EXECUTIVE DOCUMENT SUMMARY State Form 41221 __ . ~ ~ • (R10/4DoII!!I!I'Aiv.,.1'I Instructions for completlng~SVn!=U a,=M'rocess. in~~~I!t ~~~ Lease 0 _ Maintenance _ License Agreement Family & Social Services Admin 16. Address: 1. Please read the guidelines 2. Please type all inlorm~\i!1I'...... 3. Check all boxes thai ~A 4. For amendments I renewals, attach original contract. 5. Attach additional pages if necessary. Contra 14. Name of agency: Family & SOcial Services Admin _'Y's Office _ Attorney ~Amendment# _ _ _ _ _-'- _ MOU -Renewal # _ _ _ _ _ __ Other Online 25. Telephone #: .Now sVCINC 26. Address: NA 485 BOIDERV'JOOO LN CARMEL. IN 46032 lD.New total amount for each fiscal year: Year 2011 Year , 20:;.1:.::2__ 511613325 S1 359 S03 75 Year 2013 $97.288.00 Year • -- % Women: % 32. Iryes, list the %: 31 Sub Vendor:MlWBE ~NO Yes % Minority: % Women: 13. Method of 50~ selection: _ _ Emergency Bid/Quotation _ _ RFP# _ _ _ _ _ Negotiated ~ SpeciaJ Procurement 34. Is there a wTermination for Com'erne-nee clause in the docwnent'? X Yes 33. Is there Renewal Language in the document? _ _ Dl:her (~pecif» X 35. WiIIlhe attached docwnenl im'olve dala processing or telecommunications systems(s)? Yes Yes: R No No lar or Delegate has signed otTon conttnct 36. Statutory Authority (Cite applicahle IndwfflJ or Federal COOt's): NA 37. Description ofy,"Otk and justification for spending money. (please gn'c a brief descriptIOn of the .fCOpe of M'orlc Included In this agreement.) The purpose afthis amendmem is 10 add dollars and Scope afWork for the Contnu:1Or"s services rellllive to the Healthy IndIana Plan 38. Justification of vendor selection and detennination of price reasonableness: This contraetor has lMlI"ked "ith FSSA in the pas1 performing consulting and projeelleadership senice:s t~AR 02 39. If this contract is submined late, please 44.Anomey General's Office approval 2012 30 days late.) AG 57464-001 ,. A129-1-29-11-ZN-1758 INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION CONTRACT WITH SVC, INC. FIRST AMENDMENT TO CONTRACT NUMBER A129-1-29-11-ZN-1758 This is an amendment to the Contract (the ·Contract") entered into by and between the Indiana Family and Social Services Administration, 402 West Washington Street, Indianapolis, Indiana (the ·State") and SVC, Inc., 485 Bolderwood Lane, Carmel, Indiana 46032 (the ·Contractor"} dated May 23, 2011. In consideration of the mutual undertakings and covenants hereinafter set forth, the parties agree as follows: 1. The purpose of this amendment is to add dollars and Scope of Work for the Contractor's services relative to the Healthy Indiana Plan, 209 (b) Transition, Medicaid Eligibility Regulations, and Medicaid Electronic Health Records (EHR) Incentive Program related efforts. An amount of One Hundred Forty Thousand Dollars and Zero Cents ($140,000.00) is added to pay for the services relative to the Healthy Indiana Plan. Total remuneration relative to the Healthy Indiana Plan shall not exceed One Hundred Forty Thousand Dollars and Zero Cents ($140,000.00). An amount of One Hundred Twenty Nine Thousand Six Hundred Dollars and Zero Cents ($129,600.00) is added to pay for the services relative to the 209 (b) transition. Total remuneration relative to the 209 (b) transition shall not exceed One Hundred Twenty Nine Thousand Six Hundred Dollars and Zero Cents ($129,600.00). An amount of Thirty Four Thousand Four Hundred Twenty Five Dollars and Zero Cents ($34,425.00) is added to pay for the services relative to the Medicaid Eligibility Regulations Project. Total remuneration relative to the Medicaid Eligibility Regulations Project shall not exceed Thirty Four Thousand Four Hundred Twenty Five Dollars and Zero Cents ($34,425.00). An amount of One Hundred Seventy One Thousand Dollars and Zero Cents ($171,000.00) is added to pay for the services relative to the Medicaid Electronic Health Records (EHR) Incentive Program. For December of 2011, the hourly rate for the consultant assigned to these services shall be $135.00 and the remuneration shall not exceed Twenty Seven Thousand Dollars and Zero Cents ($27,000). For January through June of 2012, the hourly rate for the consultant assigned to these services shall be $150.00 and the monthly remuneration shall not exceed Twenty Four Thousand Dollars and Zero Cents ($24,000). Total remuneration relative to the Medicaid Electronic Health Records (EHR) Incentive Program shall not exceed One Hundred Seventy One Thousand Dollars and Zero Cents ($171,000.00). Total remuneration for this contract shall not exceed One Million Five-Hundred-SeventyThree Thousand Twenty-Five Dollars and Zero Cents ($1,573,025) as set out on the "Financial Attachment AMi" which is attached hereto and incorporated herein. Page 1 of6 A129-1-29-11-ZN-1758 2. The Contractor shall support the HeaHhy Indiana Plan by providing the services shown in the Contractor's