Requests for Proposals (RFPs)

 

NYeC supports ideas and innovations that improve quality, increase efficiency, and lower the costs of care. The majority of our projects are awarded through a competitive request for proposals. 

We welcome your participation and offer the following opportunities:

 

Request for Information:

The New York eHealth Collaborative (NYeC) and the New York City Department of Health and Mental Hygiene (DOHMH) are inviting software vendors to submit information about their Electronic Health Record (EHR), Electronic Medical Record (EMR) or Electronic Billing (EBS) Systems for Adult Behavioral Health. This RFI is focusing on systems for Adult Behavioral Health Home and Community-Based Service Provider Organizations in the 57 counties of New York State, outside of New York City.

Potential users of these solutions are Home and Community-Based Service (HCBS) providers who are serving patients within the Medicaid Health Home Service Model. The vendor software we are seeking to pre-qualify will enable Adult Behavioral Health HCBS Provider Organizations to capture their case documentation and to bill for their services to Medicaid Managed Care.

The RFI is open from February 15, 2017 to March 17, 2017 at 11:59 pm EDT

BHIT HCBS Technical Specifications and Additional Documentation 

 

The following technical specifications, warning alerts, and additional documentation should be used by Software Vendors (EHR, EMR, and EBS systems) that are upgrading according to the workflow of Adult Behavioral Health (BH) Home and Community-Based Services (HCBS) provider organizations in New York State under the BHIT Program.  

 

Adult BH HCBS Technical Specifications v 3.4 for EHR or EMR (PDF, 2.0 MB)

This key document, approved by the NYS Department of Health, specifies all technical specifications required for Electronic Health Systems (EHR) or Electronic Medical Systems (EMR) and includes business workflow, case documentation, and billing specifications.

 

Adult BH HCBS Technical Specs v 3.4F for EBS (PDF, 198 kb)

This key document, approved by the NYS Department of Health, specifies all technical specifications required for Electronic Billing Systems (EBS).

 

Adult BH HCBS Billing Warning Alerts v 3.4F (PDF, 86 kb)

This document specifies the automatic warning alerts or billing notifications that must be inserted appropriately in the software in order to minimize rejection of claims.

 

Authorization Request Form that relates to Adult BH HCBS services in New York State (PDF, 132 kb)

Approved form by the New York State Department of Health that is sent from the HCBS Provider to the Managed Care Organizations (MCOs)  requesting approval of services.

 

BH HCBS Fee Schedule for Rest of State (MS Excel and PDF format)

CMS approved codes, modifiers, and fees for HCBS Services in Rest of State. 

 

BH HCBS Fee Schedule for NYC

CMS approved codes, modifiers, and fees for HCBS Services in NYC.

 

Document and Questionnaire about Security Parameters BHIT Technical Specifications (PDF, 131 kb)

Document prepared by the New York State Department of Health about Security Parameters. Software vendors need to answer how their systems address these Security Parameters.

 

Frequently Asked Questions from the RFI for Rest of State posted on February 15, 2017 through March 15, 2017 (FAQ v1.0) (PDF, 91 kb)

Summary of  questions and answers about the RFI process and the  BH HCBS Technical Specifications v 3.4

 

Frequently Asked Questions from the New York City RFI posted in February 2016 (FAQ v1.0) (PDF, 91 kb)

Summary of common questions and answers about the Adult BH HCBS Technical Specifications v 3.3 - (This Q and A relates to the technical specs version 3.3 which is an earlier version of the technical specifications, that have now been replaced with the Adult BH HCBS Technical Specifications v 3.4F.   The Q and A is relevant to version 3.4 F as well.).

 

HCBS Provider Manual (PDF, 390 kb)

This manual completely describes the  Home and Community-Based Services (HCBS) approved by CMS as a Medicaid billable service. It includes all information about services, provider qualifications and credentials, consumer eligibility criteria, service requirements, limitations and exclusions, clustering of services and allowable modes of delivery of the services. Updated version - April 20, 2016

 

New York State HARP-Managed Care BH Billing and Coding Manual (PDF, 369 kb)

Manual that details the requirements necessary to bill and code for claims in order to ensure proper behavioral health claims submissions as relates to mainstream Medicaid Managed Care Plans (MMCs) and Health and Recovery Plans (HARPs). It applies only to behavioral health services that can be billed under Medicaid fee-for-service rate codes by OMH-licensed or OASAS-certified programs and to the HCBS services that will be delivered by OMH and OASAS “designated” providers.

 

Software Vendor Questions and Answers that relate to the Rest of State (ROS) RFI (PDF)