV vendor(s) will initially train state
agency employees, program providers and individuals on
the use of the EVV system and provide ongoing training
and technical assistance. The training plan must include
access to and use of a test environment where state
agency employees and provider agency employees can
test various aspects of the EVV system.
All training (classroom, online and webinar training)
must be available to HHSC staff prior to implementation.
The training must be approved by HHSC and must
include how to access the system and how to produce
reports required to conduct oversight activity.
Project Scope – Cost Savings
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All required EVV services must be provided at a highly
competitive fee level, (i.e., the fee quoted should be the
best value to HHSC when all evaluation criteria are
considered).The selected EVV vendor(s) must continually
provide information regarding innovations which may
result in cost savings and improved program efficiency.
Descriptions of proposed innovations should clearly
illustrate how the proposed innovation could result in
cost savings and improved program efficiency.
Project Scope - Scalability
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The EVV vendor(s) will be proficient in providing services that
effectively track and report large volumes of EVV data,
understanding control systems and weaknesses, and project
administration and management. The system must allow adequate
access from a large volume of people (i.e., providers and provider’s
staff), at the same time including numerous state employees,
without disruption to the system. EVV vendor(s) will support
commonly available operating systems, browsers, and
software/hardware platforms, and ensure compatibility with
providers and contracting entities systems.
Respondents should provide knowledge and experience in
implementing EVV systems for self-directed services. Individuals in
the Consumer Directed Services (CDS) option of the aforementioned
programs may choose their level of participation in EVV.
Project Scope -Compliance
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EVV services must be provided in accordance with all related laws, statutes, rules, policies, and
any contract terms. EVV vendor(s) will report to HHSC any identified potential fraud, waste or
abuse by communicating this information to HHSC. EVV vendor(s) must provide any information
HHSC requests for proof of the potential fraudulent activities when the information is available to
the EVV vendor(s). EVV vendor(s) may refer to HHS Circular C-027 for general guidelines for
reporting fraud, waste, or abuse by Medicaid providers. HHSC will refer any fraudulent activities
identified by the EVV vendor(s) to the HHSC OIG.
EVV vendor(s) will supply HHSC with electronic reports and data files, in formats and at
frequencies as requested and approved by HHSC via an approved secured interface.
EVV vendor(s) shall retain all documentation relating to all EVV services provided for a minimum
of 5 years following the date the EVV data is received by the EVV vendor(s) for verification of
services provided, or until all audits, appeals, investigations, or court cases are completed. The
documentation is subject to review by the State Auditor’s Office.
EVV vendors, including, without limitation, their shareholders, members, partners, officers,
directors, board members and employees, who: (1) hold a financial interest; or (2) exercise
control, either directly or indirectly, in a provider entity or managed care organization that will be
a participant in HHSC’s EVV program, are not eligible to be approved as an HHSC EVV vendor.
EVV vendor(s) will provide all EVV services in compliance with all requirements of this RFP and
the contract. EVV vendor(s) shall perform the EVV services consistent with HHSC’s guidelines,
directives, and rules, which may be passed and as amended in the future. HHSC is currently
proposing a new rule for EVV which, if adopted, will be effective May 25, 2014. If adopted, the
new rule can be found at 1 TAC §354.1177. Additionally, DADS EVV rules, currently proposed
with changes to be effective May 25, 2014, can be found at 40 TAC §§68.101, 68.102, and
68.103.
Project Scope – Project Management
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Development Phase - Prior to June 1, 2014, the selected vendor must submit a bi-monthly
report that illustrates the vendor’s progress in meeting goals outlined in the final Project Work
Plan.
Operations Phase - On June 1, 2014, and monthly thereafter, the selected vendor must submit
a progress report in a format specified by HHSC. This progress report must include at a minimum
the following elements:
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hours of service delivered by billing code;
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number of individuals served;
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number of program providers utilizing EVV;
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number of program providers yet to implement EVV;
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status updates on the work that has been done towards fulfilling each major component of
the statement of work;
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identification of implementation barriers;
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recommendations of proposed solutions; and
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report on expenditures and potential savings based on pre-defined metrics.
Respondents must submit in their respective response to this RFP how the proposed EVV system
will generate data reports. Additionally, HHSC reserves the right to require ad hoc reports.
