ADDENDUM NO. October 7, 208 Title: 340B Independent Audit RFP # H8-0034. General This addendum revises RFP documents. This addendum is issued to respondents of record prior to execution of contract, and forms a part of contract documents and modifies previously issued documents. Insofar as previously issued contract documents are inconsistent with modifications indicated by this addendum, modifications indicated by this addendum shall govern. Where any part of the contract documents are modified by this addendum, all unaltered provisions shall remain in effect. 2. Addendum Acknowledgement Form Acknowledge receipt of this addendum in the space provided on the Addendum Acknowledgement Form. Proposers must include the signed form with their response. Failure to do so will subject Proposers to disqualification. 3. Changes and Clarifications The deadline to submit RFP# H8-0034- 340B has been changed From October 23, 208 to October 3, 208 by 2:00 p.m. CST. a. Responses to Vendor Questions are provided below. 4. Attachments a. None Page of 6
2 3 4 5 Section of the RFP Question CCHHS Response Could you advise where this document is to be Attachment A placed within the packaging if the respondent is (Page 7) mailing their response? Section 7.4, Paragraph 2 (Page 8) NA NA NA 6 EDS Form, COOK COUNTY BOARD OF ETHICS FAMILIAL RELATIONSHIP DISCLOSURE FORM 7 8 9 7. Pricing Proposal 7.3. Item m Cover We do not plan to subcontract any work. Is it necessary to submit an EDS form? If so, could you confirm which pages/sections need to be completed, as some of the pages do not seem to apply to a vendor who is not subcontracting any work ( Examples: MBE/WBE UTILIZATION PLAN - FORM, MBE/WBE LETTER OF INTENT - FORM 2) Is the intent of CCHHS to award the vendor a one-time audit, or will it be awarded for multiple years? If so, how many years? Does CCHHS request any ongoing 340B monthly or quarterly services? If so, what services are desired? What software vendors does CCHHS utilize to manage its 340B program? Examples: Patient billing, EMR, third-party administrator, and split billing systems. This form requests "The name, title and contact information for the County official(s) or employee(s) involved in negotiating the business you are doing or seeking to do with the County." No individual's contact information has been provided in the RFP document. Please advise how to answer this question. This section contains a table. The headers on the table indicate "hourly rate" and "22 hours." Has CCHHS requested the service on an hourly rate exclusively? And has it estimated those hours to be 22 hours? Are other methods of pricing acceptable, such as a flat engagement price? Could you explain the need for registration, given that consulting services are not taxable in Illinois? Given this, will CCHHS strike this requirement? Please confirm RFP response delivery address is: Cook County Health and Hospitals System C/O John H. Stroger Jr., Hospital of Cook County 969 West Ogden Ave., lower level Room # 250A Chicago, IL 6062 Attention: Supply Chain Management Department Yes. Include Proposal Acknowledgement form outside of the package. Part on Form applies Part II applies to Participants Form 3-necessary Form 2 N/A if not directly or indirectly subcontracting. A 3 year contract is intended. Please include any other service your offer in your response. Verity is used in the mixed-use 340B setting. The EMR for the health system is Cerner. Patient billing is done via Siemens. This Section can be completed upon contract award. Pharmacy did not provide a pricing table. This type of engagement is usually a flat rate. Yes other method of pricing are acceptable. Proposer must be authorization to conduct business in Illinois. Yes. Please refer to the cover page in the RFP. Page 2 of 6
0 2 Section of the RFP Question CCHHS Response Please provide a contact phone number for Contact Phone # is not required for a Fed-X Cover delivery via FedEx. delivery. 0.7 Please provide the "designated building and drop box" required for delivery via FedEx. Please confirm that "Technical Proposal" is referring to all responses to Section 7 of the RFP 9.2 PDF file. 3 Please provide the Excel file referenced to complete the Pricing Proposal: "The required excel file format is attached to the RFP PDF file," or clarify if this should be created in Excel using 7. the table in the document. 4 Can you please explain the requirements for Section 7.5 (a) - Financial Status as it relates to organizations who are private LLPs. We do not have audited financial statements since we are an LLP. Can we mark this section A as "not applicable" for that reason? We understand that sections B and C would need to be answered. 