Kyle L. Janek M.D., Executive Commissioner

1

• Kyle L. Janek M.D., Executive Commissioner
• VENDOR CONFERENCE
• Nonemergency Medical Transportation Services
  (NEMT) Request for Proposal (RFP)
• No. 529-15-0002
• December 10, 2013 (1000 AM 100 PM)

2

• Welcome
• Introductions
• Chris Traylor, Chief Deputy Executive
  Commissioner
• Wayne Wilson, Deputy Executive Commissioner,
  Richard Blincoe, Procurement Project Manager, PCS
• Robert Hall, Director for Client Services
  Procurement/HHS HUB Coordinator, PCS
• Dimitria Pope, Director, Medical Transportation
  Program (MTP)
• Shannon Pickett, Associate Director MTP
• Rich Stebbins, Director of Finance, Medicaid/CHIP

3

• Welcome
• Introductions (cont.)
• Rachel Butler, Chief Actuary, Financial Services
• PJ Fritsche, Director of Health Services System,
  Information Technology
• Sherice Williams, HUB Coordinator /Administrator,
  Procurement and Contract Services (PCS)
• Kent Hardin, Assistant General Counsel, Office of
  General Counsel
• Housekeeping Items

4
Vendor Conference Overview

• Procurement Activities
• Program/RFP Overview
• Financial Overview
• Capitation Rate Methodology Overview
• Information Technology and Telecom Overview
• HUB Overview
• Legal Overview
• Question Submittal
• Break

5

• PCS Procurement Activities
• Sole Point of Contact
• Source for Questions Answers
• Procurement Schedule
• Solicitation Access http//www.hhsc.state.tx.us/co
  ntract/529150002/rfp/announcements.shtml
• Submission Requirements
• Solicitation Amendments
• Oversees Screening Evaluation Process
• Award Information

6
Procurement Schedule

• RFP Release Date
  November 25, 2013
• Vendor Conference
  December 10, 2013
• Vendor Questions Due (COB)
  December 13, 2013
• Response to Questions Posted (est.) December 19,
  2013
• Proposals Due (200 PM Central Time)
  January 15, 2014
• Tentative Award Posting (est.) March 1, 2014
• Anticipated Contract Start Date July 31, 2014

7

• PROGRAM/PROJECT OVERVIEW
• RFP 529-15-0002
• Dimitria D. Pope, Director MTP

8
RFP Mission

• HHSCs mission for this procurement is to
  establish a statewide network of qualified,
  Managed Transportation Organization (MTO) that
  will offer quality, safe, timely and economical
  transportation services to eligible clients that
  have no other means of transportation to obtain
  medical care or other health care services.

9
RFP Goals and Objectives

• Comply with requirements of Senate Bill 8.
• Establish a qualified MTO in each MTO Region to
  provide transportation services to eligible
  clients that have no other means of
  transportation to obtain medical care or other
  health care services.
• Ensure that eligible MTP clients have safe and
  timely access to transportation services to
  covered medical care or other health care
  services.

10
RFP Goals and Objectives (Cont.)

• Offer quality service that is appropriate and
  economically feasible based on client health care
  needs.
• Increase program efficiencies through the
  establishment of a regional network of
  transportation providers.
• Eliminate potential for fraud, waste and abuse.

11
RFP Goals and Objectives (Cont.)

• Reduce the cost of medical transportation by
  utilizing a capitation rate methodology.
• Increase efficiencies through data analytics
  collected and reported by providers and analyzed
  by HHSC.
• Comply with obligations of the Frew lawsuit.

12
Contract Terms

• HHSC will award multiple contracts across the
  State, selecting one vendor per MTO Region.
• Initial contract period will be for a term of
  three (3) years with option to extend the term of
  the contract for up to two (2) additional (1)
  year terms or as necessary to complete mission of
  procurement.

13
Contract Terms (Cont.)

• Vendors may apply for, and may be awarded
  contracts for, multiple MTO Regions.
• Vendors must submit separate proposal responses
  for each MTO Region in which they wish to be
  considered.

14
Scope of Work

• Provide a statewide network of qualified regional
  providers for transportation services that offers
  quality, safe, timely and economically feasible
  medical transportation services to eligible
  clients.
• Administer and operate the program ensuring
  vendor and subcontractor compliance and
  accountability to HHSC for effective and
  efficient performance.

