Upcoming Procurements
Estimated Release Dates provided are based on calendar year and are subject to change.
National Core Indicators Survey Instrument (Reissue)
- Procurement Number: 31865-00644
- Release Date: June 7, 2023
- Summary:
National Core Indicators (NCI) is used across states to assess the quality and outcomes of Developmental Disability (DD) services provided to individuals with intellectual and developmental disabilities (IDD) and their families. NCI offers valid, reliable, person-centered measures that states use to demonstrate how publicly funded supports are impacting people’s lives and to determine where they can improve the quality of those supports. NCI surveys help states measure important elements of person-centered planning, outcomes, and satisfaction in domains such as self-determination; service coordination and access; relationships and community inclusion; rights, choices and decision-making; employment status and goals; health, welfare and safety. NCI Child and Family Surveys (NCI-CFS) serve a similar purpose: to assess the quality and outcomes reported by families of children with IDD receiving services through the Katie Beckett Program.
PREPAID INPAITIENT HEALTH PLAN (PIHP)
- Procurement Number: 31865-00637
- Projected Release Date: 4th Quarter 2023
- Summary:
TennCare seeks to select a contractor to maintain a statewide administrative services only contract for medical services and care management. Contractor will be required to maintain a statewide network of providers across all areas of medical and behavioral health services and pay claims and manage care for the population that is enrolled with this contractor.
Dental Benefits Management (DBM) Program
- Procurement Number: 31865-00636
- Projected Release Date: 4th Quarter 2023
- Summary:
The State seeks to identify a Contractor for the statewide provision of Dental Benefits Management (DBM) services for five (5) separate State DBM Programs (collectively referred to as the “State DBM Programs”), which include:
1) TennCare Children’s DBM Program, which is part of the TennCare Program, and administers dental services to approximately 900,000 eligible enrollees under age 21;
2) TennCare Employment and Community First (ECF) CHOICES Program, which administers covered adult dental benefits to approximately 5,500 eligible adults age 21 and older who have an intellectual or developmental disability and are enrolled in TennCare ECF CHOICES;
3) TennCare Adults with Intellectual or Developmental Disabilities Dental Program, which administers covered dental benefits to approximately 6,500 adults age 21 and older with Intellectual or Developmental Disabilities (IDD) that are enrolled in the Section 1915(c) Home and Community Based Services (HCBS) Waiver (TennCare 1915(c) Dental Program);
4) TennCare Adult Dental DBM Program, which administers covered adult dental benefits to approximately 650,000 eligible adults age 21 and older who are TennCare members;
5) CoverKids DBM Program, which is part of the federal Children’s Health Insurance Program (CHIP), referred to in Tennessee as the CoverKids Program (CoverKids) which is a self-funded health plan providing certain dental benefits to approximately 40,000 eligible enrollees under age 19 enrolled in CoverKids medical coverage.
Bridge Conferencing and Recording Service
- Procurement Number: 31865-00642
- Projected Release Date: 4th Quarter 2023
- Summary:
In accordance with state and federal laws, TennCare conducts administrative hearings regarding eligibility determinations and adverse actions. These hearings are overseen by Administrative Judges, are typically conducted by phone, and must always be recorded and preserved. TennCare seeks a contractor to provide bridge conferencing services through which such hearings may be conducted, recorded, and archived.
LTSS Operations Contractor
- Procurement Number: 31865-00638
- Release Date: June 8, 2023
- Summary:
TennCare’s Division of Long Term Services and Supports (LTSS) is seeking a contractor to provide Employment and Community First (ECF) CHOICES Training and Technical Assistance, Pre-Admission Screening and Resident Review (PASRR) processes, services related to medical or Level of Care (LOC) eligibility assessments and appeals for Long-Term Services and Supports (LTSS) and Supports Intensity Scale™ (SIS™) assessments.
SOC Managed Services
- Procurement Number: 31865-00641
- Projected Release Date: 4th quarter 2023
- Summary:
TennCare seeks to select a Contractor to provide Managed Security Services (MSS) on a 24x7x365 basis. The Contractor will perform continuous monitoring, analysis and reporting of security alerts and event information from approved security feeds, create and manage custom detection content for TennCare’s SIEM platform, and collect, process, and analyze threat intelligence data to determine if TennCare’s systems are affected with the latest cyber threats.
External Quality Review Organization
- Procurement Number: 31865-00639
- Release Date: July 24, 2023
- Summary:
TennCare is seeking a highly qualified and experienced contractor to provide independent external quality review (EQR) services. In accordance with federal regulations, the contractor will provide analysis and evaluation of aggregated information on quality, timeliness, and access to health care services that managed care contractors furnish to TennCare members.
Asset Verification System
- Procurement Number: 31865-00645
- Projected Release Date: 4th Quarter 2023
- Summary:
TennCare seeks to select a contractor to provide electronic verification of resources to be used in the TennCare application and renewal processes. Contractor will be required to maintain a national link to financial institutions to provide near real time verification and identification of assets.
Actuarial Services
- Procurement Number: 31865-00640
- Release Date: July 10, 2023
- Summary:
TennCare seeks to select a contractor to develop per capita costs on an actuarially sound basis to be used for compensating Managed Care Organization (MCO) participants within the Department of Finance and Administration, Division of TennCare, the State of Tennessee’s Medicaid Program (TennCare).
Member Services Contact Center
- Procurement Number: 31865-00649
- Projected Release Date: 1st Quarter 2024
- Summary:
TennCare seeks a Contractor that shall provide the staff, the facility, and Technology of the management of a States TennCare Member Services Contact Center furnished Contact Center solution (hereinafter referred to as “TennCare Connect” or “Contact Center” to support TennCare and Children’s Health Insurance Program (CHIP) eligibility services for individuals seeking to obtain and maintain eligibility for TennCare and CHIP. The Division of TennCare (“TennCare”) is the single state agency designated by the State and the Centers for Medicare and Medicaid Services (CMS) to administer the federal Medicaid program (known in Tennessee as “TennCare”) pursuant to Title XIX of the Social Security Act (42 U.S.C § 1396 et seq.) and the Section 1115 research and demonstration waiver granted to the State and any successor programs by CMS. TennCare also administers the federal Social Security Act Title XXI Children’s Health Insurance Program (CHIP), known as “CoverKids” in Tennessee, which provides certain self-funded health plan services to eligible children under age nineteen (19), including unborn children who are covered from conception to birth.
If you are interested in any of the above procurements and would like further information, please email matt.brimm@tn.gov with a cc to Donovan.Morgan2@tn.gov and mitchell.d.plumer@tn.gov.
*POSTED – Central Procurement Office (CPO) Request for Proposals (RFP) Opportunities