scope of work items listed below: Scope of Work for Healthy Indiana Plan • • • • • • • • • • • • Coordinate and lead State's efforts to negotiate HIP waiver. Includes coordinating with legal and actuarial teams. Provide reports/testimony to Legislature as needed on HIP. Provide general policy expertise to the HIP program Review drafts of HIP evaluation vendor - including quarterly and annual reports, white papers. Provide general technical assistance to OMPP on evaluation aspects HIP program Participate in CMS monthly conference calls Develop State plan amendments, waivers, and rule changes related to the HIP program, coordinate intemal review of documents Review federal regulations and legislation that may have impact on the HIP program. Develop HIP continuation strategy for the State Identify State legislative needs for the State surrounding the HIP program Provide testimony and information to State legislators as needed around the HIP program. Identify and or analyze potential policy changes for the HIP program 3. The Contractor shall support the 209 (b) Transition by providing the services listed in the scope below: 209 (b) Transition Scope of Work • • • • • • • • • • • • State Plan Amendment (SPA) Rule change Coordination with SSA MRT transition planning DFR changes MMIS (HP) technical changes Planning for transition of Spend Down recipients Planning for transition of SSI recipients not currently on Spend Down Extemal and stakeholder communications Policy research Policy developments/updates CoordinationlPlanning with OMPP 4. The Contractor shall support the Medicaid Eligibility Regulations Project by providing the services listed in the scope below: Medicaid Eligibility Regulations Scope of Work • • Review, analysis, and updating of current policies Coordination with OMPP/DFR Page 2 of6 A129-1-29-11-ZN-1758 • • • Documentation updates Identifying required legislative changes Rule changes 5. The Contractor shall assist with the Medicaid Electronic Health Records (EHR) Incentive Program by providing the services listed in the scope below: A. Project Management Support i. The Contractor shall work closely with the OMPP and those responsible for operating the Indiana Electronic Health Records (EHR). ii. The Contractor shall conduct planning sessions with OMPP, at dates and times mutually agreed to by the Contractor and OMPP. iii. The Contractor shall produce and submit a Project Work Plan to the Director or Medicaid or designee for review and approval within 30 days of contract signing. iv. The Contractor shall provide weekly status reports to the Director of Medicaid or designee. B. Iteratively Improve Provider Incentive Program (PIP) i. The Contractor shall conduct planning sessions with key OMPP executives, managers, and subject matter experts (SMEs), at dates and times mutually agreed to by the Contractor and OMPP to determine actions necessary for iterating the EHR PIP. ii. The Contractor shall obtain consensus from OMPP and document the approach regarding capturing and storing clinical data, including what types of data shall be gathered. where this clinical data shall be stored, what reports are needed for monitoring and tracking payments, and the identification and documentation of potentially new system requirements for CMS 64 reports. iii. The Contractor shall assist OMPP in identifying and documenting the most effective and efficient process to accept clinical data and/or provider (based on Medicaid member or patient) encounter submitted by Indiana contracted Management Care Organizations (MCOs) into the Medicaid Management Information Systems (MMIS). iv. The Contractor shall submit a high level PIP Communications Plan to the Director of Medicaid or designee for approval by a mutually agreed date, to be no later than March 1, 2012. The Contractor shall provide updates to the plan as needed and will assure the plan meets PMI PMBOK standards in preparation for the CMS Onsite Audit. C. Iteratively Improve Provider Incentive Program (PIP) Deliverables i. The Contractor shall submit a list of PIP Policies and Procedures needed to support PIP administration during the implementation phase to the Director of Medicaid or designee for approval. ii. The Contractor shall refine and submit the process for monitoring meaningful use data to the Director of Medicaid or designee for approval. iii. The Contractor shall submit a PIP Communications Plan including a timeline, milestones, and deliverables to the Director of Medicaid or designee for approval. Page 30f6 A129-1-29-11-ZN-1758 iv. The Contractor shall review, refine, and submit business processes to be published in the SMHP to the Director of Medicaid or designee for approval by a mutually agreed date, to be no later than March 9,2012. D. Health Infonnation Technology (HIT) Roadmap i. The Contractor shall update the existing comprehensive HIT Roadmap to identify