5 Can you please explain the requirements for this specific proposal regarding Section 7.4 Subcontracting or teaming and MBE/WBE Participation? In reviewing the EDS Form and the CCHHS General Conditions Ordinance on MBE/WBE it states on page 3 of the General Conditions "...the MBE/WBE participation goals for each Contract are stated in the Special Conditions." Can you please direct us to where that is stated? Have these goals been determined for this Contract? There is no drop box. You can deliver via FedEx to the address in the cover page allowed prior to the due date by 2:00pm. Yes Pharmacy did not provide a pricing table. This type of engagement is usually a flat rate. Refer to answer for Inquiry #7. Financials statements are required even if not audited See Section 7.8 on Page 8 of RFP, minimum 7.5% overall MBE/WBE participation required. 6 7, Corrective Action Plan 8 Appendix A - Proposal Receipt Acknowledgement Form; 0.7 Timely Delivery Would CCHHS find benefit in follow-up procedures to validate that all corrective action plans have been appropriately implemented and future risk mitigated? Are there any steps CCHHS would like performed as part of the audit that would entail reviewing prior audit action plans and confirming they have been appropriately addressed? Section 0.7 mentions several delivery options (US Mail, express delivery service, hand delivery), but Appendix A appears to require hand delivery by the Proposer. If we use mail or express delivery, is Appendix A required? Yes. An added value may be included in pricing Proposal. CCHHS would find benefit in follow-up procedures to validate that all corrective action plans have been appropriately implemented and future risk mitigated. Include Proposal Acknowledgement form outside of the package. Page 3 of 6
Section of the RFP Question CCHHS Response 9 M/WBE Yes, If you are a Certified MWBE. Reciprocal Certification Is the M/WBE Reciprocal Certification Affidavit required at this time? Affidavit 20 Are the email and physical copies of the proposals only allowed to be submitted between 8:00AM and 2:00PM CST on 0/23/8, or are they allowed to be Allowed prior to due date 0.5 submitted prior to the due date? 2 Please submit your pricing in excel format 22 23 7. The Excel file format required for pricing was not included in the RFP PDF file. Can this be provided? Can you confirm the two covered entities included in this RFP only include John H. Stroger Jr. Hospital, 340B ID DSH4024 and Provident Hospital of Cook County, 340B ID DSH40300 Confirmed Cerner 24 For both covered entities included in this RFP, what EMR systems are used for the Hospitals? 25 Is the EMR system the same for the Hospital and child sites, if applicable? Verity implementation is in process. 26 27 28 29 30 3 What contract pharmacy software is utilized by the covered entities? What split billing software is utilized by the covered entities? Has this software been changed in the last year, or is it expected to change over the next two years? John H. Stroger, Jr. Hospital of Cook County had a HRSA audit in 207 with a corrective action plan approved - what is the status of this corrective action plan? Are there current strategic plans to add additional child sites or contract pharmacies within the scope of either covered entity included as part of this audit? Do both Covered Entities utilize the same EMR system? Are the child sites/clinics on the same EMR system? Are the clinic EMRs accessible from one central location? Do all outpatient pharmacies operate on the same pharmacy management system? Do parent and child sites use the same splitbilling software? Verity Yes, the software was changed in the last year. In process Yes Yes Page 4 of 6
32 Section of the RFP Question CCHHS Response What is the expectation for on-site visits for childsite locations during the audit? 33 For Provident Hospital of Cook County, are the contract pharmacy 340B claims adjudicated by the same TPA for all locations? 34 When does the audit needed to be completed? During Q4 of 208 or Q of 209? Data is accessible at a central location. If there is a need to do a site visit Q4 208 35 Please confirm the Parent 340B IDs in scope a. DSH4024 b. DSH40300 36 Are all contract pharmacies in scope of independent audit limited to Cook County pharmacies (no Walgreens, CVS, WalMart, etc.)? 37 What software products are in scope across the 340B entities (e.g., Verity solutions, Sentry Data System, MacroHelix, etc.)? 38 What wholesalers are in scope across the 340B entities (e.g., Cardinal Health, McKesson, and AmerisourceBergen)? 39 Are there any specialty pharmacy services / products used for 340B? Confirmed Verity Amerisource Bergen ADDENDUM ACKNOWLEDGEMENT FORM Page 5 of 6
As required by the RFP, Proposers must submit this acknowledgement form with their response. One acknowledgement form per response, listing all addenda, is appropriate. Company Name: Representative s Name: Signature: Date: END OF ADDENDUM Page 6 of 6