15

• FINANCIAL OVERVIEW
• Rich Stebbins
• HHSC-MCD Finance Director

16
Financial Overview

• Fundamentals of a Capitated, Full Risk contract
• Financial evaluation of RFP submissions and
  prospective Vendors
• Post-award financial performance monitoring
  reporting requirements

17
Fundamentals of a Capitated, Full Risk contract

• How it works
• Not based on payment for each service rendered
• Not based on reimbursement for specific costs
  incurred
• HHSC establishes a monthly rate per person, which
  covers each eligible person living in the MTOs
  Region

18
Fundamentals of a Capitated, Full Risk contract

• How it Works (Cont.)
• This rate varies by type of person (e.g., under
  21), and other factors (urban vs. rural, by
  Region, etc.) each type is called a rate cell
• Aggregate monthly payment amount determined by
  HHSC, by multiplying monthly rate by the quantity
  of each beneficiary type

19
Fundamentals of a Capitated, Full Risk contract

• How it Works (Cont.)
• Aggregate monthly payment will fluctuate
  depending upon the changes in number (and types)
  of eligible beneficiaries living in the Region
• The MTO is then responsible to provide all
  Contract-required services during the month for
  that monthly amount

20
Fundamentals of a Capitated, Full Risk contract

• How it works (Cont.)
• Some beneficiaries will use no services MTO is
  still paid.
• Some beneficiaries use high degree of services
  MTO not paid any extra.

21
Fundamentals of a Capitated, Full Risk contract

• How it Works (Cont.)
• Monthly amount paid is also to cover
  administration, including Contract Deliverables.
• MTO is responsible for providing all
  Contract-required NEMT services for every
  eligible beneficiary living in the MTOs Region,
  regardless of where the beneficiary may need to
  travel.

22
Fundamentals of a Capitated, Full Risk contract

• How it works (Cont.)
• The Region defines who an MTO covers it does
  not define where an MTO is responsible for
  providing transportation.
• Monthly capitation is usually received by MTO
  about mid-month, for the month covered. This
  provides some cash-flow advantage for the MTO.

23
Fundamentals of a Capitated, Full Risk contract

• How it works (Cont.)
• Monthly cap payments fluctuate primarily by
  beneficiary population, not by service usage.
• If usage goes up in a given month, costs will go
  up, but revenues will not necessarily change.
  Likewise, if usage goes down in a month, costs
  will go down, but revenues may not change.

24
Fundamentals of a Capitated, Full Risk contract

• Other Implications
• MTOs may suffer losses if the capitation does not
  cover all costs. HHSC does not reimburse for any
  such losses.
• Capitation rates include a profit component but
  this is a full risk contract and losses are borne
  by the contractor.

25
Fundamentals of a Capitated, Full Risk contract

• Other Implications (Cont.)
• The MTO should aggressively negotiate provider
  subcontract rates, and look for administrative
  efficiencies.
• Generally speaking, HHSC adjusts rates each year
  based in large part on a prior period of
  experience and demonstrated cost trends.

26
Fundamentals of a Capitated, Full Risk contract

• Other Implications (Cont.)
• There is a substantial amount of reporting and
  administration involved.
• Capable IT and financial staff will be needed on
  an on-going basis.
• HHSC dual goal Vendor solvency and lower costs
  for taxpayers.

27
Fundamentals of a Capitated, Full Risk contract

• Other Implications (Cont.)
• It is in the MTOs own best interest to develop
  methods to cut costs, without denying required
  services to beneficiaries
• This would increase an MTOs profit in a given
  year.
• Over the long run, will bring down total costs to
  HHSC.

28
Fundamentals of a Capitated, Full Risk contract

• History of capitated full-risk contracts
• HHSC has successfully utilized capitated
  full-risk contracts for 18 years.
• HHSC now pays out over 14 Billion annually under
  these contracts.
• Many vendors are involved, and they generally
  apply to sign-up again when contracts expire.

29
Fundamentals of a Capitated, Full Risk contract

• History of capitated full-risk contracts (Cont.)
• For NEMT, HHSC has already utilized this approach
  for the states two largest metro areas, which
  covers approximately 45 of the states
  beneficiary population.
• Undertaking such a contract is a significant
  endeavor.

30
Financial evaluation of RFP submissions and
prospective Vendors

• Financial capacity, stability, and track record
  of prospective Vendors.
• Negotiating financially-competitive subcontracts
  with transportation providers.
• Potential in-house or Affiliate fleets.
• Vendor strategies for reducing costs.

