Directory of Proposal Requirements The following twelve (12) responder qualifications and proposal requirements are minimum requirements of the proposal. DHS will evaluate the qualifications on a pass/fail A responder will receive a failing score if the evaluation team determines the responder failed to submit the required documentation or verification for each qualification and proposal. The responder must use this directory in order to identify the location of each required proposal component listed under the responder qualifications and proposal requirements section of this RFP. If the responder fails to complete and submit this directory and all required documentation or verification, DHS may remove the responder from consideration. Instructions to submit Once complete, attach this form to your RFP submission according to the direction on the RFP. Remainder of the page intentionally left blank. 1. Readiness review for VF/EA financial management services Qualification Before enrollment, the responder must have successfully completed a readiness review within the past five years of the date of this RFP. The responder will be required to participate in a performance review every three years after enrollment for Medicaid funded programs. If the responder’s readiness review was completed more than five (5) ago, the responder must successfully complete an updated readiness review during the first twelve (12) months of FMS enrollment. To clarify, if you have ever had a readiness review completed, please submit the following information: The name of the entity who conducted the readiness review. The address of the entity who conducted the readiness review. The date the readiness review was completed. The contact information for the entity who completed the readiness review. A sworn statement from the responder that the entity that conducted the readiness review previously performed a VF/EA or Veteran’s FMS readiness review for a vendor that has an agreement (including sub-contract) with a governmental entity to provide services under a Medicaid or another federally funded health care program.
3. Changes made to law including for tax, labor, immigration, workers’ compensation, and funding sources (e.g.: Medicare and Medical Assistance). 8. Minnesota-specific VF/EA policies and procedures Qualification The responder must have a Minnesota-specific policies and procedures manual for providing VF/EA FMS that minimally address the items listed below. Required documentation or verification The responder must submit their organization’s Minnesota-specific policies and procedures manual for providing vendor fiscal/employer agent financial management services. The policies and procedures must minimally address: Table 8: Minnesota-specific VF/EA policies and procedures checklist Required documentation or verification Indicate location in proposal (section and page number[s]) a. Operating in compliance with IRS Revenue Procedure 2013-39 Section 3504 of the Internal Revenue Code; b. Vendor fiscal/employer agent (VF/EA) duties and responsibilities for assisting participant employers with obtaining and retiring employer identification numbers; c. Payroll processing for household employers or Home Care Service recipients a 3504 agent, filing payroll taxes and unemployment for household employers using an agent, and maintaining workers' compensation and liability coverage for household employers under Minnesota statute; d. Orientation of participant employers; e. Worker misconduct and communications with participant’s workers; f. Procedures for enrolling workers as employees of participant-employers; g. Individual budget tracking and reporting; h. Compliance with federal HIPAA and HITECH requirements; i. Customer service to participant-employers and workers; j. Allowing workers access to collective bargaining membership information; and k. A grievance procedure. 9. Financial stability Qualification The responder must be a financially solvent organization with minimal cash reserve and a line of credit to at least three (3) payrolls of your current business that are available to cover shortages or delays in receipt of revenue. The responder must provide documents sufficient to substantiate financial solvency. If Responder is either substantially or wholly owned by another corporate entity, information about the parent organization must be provided at the time of enrollment.