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UnitedHealthcare Response

002. A. Transmittal Letter 003. Att. A.iv. Organizational Conflict of Interest Disclosure UnitedHealthcare of Kentucky Ltd 004. B. Disclosure of Violation of Statutes 005. C. Kentucky Tax Registration Application R 006. Att. C.E.68.B Additional Locations 007. D. Registration with the Secretary of State by a Foreign Entity 008. E. Required Annual Affidavit and Other Affidavit(s)009. F. Completed and Signed Face of Solicitation R 010. Addendum 1 R 011. H1. EEO-1 Report 012. H2. EEO Subcontractor Report Form 013. H3. EEO Affidavit of Intent to Comply 014. J. Proof of Ability to Obtain Performance Bond 015. A. Executive Summary 016. Att. A. Letters of Support 017. 1. Corporate Experience 018. 2. Corporate Information R 019. Att. B.2.a.iv Managing Employees 020. Att. B.2.b.iii-1 Parent Management Agreement 022. Att. B.2.b.iv UnitedHealthcare of Kentucky Parent Business Entity Documents 023. Att. B.2.b.v-1 UnitedHealthcare of Kentucky Uniform Certificate of Authority 026. Att. B.2.c-2 Alorica, Inc. Audited Financial Statements 028. Att. B.2-c-4 CirrusMD, Inc. Audited Financial Statements 029. Att. B.2.c-5 DialAmerica, Inc. Audited Financial Statements 030. Att. B.2.c-6 Healthify, Inc. Audited Financial Statements 031. Att. B.2.c-7 Schoeneckers, Inc. Audited Financial Statements 032. Att. B.2.c-8 SilverLink Communications, LLC Audited Financial Statements 033. Att. B.2.c-9 Vivify Health, Inc. Audited Financial Statements 034. Att. B.2.d.i Litigation Matters 035. Att. B.2.d.ii UnitedHealthcare of Kentucky and Parent Affiliate Sanctions 037. Att. B.2.e PHI Breaches for UnitedHealthcare of Kentucky 038. Att. B.2.f NCQA Accreditation Downward Adjustments 039. 3. Staffing 040. Att. B.3.a.iv.c Key Personnel Resumes 041. Att. B.3.b Organizational Chart 042. 1. Subcontracts 043. 2. Collaboration 044. 3. Capitation Payments 045. 4. Financial Security Obligations 046. Att. C.4.b Credit Agreement and Promissory Note 047. 5. Third Party Resources 048. 6. Management Information System 049. Att. C.6.a UnitedHealthcare Management Information System 050. 7. Encounter Data 051. Att. C.7.b Encounter Data Processing Policy and Procedures 052. 8. Kentucky Health Information Exchange (KHIE) and Electronic Health Records 053. 9. Quality Management and Health Outcomes 054. 10. Utilization Management 055. 11. Monitoring and Oversight 056. 12. Enrollee Services 057. Att. C.12.f.i Welcome Pack and Enrollee ID Card 058. Att. C.12.f.ii Sample Enrollee Handbook 059. Att. C.12.f.iii Sample Enrollee Materials 060. 13. Enrollee Selection of Primary Care Provider (PCP)061. 14. Enrollee Grievances and Appeals 062. 15. Marketing 063. Att. C.15 Sample Marketing Plan 064. 16. Enrollee Eligibility Enrollment and Disenrollment 065. 17. Provider Services 066. Att. C.17.d-1 Sample Care Provider Manual-Ohio 067. Att. C.17.d-2 Sample 2019 Care Provider Manual TOC 068. Att. C.17.f.-1 Credentialing Policies and Procedures-1-2 069. Att. C.17.f-2 Procedures for CVO Coordination 070. 18. Provider Network 071. Att. C.18.d 00_UnitedHealthcare Provider Agreement Submission 071. Att. C.18.d 13_Behavioral Health Facility Agreement 071. Att. C.18.d 21_Subcontractor Business Agreement 071. Att. C.18.d 22_Transportation Provider Agreement 071. Att. C.18.d 24_Physical Health Provider Amendment 071. Att. C.18.d 27_Vision Provider Agreement 072. Att. C.18.e.i UnitedHealthcare Excel Workbook by Provider Type 073. Att. C.18.e.ii UHC-Provider Counts 074. Att. C.18.e.iii UnitedHealthcare Statewide GeoAccess Report 075. Att. C.18.g-1 Provider Appointment Availability Survey-Sample Questions 076 Att. C.18.g-2 Medicaid Top Enrollee Call Drivers Report 077. 19. Provider Payment Provisions 078. Att. C.19.b.i UnitedHealthcare Claims Policies 079. 20. Covered Services 080. 