Project Scope - Miscellaneous
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EVV vendor(s) will furnish all material, labor, equipment, and supplies necessary to
perform the EVV services required. The EVV vendor(s) will not remove any original
state agency records from the site of their location at the agencies. When travel is
necessary to conduct EVV services, the EVV vendor(s) will be responsible for all travel
expenses incurred;
HHSC will not supply postage, long distance phone service, email services, or other
related incidental expenses or costs to EVV vendor(s) for associated EVV services
provided;
EVV vendor(s) will remain mindful of the sensitive business relationship that exists
between the State and its Medicaid providers. EVV vendor(s) must obtain HHSC
approval prior to communicating, either in writing or orally, with any Medicaid
providers regarding any EVV service activities; once HHSC has approved EVV services
to be provided, the EVV vendor(s) will contact and correspond with providers only in
a manner so as to complete the scope of work within the agreed upon timeframes.
EVV vendor(s) must work with Medicaid providers to identify and develop an efficient
method to collect service scheduling information (based off of prior authorized
service information) from providers that do not own or utilize an automated
scheduling system in order for the EVV vendor(s) to complete EVV services; the
method developed must be provided at no cost to the provider.
Project Work Plan
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The respondent must submit a well-organized draft Project Work Plan that clearly
identifies:
a Development Phase;
 All activities that must take place between the time of contract award and the
operational start date (no later than June 1, 2014). During the Development
Phase, the vendor must establish working relationships with affected program
providers to ensure smooth start-up and transition. Development activities for
each phase of implementation must include (and may not be limited to):
 EVV system set-up and interfacing
 Training for state and provider staff
 EVV system testing for state and provider staff
 Provider and stakeholder outreach and communication
 Approval of a disaster recovery and business continuity plan. These may be
combined.
 Approval of a comprehensive security plan and risk assessment
Project Work Plan - continued
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an Operations Phase;
 The Operations Phase will begin on June 1, 2014. During this phase, the EVV
system must be fully functional as the sole methodology utilized to document
service delivery for reimbursement. Operations activities for each phase of
implementation must include (and may not be limited to):
 On-going system performance and interfacing
 On-going Support/Help desk via toll-free telephone lines
 Track and monitor EVV data
 Provide standard and ad-hoc reporting
all tasks required to meet the Project Scope and implement EVV by June 1, 2014;
and
timeframes within which each task will be accomplished.
As a part of contract execution, a final Project Work Plan will be based on
negotiations with HHSC. The final Project Work Plan may include elements of the
original plan submitted in the respondent’s proposal, but will include more detail,
such as specific deadlines for completing tasks.
Contractor Responsibilities
All vendors selected for participation in the HHSC EVV
initiative, and as a condition to remain eligible to
participate, will be required to demonstrate and maintain
compliance with the HHSC-approved minimum standard
requirements as set forth in the following requirements
sections.
General Requirements for EVV Vendors
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All EVV vendor supported systems must maintain security and privacy features to
ensure:
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The system is protected against unauthorized use, disclosure, or access, in accordance with
the Health and Human Services (HHS) Enterprise Information Security Standards and
Guidelines (EISSG), DADS Information Security Policies and Standard Operating Procedures
(SOP), State and Federal laws, rules, regulations and guidelines.
Health Insurance Portability and Accountability Act (HIPAA) compliance; EVV vendors
selected for participation will be required to sign and adhere to HHSCs BAA/Data Use
Agreement, in addition to adhering to any HIPAA and security requirements of additional
contracting entities in the EVV initiative.
EVV systems must be flexible and user-friendly allowing access for services outside
the home and accommodate the needs of the consumers receiving services.
EVV systems and training and support services must accommodate people with
disabilities and adhere to all State and Federal laws, rules, regulations and guidelines.
The Voluntary Product Accessibility Template (VPAT) will be provided upon request
from HHSC that demonstrates that the software product meets the state’s web
accessibility standards, outlined in the Texas Administrative Code, Title 1, Chapters
206 and 213, that is in alignment with federal regulations outlined in Section 508 of
the Rehabilitation Act of 1973.
General Requirements for EVV Vendors - cont.
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All EVV components (data input, EVV system, data/claims scrubbing (if applicable), and
data/reporting access system) must be flexible and customizable to meet the needs of a broad
range of program specific documentation.
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Includes support of commonly available operating systems, browsers, and
software/hardware platforms.
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Includes support in multiple languages.
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Ensure system has the capacity to allow access and use by multiple users at the same time.
All EVV components must be able to demonstrate an audit trail and traceability and be provided
to the contracting entity upon request and/or at a defined frequency.
EVV vendors must support all activities and operations associated with the transition of services
to another EVV vendor when a provider chooses to select a different vendor for the provision of
EVV services.