31
Post-Award Financial Performance Monitoring
Reporting Requirements

• Why internal MTO costs matter to HHSC
• Certain costs are unallowable based on regulation
  or contract.
• Historical vendor costs are an important
  component in the rate-setting process.

32
Post-Award Financial Performance Monitoring
Reporting Requirements(Cont.)

• Encounter submissions
• Encounters are electronic records of provider
  transactions.
• Encounter data must be sent to HHSCs agent by
  the MTO.
• Encounter data must be highly accurate.

33
Post-award Financial Performance Monitoring
Reporting Requirements (Cont.)

• Encounter submissions (Cont.)
• The MTO must have knowledgeable staff to handle
  this data.
• Encounters must tie to financial reports, within
  close tolerances.
• Encounters will be used in developing future
  capitation rates.

34
Post-Award Financial Performance Monitoring
Reporting Requirements(Cont.)

• MTO financial reporting to HHSC
• Financial reporting is described in the RFP, and
  required by the Contract.
• Most reporting is quarterly and annually, with
  some as-occurs reports.

35
Post-Award Financial Performance Monitoring
Reporting Requirements(Cont.)

• MTO financial reporting to HHSC
• There are a number of different reports,
  requiring some substantial administrative
  efforts.
• Reports include a defined income statement, plus
  operating metrics, and various disclosures.

36
Post-Award Financial Performance Monitoring
Reporting Requirements(Cont.)

• HHSC Cost Principles
• Financial reporting must conform to HHSCs Cost
  Principles document.
• There are a number of types of costs that are
  allowable by GAAP and the IRS that are not
  allowable for inclusion in reports to HHSC.

37
Post-Award Financial Performance Monitoring
Reporting Requirements(Cont.)

• Experience Rebates
• If an MTO earns a pre-tax income of over 5, then
  the MTO must rebate back a certain portion that
  is in excess of the 5 income.
• Certain offsets may apply, such as a Loss
  Carry-forward.

38
Post-Award Financial Performance Monitoring
Reporting Requirements(Cont.)

• Audits
• Each annual Financial Statistical Report (FSR) is
  audited.
• Liquidated Damages
• Potential penalties for misreporting, late
  reporting or inadequate reporting.

39

• CAPITATION RATE METHODOLOGY
• Rachel Butler, Chief Actuary

40
Capitation Rate Process Overview

• Generally, under a capitated full-risk model, the
  Managed Transportation Organization will be paid
  a predetermined amount, per member per month
  (PMPM) for each enrolled client in their area.
• Rates are set annually for the state fiscal year
  which begins September 1.

41
Capitation Rate Process Overview(Cont.)

• Rate setting process begins well in advance of
  the effective date.
• HHSC in conjunction with HHSCs external
  actuarial firm calculates the rates in advance of
  the effective date.

42
Capitation Rate Process Overview (Cont.)

• MTOs will be present rates and a meeting will be
  held to discuss the rate-setting methodology used
  in determining those rates.
• MTOs will be given the opportunity to ask
  questions and comment on the rates.

43
Capitation Rate Process Overview (Cont.)

• Additional time will be granted for the MTOs to
  draft responses and provide additional
  information or data they deem necessary for
  rating.
• A final meeting will be held with the Executive
  Commissioner present the MTOs comments and seek
  approval of the rates.

44
Capitation Rate Process Overview (Cont.)

• Rates require approval from the following
• HHSC Executive Commissioner
• Legislative Budget Board
• Governors Office
• Centers for Medicare and Medicaid Services (CMS)

45
Capitation Rate Methodology

• Rates are fixed for the rating period.
• Rates are set by
• Geographical service area
• Risk Group

46
Capitation Rate Methodology (Cont.)

• Rate Components
• Base Data
• Trend
• Adjustments for Policy Changes
• Administrative Cost
• Risk Margin

47

• INFORMATION TECHNOLOGY TELECOM OVERVIEW
• P.J. Fritsche, Director
• Health Services Systems

48
Information Technology Telecom Overview

• HHSC ITs mission is to provide outstanding
  customer service and innovative technology
  solutions securely, efficiently and effectively.
• HHSC IT will support secure file transfers,
  provide NEMT eligibility and rate files, and
  support for the Telecom cloud.

49
Information Technology Telecom Overview (Cont.)

• HHSC Health Services Systems
• Oversees IT Readiness Review.
• Provides eligibility and capitated rate files via
  secure transmission.
• Supports client look up through Texas Medical
  Transportation System.