21. Pharmacy Benefits 081. Att. C.21.a.i PBM Contract 082. 22. Special Program Requirements 083. 23. Behavioral Health Services 084. 24. Population Health Management Program 085. 25. Enrollees with Special Health Care Needs 086. 26. Program Integrity 087. 27. Contractor Reporting Requirements 090. 28. Records Maintenance and Audit Rights 091. 29. Use Cases 092. D. Implementation Plan 093. Att. D. Implementation Plan 094. E. Emergency Response and Disaster Recovery Plan 095. Att. E.2 Event Management Plan 096. F. Turnover Plan 097. Att. F. Turnover Plan 098. G.1. Executive Summary 099. Att. G.1 Letters of Support 100. G.2. Company Background 101. Att. G.2.a.ii Managed Care Contracts for Foster Care 102. Att. G.2.c.iv.c Resumes 103. G.3. Kentucky SKY Implementation 104. Att. G.3.a Implementation Plan 105. G.4. Kentucky SKY Contractor Educational and Training Requirements 106. G.5. Kentucky SKY Enrollee Services 107. Att. G.5.c.vi Sample PCP Enrollee Panel Report 108. G.6. Provider Network 109. G.7. Provider Services 110. Att. G.7.c-1 Trauma Informed Care Training Flyer Care Philosophy Training 112. G.8. Covered Services 113. Att. G.8.a.vi-1 CSDC-SF 114. Att. G.8.a.vi-2 PC-PTSD 115. Att. G.8.a.vi-3 PCL-5 116. Att. G.8.a.vi-4 PSC-35 117. Att. G.8.b-1 Pediatric Core 118. Att. G.8.b-2 Adult Core 119. Att. G.8.b-3 Pediatric to Adult Transition 120. Att. G.8.b-4 Healthy First Steps 121. G.9. Health Outcomes 122. G.10. Population Health Management and Care Coordination 123. G.11. Utilization Management 124. G.12. Aging Out Services 125. G.13. Use Cases for Kentucky SKY Att. B.2.b.iii-2.a Dental Benefit Providers Affiliate Management Agreement Att. B.2.b.iii-2.b March Vision Affiliate Management Agreement Att. B.2.b.iii-2.c OptumHealth Care Solutions Management Agreement Att. B.2.b.iii-2.d OptumInsight Management Agreement Att. B.2.b.iii-2.e OptumRx Affiliate Management Agreement Att. B.2.b.iii-2.f United Behavioral Health Affiliate Management Agreement Att. B.2.b.iii-2.g Generic Medicaid and CHIP Regulatory App Affiliate Management Agreement Att. B.2.b.v-2a 2018 Annual Statement to Insurance Department Att. B.2.b.v-2b 2019 Q1 Statement to Insurance Department Att. B.2.b.v-2c 2019 Q2 Statement to Insurance Department Att. B.2.b.v-2d 2019 Q3 Statement to Insurance Department Att. B.2.c-1a UnitedHealth Group 2018 Audited Financial Statement Att. B.2.c-1b UnitedHealth Group 2017 Audited Financial Statement Att. B.2.c-1c UnitedHealth Group 2016 Audited Financial Statement Att. B.2.c-3a CareCore National, LLC 2018 Audited Financial Statements Att. B.2.c-3b CareCore National, LLC 2017 Audited Financial Statements Att. B.2.c-3c CareCore National, LLC 2016 Audited Financial Statements Att. B.2.d.iii-1 UnitedHealth Group Form 10-Q for Q1 2019 Att. B.2.d.iii-2 UnitedHealth Group Form 10-Q for Q2 2019 Att. B.2.d.iii-3 UnitedHealth Group Form 10-Q for Q3 2019 Att. C.27.a.i. Sample _CMS-416 Annual EPSDT Participation Att. C.27.a.i. Sample _EPSDT Monthly Att. C.27.a.i. Sample_EPSDT Quarterly Att. C.27.a.i. Sample_Fraud Waste Abuse_Providers and Members Att. C.27.a.i. Sample_Initial Care Needs Screening Att. C.27.a.i. Sample_Member Appeal and Grievances Att. C.27.a.i. Sample_Network Access Report Att. C.27.a.i. Sample_Network Access Report PCP Att. C.27.a.i. Sample_Opioid Misuse and Prevention Att. C.27.a.i. Sample_Pharmacy DUR Att. C.27.a.i. Sample_Provider Grievances and Appeals Att. C.27.a.i. Sample_Service Lines Att. C.27.a.i. Sample_Third Party Liability Att. C.27.d.ii. Sample_March Vision Monthly Scorecard Att. C.27.d.ii. Sample_UHC Claims Monitoring Report_May 2019 Proposal Submission Checklist Table of Contents

Contact

Kathy Robinson, CPPO, CPPB, NIGP-CPP, KCPMExecutive Director

Office of Procurement
200 Mero Street, 5th Floor
Frankfort, KY 40622

Phone
502-564-4510