Fee for Medicaid Incontinence Supplies Services

The vendor is required to provide the centers for medicare and medicaid services durable medical equipment, prosthetics, orthotics, and supplies.
- Develop and maintain a nursing assessment tool for determining appropriate products, product brands, product quantities, and other necessary information for individual members.    
- Before the assessment tool’s use, and after any revisions, the contractor must obtain written approval from administration; submit the tool for review and approval at the start of the contract and must resubmit the tool for review and approval on an annual basis.    
- The contractor shall implement modifications to the assessment tool at the request of administration.
- Nursing assessment format
• Nursing assessments may be completed via a telephone interview with a registered nurse, or, at the member’s request, by organizations or entities other than the contractor, such as state home health agencies.
• Provide assessments in an alternative format upon member request; initial, ongoing and follow-up assessments may be completed by any of these methods, and the contractor shall provide a paper form if requested by a member.     
• In cases where a member has requested a nursing assessment via paper format, the contractor shall mail a member-specific paper assessment form and self-addressed stamped envelope to the member for completion at no additional cost to the state.    
• If the paper form of the nursing assessment is filled out incorrectly or not returned, the contractor’s nursing staff shall follow-up with a telephone nursing assessment within 10 business days.
- Delivery charges    
• Contractor agrees that the costs of delivery, including emergency deliveries, shall be included in the unit price of each product.    
• Contractor shall not charge the state or the member any additional charge for delivery or any other fees or surcharges beyond the unit price per product.    
- Return charges
• The contractor shall not charge a return or restocking fee for any products returned within the applicable time periods set forth below.
• The contractor shall accept returns of over shipped products in salable condition up to thirty (30) calendar days after receipt by the member; salable condition is defined as product that can be sold to another party and is still in its original packaging; returns shall be facilitated at no cost to the member or the state.
• The contractor shall accept returns of defective products up to thirty (30) calendar days after receipt by the member and replace with non-defective products at no cost to the member or the state;  returns of defective products do not need to be in salable condition and shall be facilitated at no cost to the member or the state.
- Emergency product(s)
• Provide members instructions regarding how to secure emergency product items within twenty-four (24) hours of an emergency product need.  
• If time permits when the contractor is notified of an emergency situation or a condition that will exhaust products prior to the next delivery date, the contractor shall ship emergency products for next day delivery within twenty-four (24) hours of notification; if the emergency happens after regular business hours, the member will reach the twenty-four (24) hour answering service, and will be connected with the nurse on-call to discuss the member’s situation.    
• The contractor shall have employees or subcontractors on staff, located around state, to deliver emergency products in the event that the contractor is not able to ship products quickly enough to meet a member’s emergency medical need (for instance, if a member needs emergency products over a weekend).
- Contract Period/Term: 4 years
- Pre-Proposal Conference Date: February 24, 2025
- Questions/Inquires Deadline: March 3, 2025