50
Information Technology Telecom Overview (Cont.)

• IT oversight for vendor and subcontractor
  compliance to IT standards, including Claims
  Administrator.
• HHSC Infrastructure Operations
• Contract oversight for Telecom Cloud
  implementation
• On-going support of Telecom Cloud
• IT oversight for telecom vendor and subcontractor
  compliance to IT standards.

51
Information Technology Telecom Overview (Cont.)

• HHSC provided cloud telecommunications services
  will include
• Toll-free number routing to MTO (IVR)
• ACD functionality
• Priority call routing
• Call center reporting
• Audio recording

52
Information Technology Telecom Overview (Cont.)

• For onsite functionality, HHSC will install and
  provide the following
• Agent phones
• Cabling to agent stations
• Voice gateways
• Network connectivity
• Remote and onsite maintenance of HHSC provided
  telephony equipment and cabling
• Initial training to MTO on ACD reports, audio
  recording and call monitoring systems

53
Information Technology Telecom Overview (Cont.)

• Claims Administrator (Texas Medicaid Health
  Partnership)
• Third party vendor responsible for provider
  enrollment, Encounter Processing, and central
  secure file transfer via TxMed Central.
• On-line provider enrollment and lookup.
• Maintains Electronic Data Interface (EDI) for
  Encounter submission.

54
HHSC Cloud Telecommunications (Cisco)
[phone]
Clients
Data Center
App Integrations
Cloud Infrastructure
Business Reporting
Quality Management Application
Routing Applications
ACD
CTI
IVR
Dialer
WFM
QM

• IVR

• ACD

MTO 1
MTO 2
MTO 3
MTO 4
MTO 5
MTO 10
MTO 9
MTO 7
MTO 6
MTO 11
MTO 8
55
Information Technology Encounters

• What is an Encounter?
• Historical record of a claim adjudicated by the
  MTO for a covered service.
• Used by HHSC to monitor MTO performance, comply
  with Federal reporting, and as a component of
  rate setting.
• Encounter Record An electronically formatted
  list of encounter data elements in a HIPAA
  compliant transmission.

56
Information Technology Encounters EDI X12
837P

• What is an EDI X12 837P transaction?
• EDI (Electronic Data Interchange) X12 provides
  standards for exchanging data between two
  entities.
• The 837P is the standard document format for
  exchanging information about Healthcare
  Claims/Encounters for Professional services.

57
Information Technology Encounters EDI X12
837P (Cont.)

• What is an EDI X12 837P transaction? (Cont.)
• HHSC uses the EDI X12 837P version 5010 X222A1
  standard as its basis for standardizing the
  submission of NEMT Encounter Data.
• Customizations to this standard to support MTO
  service data are described in the MTO 837P
  Companion Guide provided by HHSC.

58
Information Technology Encounters Submission

• How is Encounter Data submitted to HHSC?
• MTO IT system will generate files with a maximum
  of 5000 Encounters compliant with the EDI X12
  837P standard and the MTO 837P Companion Guide.
• MTOs will submit Encounter Data at least monthly
  no later than the 30th calendar day after the
  last day of the month in which the claim was
  adjudicated.

59
Information Technology Encounters Submission
(Cont.)

• How is Encounter Data submitted to HHSC? (Cont.)
• Each MTO will put Encounter files in a
  pre-defined secure folder location on TMHPs
  Secure FTP server assigned to the MTO.

60
Information Technology Encounters Processing

• How are Encounters processed?
• Encounter files submitted by MTOs will
  automatically be picked up for processing and
  validated for X12 structure compliance.
• An EDI X12 999 Functional Acknowledgement file
  will be generated for each file processed and
  will indicate if the entire file was rejected due
  to X12 non-compliance.

61
Information Technology Encounters Processing
(Cont.)

• How are Encounters processed? (Cont.)
• Files that pass the X12 structure compliance
  validation will then be validated for compliance
  with transaction level HIPAA and Business edits.
• An EDI X12 277 CA (Encounter/Claim
  Acknowledgement) report will provide the results
  of this second level of validation and will
  identify any individual transactions that were
  rejected.

62
Information Technology Encounters Processing
(Cont.)

• How are Encounters processed? (Cont.)
• Accepted Encounter transactions will be stored
  for review by Texas HHSC.
• Rejected Encounter files and transactions must be
  corrected and resubmitted by MTOs within
  specified timelines.

