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R -- HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) MANAGED CARE TECHNICAL ASSISTANCE CENTER SOL HRSA 250-OA-11(8) DUE 061698 POC Helene Braun, Contract Specialist, (301)443-5131 The Health Resources and Services Administration (HRSA) is seeking small and small disadvantaged business organizations who have the requisite knowledge, experience and skills to develop and implement a managed care technical assistance program (also referred to as "Center")for safety providers, particularly those funded by HRSA, as well as other providers to the poor who are not funded by HRSA. In addition, technical assistance will be required for health professions teaching institutions and, in particular, the curricula they are using which must reflect managed care practices. Recent changes within the health care system have required that HRSA funded health centers, AIDS providers, maternal and child health and rural providers become part of managed care delivery systems, particularly as Medicaid agencies have moved their recipients into mandatory managed care. This Center will help these providers develop their infrastructure to enter, and stay effective, in these new systems. The offeror shall have the requisite in-house expertise in all aspects of operational managed care in order to provide technically sound training and technical assistance in such areas as: actuarially sound capitation rates and projections on actuarially based revenues and costs; financial projections using revenues and costs of the managed care plans, including clinically-based diagnostic costs, using actuarial cells, utilization assumptions and unit costs assumptions; claims lag; risk arrangements with primary care and specialty physician costs, hospital costs, pharmacy and behavioral health capitation costs, and ancillary services. The offeror shall demonstrate in-house expertise in these and the areas of medical management around utilization review, practice guidelines which reflect cost and quality as well as the development and utilization of Management Information Systems (MIS) systems for claims payment and practitioner profiling. The offeror shall demonstrate how such expertise will be applied to the task of establishing technical assistance and training curricula, including the utilization of training programs available through other agencies for safety net providers. Phase One shall include the assessment of existing resources and the types of expertise which will be required by the safety net providers and how such a conclusion will be drawn. Phase Two would implement the technical assistance and training services. The offeror shall describe how such services will be offered, managed and provided for. Resumes shall describe how, through the expertise of senior level of experts, the capabilities of actuarial services, financial projections, utilization review, practice guidelines, risk arrangements and contracting, as well as others the offeror may think appropriate will be provided. Interested organizations should submit a tailored capability statement in four (4) copies. Potential offerors having the ability to provide these services should respond in writing to the attention of Ms. Helene Braun at the aforementioned address, citing (RFP) HRSA 250-OA-11(8); no later than June 16, 1998. The Standard Industrial Classification (SIC) code for this requirement is 8741. Based upon the evaluation of the responses to this market survey, the Government reserves the right to make an 8(a) award or to set it aside for small business. No solicitation document exists, therefore, requests for such documents shall be considered an invalid response. (0149)

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