MURIEL BOWSER
MAYOR
January 19, 2022
The Honorable Phil Mendelson
Chairman
Council of the District of Columbia
John A. Wilson Building
1350 Pennsylvania Avenue, NW, Suite 504
Washington, DC 20004
Dear Chairman Mendelson:
Pursuant to section 451 of the District of Columbia Home Rule Act (D.C. Official Code 1-
204.51) and the Procurement Practices Reform Act (D.C. Official Code 2-351.01 et seq.),
enclosed for consideration and approval by the Council of the District of Columbia is proposed
Contract No. CW95350 with UnitedHealthcare of the Mid-Atlantic, Inc. (United). The proposed
contract is in the minimum amount of $77,114,755.34 and in the maximum amount of
$192,786,889.35. The period of performance is from February 1, 2022, to December 31, 2022.
Under the proposed contract, United shall provide Medicaid services for the Medicaid-eligible
population enrolled in the Districts Dual Eligible Special Needs Program (D-SNP). The D-SNP
program consists of Full-Benefit Dual Eligible beneficiaries who meet both Medicare and
Medicaid requirements and are enrolled in both programs and qualify for the Medicare Savings
Program.
In order to facilitate a response to any questions you may have, please have your staff contact Marc
Scott, Chief Operating Officer of the Office of Contracting and Procurement, at (202) 724-8759.
I look forward to the Councils favorable consideration of this proposed contract.
Sincerely,
Muriel Bowser
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement
Pursuant to section 202(c) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code 2-352.02(c), the following contract summary is provided:
COUNCIL CONTRACT SUMMARY
(Standard and multiyear)
(A) Contract Number: CW95350
Proposed Contractor: UnitedHealthcare of the Mid-Atlantic, Inc. (United)
Contract Amount: Minimum $77,114,755.34, Maximum: $192,786,889.35
Unit and Method of Compensation: Fixed Capitated Rates
Term of Contract: February 1, 2022 through December 31, 2022
Type of Contract: Indefinite Delivery Indefinite Quantity
Source Selection Method: Competitive Sealed Bidding
(B) For a contract containing option periods, the contract amount for the base period and for
each option period. If the contract amount for one or more of the option periods differs from
the amount for the base period, provide an explanation of the reason for the difference:
Base Period Amount: Not-to-exceed (NTE) $192,786,889.35
Option Period 1, Option Period 2, Option Period 3 and Option Period 4:
Amount will be based on actuarial review of the capitation rates. An adjustment to the capitation
rates shall be effective as of the first day of the option period and six months after each option
period, to which the adjusted capitation rate applies (either upwards or downwards), if appropriate.
In the event a prospective capitation rate adjustment is required, an actuarial analysis will be
completed by the Districts contracted actuary. If required, the District will make the necessary
adjustment to the capitation rates.
(C) The goods or services to be provided, the methods of delivering goods or services, and any
significant program changes reflected in the proposed contract:
United shall provide dual eligible special needs program (D-SNP) to the Department of Health
Care Finance (DHCF) to serve enrollees with low, medium, and high risks for health care
disparities with both Medicare and Medicaid benefits.
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(D) The selection process, including the number of offerors, the evaluation criteria, and the
evaluation results, including price, technical or quality, and past performance components:
Following Title 27, District of Columbia Municipal Regulations section 1550, a two-step sealed
bidding method was used by the contracting officer (CO) to procure the required D-SNP services.
The first phase was issuing a request for qualifications (RFQ). The RFQ solicitation No.
Doc564983 was solicited in Ariba e-sourcing on August 3, 2021, and advertised in a newspaper of
general circulation. The RFQ closed on August 31, 2021. United was the only bidder who
responded to the RFQ. The CO reviewed Uniteds capabilities for implementing D-SNP in the
areas of basic organization and structure; advisory committees; language access and cultural
competency; marketing activities; enrollment, education, and outreach; enrollee services and
outreach; covered services; provider network and access requirements; utilization management and
care management; quality assessment and performance improvement and continuous quality
improvement; grievances and appeals procedures; financial requirements; management
information systems; implementation plan; reporting requirements; past performance; and
evaluation of responses and program readiness activities.