63
Encounter Data
Secure FTP Folder
64

• Historically Underutilized Business (HUB)
  Requirements
• Sherice Williams
• HHSC HUB Coordinator/Administrator

65
Agenda Topics

1. RFP Section 4.0 Historically Underutilized
   Business Participation Requirements
2. HUB Subcontracting Plan Development and
   Submission
3. HSP Quick Checklist Handout
4. HSP Methods Section 4.6.3-4.6.6
5. HSP Prime Contractor Progress Assessment Report
   Section 4.8

66

1. Historically Underutilized Business
   Participation Requirements

67

1. RFP Section 4.0 Historically Underutilized
   Business Participation Requirements

• HUB Participation Goals Section 4.3
• Potential Subcontracting Opportunities Section
  4.5
• Centralized Master Bidders List and HUB Directory
  Section 4.5
• Vendor Intends to Subcontract Section 4.6

68

1. RFP Section 4.0 Historically Underutilized
   Business Participation Requirements (cont.)

• Minority or Women Trade Organizations Section
  4.6.6
• Self Performance Section 4.7
• HSP Changes After Contract Award Section 4.8
• Reporting and Compliance with the HSP Section
  4.8

69

• HUB Subcontracting Plan (HSP)
• Development and Submission

70
If HSP is inadequate, response will be rejected
HUB GOALS
Special reminders and instructions
HSP Information Page
71

• HSP Quick Checklist
• See Checklist Handout

72

1. HSP Methods

73
METHOD OPTIONS

• A Respondent may choose from one of the following
  methods when completing the HSP
• Method I if 100 of your subcontracting
  opportunities will be performed using only HUB
  vendors
• Method II if one or more of the subcontracting
  opportunities identified will be performed using
  HUB protégés
• Method III if a combination of HUBs and
  Non-HUBs are used to perform the subcontracting
  work identified AND the HUB goal identified in
  the solicitation is met or exceeded

74
METHOD OPTIONS

• A Respondent may choose from one of the following
  methods when completing the HSP (cont.)
• Method IV if a combination of HUBs and Non-HUBs
  are used to perform the subcontracting work
  identified AND the HUB goal identified in the
  solicitation is not met or exceeded.
• Method V - if the Respondent intends to self
  perform all of the work utilizing their own
  resources, equipment, employees, and supplies.

75
ALL METHODS

• For ALL Methods the following steps are required
  to be completed on the HSP Form
• Page 1 - Section 1 - Respondent and Requisition
  Information
• Page 2 - Company and Requisition Information
• Page 2 - Section 2(a) Subcontracting Intentions
  
• Section 4 Affirmation and Sign

76
HSP Information Page
Respondent and Requisition Information
77
Company Name and Requisition
Subcontracting Intentions If Yes, Complete
Section 2a If No, Complete Section 2b
78
Section 4 Affirmation
Signature Affirms that Information Provided
is True and Correct.
79
METHOD I

• If all (100) of your subcontracting
  opportunities will be performed using only HUB
  vendors, complete
• All of the steps in Slides 76 and 77
• Section 2 b. List all the portions of work you
  will subcontract, and indicate the percentage of
  the contract you expect to award to HUB vendors
• Section 2 c. Yes
• HSP GFE Method A (Attachment A) Complete this
  attachment for each subcontracting opportunity.

80
Complete Section 2-b List all the portions of
work you will subcontract, and indicate the of
the contract you expect to award to all HUBs.
Complete Section 2-c Yes if you will be using
only HUBs to perform all Subcontracting
Opportunities in 2-b.
81
HSP GFE Method A (Attachment A)
Complete this attachment (Sections A-1 and A-2)
and List Line and Subcontracting Opportunity.
HUB Subcontractor Selection for this
Subcontracting Opportunity
82
METHOD II

• If any of your subcontracting opportunities will
  be performed using HUB protégés, complete
• All of the steps in Slides 76 and 77
• Section 2 b. List all the portions of work you
  will subcontract, and indicate the percentage of
  the contract you expect to award to HUB vendors
• HSP GFE Method B (Attachment B) Complete
  Section B-1 and Section B-2 only for each
  subcontracting opportunity as applicable.