and prioritize projects for systems integration. ii. The Contractor shall ensure all activities for updating the PIP are aligned with MMIS and/or Data Warehouse projects. iii. The Contractor shall describe OMPP's prioritized projects and timelines. iv. The Contractor shall document how HIT projects integrate into the existing MITA State Self-Assessment, and if those projects affect current MITA maturity levels. v. The Contractor shall ensure that the HIT Roadmap will be documented for submission in the SMHP taking into account the implementation of PIP reqUirements, timeframes for statewide HIE and Public Health initiatives, and the simultaneous integration of other federally mandated projects, such as, 5010, or ICD-10. vi. The Contractor shall update the State's plan for using Medicaid American Recovery and Reinvestment Act (ARRA) 4201 funds as an incentive to encourage eligible providers to adopt and use certified EHR technology. This plan will encompass adopting, implementing, or upgrading during an eligible provider or hospital's first participation year and include meaningful use in subsequent participation years. E. Create the Next Iteration of the State Medicaid HIT Plan (SMHP) i. The Contractor shall document and submit to the Director of Medicaid or designee a completed final draft of the SMHP, for submission to CMS. ii. The Contractor shall develop and submit to the Director of Medicaid or designee an updated audit strategy for the prevention of fraud and abuse concerning provider payments. iii. The Contractor shall use the information gathered from the HIT environmental scan, PIP project plan, HIT road map, and use of clinical data to prepare a SMHP draft to be reviewed and approved by OMPP. iv. The Contractor shall make any updates or changes to SMHP following the Centers for Medicare & Medicaid Services' (CMS) review. F. Implementation Advanced Planning Document(s) (IAPD) i. The Contractor shall assist OMPP in developing IAPD(s) and or updates to the existing SMHP IAPD, as directed by the Director of Medicaid or designee. ii. The Contractor shall determine and refine the funding stream for the implementation costs of the PIP using ARRA or traditional Medicaid funding within the IAPD(s). The Contractor shall estimate resources and costs concerning the administration of the PIP in the IAPD(s). iii. The Contractor shall estimate the cost for provider incentive payments for the PIP in the IAPD(s). iv. The Contractor shall identify viable options for the PIP within the IAPD(s). G. Other Consultant Services The Contractor shall perform other consultant services relevant to the duties set forth herein as requested by the Director of Medicaid or designee as mutually agreed upon Page40f6 A129-1-29-11-ZN-1758 and when no conflict exists with meeting specific dates mandated with this Scope of Wor1<. H. eMS Onsite Audit The Contractor shall provide FSSA and OMPP CMS audit readiness services in preparation for the HIT EHR CMS Onsite Audit scheduled for June, 2012. Examples of activities to perform include at a minimum: preparing a pre-audit checklist, mock audit training, reviewing existing HIT EHR project materials, developing needed HIT EHR materials as agreed upon, and assisting the HIT Coordinator during the live audit as requested. S. The term of the contract is being extended to accommodate the projected time line for the additional services. The original Contract as amended commenced on May 23, 2011 and shall now terminate on December 31, 2012. The services relative to the Level One Grant commenced on May 23, 2011 and shall conclude on May 22, 2012. This first amendment is also adding services relative to the Healthy . Indiana Program, 209 (b) Transition, and Medicaid Eligibility Regulations, all of which commenced on May 23, 2011 and shall conclude on December 31,2012. In addition, the first amendment is adding services relative to the Medicaid Electronic Health Records (EHR) Incentive Program, which commenced December 1, 2011 and shall conclude on June 30, 2012. All other matters previously agreed to and set forth in the original Contract and not affected by this Amendment I Renewal shall remain in full force and effect. THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK. Page 5 ofS A129-1-29-11-ZN-1758 Non-Collusion and Acceptance The undersigned attests, subject to the penalties for pe~ury, that he/she is the Contractor, or that he/she is the properly authorized representative, agent, member or officer of the Contractor, that he/she has not, nor has any other member, employee, representative, agent or officer of the Contractor, directly or indirectly, to the best of the undersigned's knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below hereby agree to the terms thereof. SVC, Inc.: BY:-:ei~~~~~~~~pc~= Attested By: _ _ _ _ _ _ _ _ __ Printed Title:_-.t:~""""'"7'+"'~~-f"":"":>'_ __ Date:--