Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary

RFP - Dental Benefit Program Procurement Library

After careful review of the responses received, DHH has determined that it is not the Department's best interest to make an award at this time. Therefore, DHH is canceling this procurement and will be working in the coming weeks to convene various stakeholders about the best path forward for the Medicaid dental program.

If you have any questions, please contact Gail Williams at gail.b.williams@la.gov.

The Louisiana Department of Health and Hospitals (DHH), Bayou Health Program, is issuing a Request for Proposals (RFP) for qualified proposers to provide dental healthcare services, through a comprehensive network of providers, to eligible clients residing in all 64 parishes in Louisiana.

Below are all documents related to this RFP:

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Official RFP Document

Addendum 1

Addendum 2

Addendum 3

Addendum 4

Addendum 5

Addendum 6

Addendum 7

Addendum 8

Addendum 9

Addendum 10

Bayou Health Quality Companion Guide

Significant Tranditional Provider (STP) Dental

Financial Reporting Guide

• Financial Reporting Guide Insturctions
• Appendix A - Annual Disclosures
• Appendix B - MLR Requirement

Marketing Companion Guide

State Fair Hearing Companion Guide

Systems Companion Guide

Appendices

• Appendix A - Map of Parishes within Each GSA
• Appendix B - Summary of Required Providers
• Appendix C - Letter of Intent
• Appendix D - MLR Refund Calculation Methodology
• Appendix E - Louisiana Medicaid Stat Plan Services
• Appendix F - Dental Benefit Plan Performance Measures
• Appendix G - Health Plan Subcontract Requirements
• Appendix H - Health Plan Data Use Agreement
• Appendix I - Requirements for Health Plan Physician Incentive Plans
• Appendix J - Provider Bill of Rights
• Appendix K - Reserved
• Appendix L - FI Payment Schedule
• Appendix M - DHH Marketing and Member Education Materials Submission Form
• Appendix N - DHH Event Submission Form
• Appendix O - Dental Manual
• Appendix P - DHH Marketing Complaint Form
• Appendix Q - Member Bill of Rights
• Appendix R - Monthly Marketing Reporting Template
• Appendix S - Grievance, Appeal and State Fair Hearing Report
• Appendix T - Performance Improvement Projects
• Appendix U - Coordination of Health Plan Fraud and Abuse Complaints and Referrals
• Appendix V - Network Provider and Subcontractor Listing
• Appendix W - Health Plan Disenrollment Report - To Be Established
• Appendix X - EPSDT Reporting
• Appendix Y - Model Attestation Letter for Reports
• Appendix Z - Transition Period Requirements
• Appendix AA - Proposal Submission and Evaluation Final  Revised 12/28/12
• Appendix BB - Louisiana Rural Parish Map
• Appendix CC - Attestation of Provider Network
• Appendix DD - Person First Policy
• Appendix EE - Provider Incentive Payments Template
• Appendix FF - Reference Questionnaire
• Appendix GG - Added Value Template