83
Complete Section 2-b List all the portions of
work you will subcontract, and indicate the of
the contract you expect to award to HUB Protégés.
Skip Sections 2-c and 2-d.
84
HSP GFE Method B (Attachment B)
Complete Sections B-1 and B-2 only for each
HUB Protégé subcontracting opportunity.
85
HSP GFE Method B (Attachment B)
List the HUB Protégé(s)
86
METHOD III

• If you are subcontracting with HUBs and Non-HUBs,
  and the aggregate percentage of subcontracting
  with HUBs in which the HUB Goal identified in the
  solicitation is met or exceeded , complete
• All of the steps in Slides 76 and 77
• Section 2 b. List all the portions of work you
  will subcontract, and indicate the percentage of
  the contract you expect to award to HUB vendors
  and Non HUB vendors
• Section 2 c. No
• Section 2 d. Yes
• HSP GFE Method A (Attachment A) Complete this
  attachment for each subcontracting opportunity.

87
Complete Section 2-b List all the portions of
work you will subcontract, and indicate the of
the contract you expect to award to HUBs and
Non-HUBs.
Complete Section 2-c No to using only HUBs to
perform all Subcontracting Opportunities in 2-b.
88
Complete Section 2-d Yes, to the Aggregate of
the contract expected to be subcontracted to HUBs
to meet or exceed the HUB goal, which you have a
contract agreement in place for five (5) years or
less.
89
HSP GFE Method A (Attachment A)
Complete this attachment (Sections A-1 and A-2)
for each subcontracting opportunity.
Subcontractor Selection (HUBs and Non-HUBs)
90
METHOD IV

• If you are subcontracting with HUBs and Non-HUBs,
  and the aggregate percentage of subcontracting
  with HUBs, holding an existing contract with HUBs
  for 5 years or less, does not meet or exceed the
  HUB Goal identified in the solicitation,
  complete
• All of the steps in Slides 76 and 77
• Section 2 b. List all the portions of work you
  will subcontract, and indicated the percentage
  of the contract you expect to award to HUB
  vendors and Non HUB vendors
• Section 2 c. No
• Section 2 d. No
• HSP GFE Method B (Attachment B) Complete this
  attachment for each subcontracting opportunity.

91
Complete Section 2-b List all the portions of
work you will subcontract, and indicated the of
the contract you expect to award to HUBs and
Non-HUBs.
Complete Section 2-c No, to using only HUBs to
perform all Subcontracting Opportunities in 2-b.
92
Complete Section 2-d No, to the Aggregate of
the contract expected to be subcontracted to HUBs
to meet or exceed the HUB goal, which you have a
contract agreement in place for five (5) years or
less.
93
HSP GFE Method B (Attachment B)
Complete Section B-1 and Section B-2 only
for each subcontracting opportunity.
Good Faith Efforts to find Texas Certified HUB
Vendors
94
HSP GFE Method B (Attachment B)
Written Notification Requirements
List 3 HUBs Contacted for this
Subcontracting Opportunity
95
HSP GFE Method B (Attachment B)
Written Notification To Trade Organizations
96
HSP GFE Method B (Attachment B)
List Trade Organizations Notified with Dates
Sent/Accepted.
97
HSP GFE Method B (Attachment B)
Provide written justification why a HUB was not
selected for this Subcontracting Opportunity
98
METHOD V

• If you are not subcontracting any portion of the
  contract and will be fulfilling the entire
  contract with your own resources (i.e.,
  equipment, supplies, materials, and/or
  employees), complete
• All of the steps in Slides 76 and 77
• Section 3 Self Performing Justification

99
Section 3 Self Performing Justification
List the specific page(s)/section(s) of your
proposal response, OR in the space provided,
which explains how your company will perform the
entire contract with its own equipment, supplies,
materials and/or employees.
100
HUB Subcontracting Opportunity Notification Form
101
Sample for Respondents Use.
102

1. HSP Prime Contractor Progress Assessment Report

103
HSP Prime Contractor Progress Assessment Report

• Required with
• ALL Pay Requests

• List ALL Sub
• payments
• (HUBs Non-HUBs)

• Required even if
• not subcontracting

104

• Legal Overview
• Kent Hardin, J.D.
• HHSC Office of General Counsel

105
Legal Overview

• Statutes and Rules
• Collusion
• Apparent or Actual Conflicts of Interest
• Revolving Door
• Dont Skip Details

106
Texas Health and Human Services Commission

• Question Submittal

107
Texas Health and Human Services Commission

• Break

108
Closing Comments
Texas Health and Human Services Commission
109
Thank You!
Texas Health and Human Services Commission