(1) Vendor needs to provide health insurance case management service to the government authority located in Columbia, SC.– Contractor shall provide eligible clients with insurance case management and premium assistance for an individual policy covering the eligible referred client.– Contractor shall oversee initial and renewal enrollment process.– Contractor shall follow up with each client to obtain the necessary information for decisions regarding insurance options.– Contractor shall monitor the assistance provided for each client and assure expenses do not exceed the annual cap for premium assistance and approved out of pocket expenses for FDA approved indicated treatments of the diagnosis.– Contractor shall provide all labor, materials, supervision, equipment, supplies and reports necessary to effectuate the terms and requirements establish by the contract for a set fee for medical insurance case management services.– Contractor shall submit a client detailed and total report of all actual cost of premium assistance for the prior month's charges to include client premiums paid, out of pocket cost paid, case management fee or program administrative service fee.– Contractor shall provide accurate outcome data to assist the state in analyzing the success of the program by sending quarterly reports regarding the provision of medical insurance case management services performed relevant to contract specifics.– Contractor shall submit quarterly reports detailing individual premiums and out of pocket assistance paid for each client.(2) All question must be submitted no later than October 04, 2024.(3) A contract period will be for one year.
↧