A comprehensive disaster recovery and business continuity plan must exist and be approved by
the contracting entity to ensure recovery from disaster and continued functionality. Plans may be
combined.
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Any occurrence of recovery from disaster or continued functionality must be documented
and reported to the contracting entity with a corrective action plan.
The disaster recovery and business continuity plan(s) will be reviewed and approved annually by
the contracting entity to ensure continued compliance. EVV Vendors must timely provide all
supporting EVV documentation necessary for the contracting entity to conduct dispute resolution
and appeals.
EVV must provide a comprehensive security plan and annual risk assessment.
Data Input Requirements for EVV Vendors
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Consumers and service provider information, and service schedules
(scheduled, or non-scheduled based (some nursing services are based on
total number of hours authorized, or have frequent changes to schedules
based on consumer needs)) must be entered into the EVV system for
validation either through an automated system or a manual system.
 For providers that do not currently utilize an automated scheduling
system, EVV vendors must provide the functionality, including
interfacing from multiple providers, for a manual entry system at no
cost to the provider.
 For providers currently utilizing an automated scheduling system, EVV
vendors must provide the functionality to interface from multiple
providers at no cost to the provider.
A manual data input system must include a uniform and simplified process
for HHSC allowed exception reporting (i.e. service scheduled, but not
performed; service performed, but not scheduled, etc.), as defined and
approved by HHSC, for services performed both in the home and outside
the home.
Visit Verification Requirements for EVV Vendors
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Technology and associated systems must verify visits, maintain visit data, and transfer data to
contracting entities:
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Including, when a single provider performs multiple services at the same time, or when
there are multiple consumers in the home receiving services at the same time.
EVV systems must have the ability to interface with multiple data input systems for visit
verification.
EVV systems must capture consumer identity, service provider identity, and date, begin and end
time, and location of services provided.
EVV systems must be configurable to support specific program and/or customer needs (i.e.
service tracking by variable units – minutes, hours, days, and service hours in standard or military
time; assigning a visit to the quarter in which the EVV record was completed by the provider
rather than the quarter the visit occurred).
EVV technology must have the functionality to be used inside a consumer’s home, or in the
community (outside the home).
Alternatives must be available, and approved by HHSC, for visit verification via use of telephony
in the event a consumer does not have a landline, landline is in use or a consumer is unwilling to
allow for use of landline.
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Alternatives must be provided with no added cost to the consumer, provider, health plan, or
state.
Alternatives must be available, and approved by HHSC, when other forms of EVV technology for
visit verification is limited or non-existent.
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Alternatives must be provided with no added cost to the consumer, provider, health plan, or
state.
Training and Support Requirements for EVV Vendors
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EVV vendor must work with the contracting entity to develop a work plan,
including estimated schedules and milestones necessary for a successful
EVV implementation.
EVV vendor must work with the contracting entity to develop a plan that
addresses the initial and on-going training and support needs for all end
users. The plan must include the following components:
 A provider and stakeholder communication plan that reflects how the
EVV vendor will perform outreach necessary to implement EVV.
 A provider plan that reflects how the EVV vendor will perform testing
prior to implementation of EVV and testing of the system during the
contract period, if necessary.
 Training sessions and materials must be available in multiple languages.
 Support/help desk must be available via toll-free telephone lines during
standard business hours, extended hours, and in multiple languages.
Technical support must be available to the contracting entity and providers
for any questions and/or issues that occur on a day to day basis.
Compliance Requirements for EVV
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All compliance and quality review processes required by
the contracting entity, which may be program or agencyspecific, must be adhered to at all times.
Establish a corrective action plan process, with
contracting entity approval, to initiate when product(s)
or services(s) do not conform to accessibility standards.
A defined and documented process and procedure must
be in place to document, respond to and resolve any
complaints or issues regarding accessibility of product(s)
or service(s).
Work with the contracting entity to develop and
implement a change management process.
Data/Record Access System Vendor
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Must have the ability to interface with multiple vendors for reporting and
maintenance of visit verification records.
Work with the contracting entity, providers, and EVV vendors to identify data
elements necessary to perform all required reporting functions.
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Includes reporting requirements for contracting entity that will be used to
evaluate a provider’s compliance with EVV usage requirements under program or
agency-specific EVV compliance plans.
Track and monitor services authorized vs. services rendered, services used vs.
services remaining, and individual instances of service delivery including validation
data and any exceptions to service.
Must allow contracting entity the ability to view the same information that a provider
can access and view.
Provide HHSC-defined standard, as well as adhoc, reporting capability for any EVV
technology method used (i.e. telephony, mobile phone, etc.).
The system must support ability for the contracting entity to generate real-time
reports, and reports based on all data available in the system, as required to support
program requirements and monitoring.
NOTE: All EVV vendors that meet the minimum standard requirements as listed in
this section will be required to demonstrate and provide examples of their ability to
effectively implement the requirements as intended.
Value-added Benefits
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Describe any services or deliverables that are not required by the RFP that
the respondent proposes to provide at no additional cost to HHSC.
Respondents are not required to propose value-added benefits, but
inclusion of such benefits may result in a more favorable evaluation.
HHSC may consider later implementation of a closed loop system (also
referred to as “claims scrubbing”) as part of the HHSC EVV initiative.
Vendors that provide EVV claims scrubbing services are encouraged to
provide information in response to this RFP that describes in detail their
capability, along with experiences, in providing these services.
A closed loop system is described as a system that compares and validates
that the actual services billed on a claim match the visit data as verified by
the EVV vendor prior to submission to the payor for payment, or prior to
payment of the claim if the payor is responsible for performing the claim
scrubbing.
RFP Evaluation Criteria
HHSC will evaluate proposals based on the criteria listed below in the
order of priority:
1.
Knowledge of and demonstrated ability to comply with the HHSC
EVV RFP mission statement and Section 2 (Project Schedule/Scope
of Work and General Requirements), including a well-reasoned
approach to fulfilling the RFP’s minimum standard requirements as
stated in Section 2.4).
2.
Past performance on similar projects and qualifications of key
project personnel, including without limitation a demonstrated
understanding of:
a.
b.
c.
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5.
Experience with successful implementation and ongoing operation of EVV
systems;
Knowledge of and compliance with HIPAA standards; and
Experience with community-based long-term services and supports.
The extent of EVV system scalability.
Total cost of acquiring vendor's goods or services.
The ability to provide EVV services statewide.
Office Of General Counsel
Jimmy Ramirez
Assistant General Counsel
HHSC Office of General Counsel
Legal Reminders to be Aware
of the Following
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Collusion
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Conflict of Interest-Former Agency Employees
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Permissible Contacts-HHSC Point of Contact
Definition of Collusion
(This is not exhaustive but merely representative)
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Collusion occurs when two persons or representatives of an
entity or organization make an agreement to deceive or
mislead another.
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Such agreements are usually secretive, and involve fraud or
gaining an unfair advantage over a third party, competitors,
consumers or others with whom they are negotiating.
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The collusion, therefore, makes the bargaining process
inherently unfair.
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Collusion can involve price or wage fixing, kickbacks, or
misrepresenting the independence of the relationship
between the colluding parties.
Conflict of Interest
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A vendor must certify that it does not have personal or
business interests that present a conflict of interest with
respect to the RFP and resulting contract (see the Required
Certifications form). Additionally, if applicable, the vendor
must disclose all potential conflicts of interest.
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The vendor must describe the measures it will take to
ensure that there will be no actual conflict of interest and
that its fairness, independence and objectivity will be
maintained (see the Vendor Information and Disclosures
form) over the course of the contract. HHSC will
determine to what extent, if any, a potential conflict of
interest can be mitigated and managed during the term of
the contract. Failure to identify potential conflicts of
interest may result in HHSC’s disqualification of a proposal
or termination of the contract.
Former Employees of a State Agency
Vendors must comply with Texas and federal laws
and regulations relating to the hiring of former state
employees (see e.g., Texas Government Code
§572.054 and 45 C.F.R. §74.43). Such “revolving
door” provisions generally restrict former agency
heads from communicating with or appearing before
the agency on certain matters for two years after
leaving the agency. The revolving door provisions
also restrict some former employees from
representing clients on matters that the employee
participated in during state service or matters that
were in the employees’ official responsibility.
Permissible Contact
The sole point of contact for inquiries concerning
this RFP is Rick Blincoe.
As a reminder, all communications relating to this
RFP must be directed to the sole HHSC contact
person for this procurement. Otherwise failure to
comply with these requirements may result in
proposal disqualification.
Texas Health and Human Services Commission
Questions Submittal
Followed by Break
Vendor Question/Response

Verbal answers to vendor questions will be
provided to the extent practicable.

Responses are not binding until the final
written addendum is posted on the HHSC
website. HHSC estimates the addendum
will post by December 16, 2013.
Texas Health and Human Services Commission
Closing Comments