Based on the COs review of United's qualifications, United was notified they qualify to
participate in the invitation for bid (IFB) because they have demonstrated the required knowledge,
understanding, and ability to meet D-SNP services to District enrollees. The second step of the
bidding process is the issuance of the IFB to qualified bidders. The IFB was issued to United on
September 28, 2021, and closed on October 22, 2021. The CO reviewed Uniteds bid and
determined the rates to be actuarially sound and compliant with all District laws and regulations.
The CO concluded Uniteds bid to be the most advantageous to the District and recommends
award to United.
(E) A description of any bid protest related to the award of the contract, including whether the
protest was resolved through litigation, withdrawal of the protest by the protestor, or
voluntary corrective action by the District. Include the identity of the protestor, the grounds
alleged in the protest, and any deficiencies identified by the District as a result of the protest:
None.
(F) The background and qualifications of the proposed contractor, including its organization,
financial stability, personnel, and performance on past or current government or private
sector contracts with requirements similar to those of the proposed contract:
The contractor has demonstrated through past performance that their organization has the history,
personnel, organizational and technical experience required to successfully meet the requirements
of the proposed contract. Likewise, it has been determined that the contractor maintains the
financial resources, accounting and operational controls to successfully fulfill the Districts
requirements. The contractor has been determined responsible in accordance with the Districts
standards for responsibility.
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(G) A summary of the subcontracting plan required under section 2346 of the Small, Local, and
Disadvantaged Business Enterprise Development and Assistance Act of 2005, as amended,
D.C. Official Code 2-218.01 et seq. (Act), including a certification that the subcontracting
plan meets the minimum requirements of the Act and the dollar volume of the portion of the
contract to be subcontracted, expressed both in total dollars and as a percentage of the total
contract amount:
The Department of Small and Local Business Development has provided a waiver to reduce the
subcontracting goal to 3.5% for D-SNP. The contractor provided a subcontracting plan with a set
aside of 3.5% with a total dollar amount of $6,786,407. The CO has determined that the plan meets
the minimum requirements of the Act.
(H) Performance standards and the expected outcome of the proposed contract:
DHCF aims to align the structure, operations and performance of managed care with the diverse
range of preventive, acute and chronic health diseases and conditions of District residents eligible
for D-SNP.
Perform in accordance with all state and federal regulatory standards applicable to the Medicare
Advantage program, including, but not limited to, Section C.5.1.2 of the contract and 42 C.F.R.
422 et seq.
(I) The amount and date of any expenditure of funds by the District pursuant to the contract
prior to its submission to the Council for approval:
None.
(J) A certification that the proposed contract is within the appropriated budget authority for the
agency for the fiscal year and is consistent with the financial plan and budget adopted in
accordance with D.C. Official Code 47-392.01 and 47-392.02:
The Agency Fiscal Officer certified that funding in the amount of $77,114,755.74, is available to
support the proposed contract for D-SNP services.
(K) A certification that the contract is legally sufficient, including whether the proposed
contractor has any pending legal claims against the District:
The contract has been reviewed by the Office of the Attorney General and found to be legally
sufficient. The contractor has no pending legal claim against the District.
3
(L) A certification that Citywide Clean Hands database indicates that the proposed contractor is
current with its District taxes. If the Citywide Clean Hands Database indicates that the
proposed contractor is not current with its District taxes, either: (1) a certification that the
contractor has worked out and is current with a payment schedule approved by the District;
or (2) a certification that the contractor will be current with its District taxes after the
District recovers any outstanding debt as provided under D.C. Official Code 2-353.01(b):
On December 1, 2021, the Citywide Clean Hands database certified that the contractor is current
with its District taxes.
(M) A certification from the proposed contractor that it is current with its federal taxes, or has
worked out and is current with a payment schedule approved by the federal government:
The contractor has self-certified that it is current with its Federal taxes.
(N) The status of the proposed contractor as a certified local, small, or disadvantaged business
enterprise as defined in the Small, Local, and Disadvantaged Business Enterprise
Development and Assistance Act of 2005, as amended; D.C. Official Code 2-218.01 et seq.:
The contractor is not a certified local, small or disadvantaged business enterprise.
(O) Other aspects of the proposed contract that the Chief Procurement Officer considers
significant:
None.
(P) A statement indicating whether the proposed contractor is currently debarred from
providing services or goods to the District or federal government, the dates of the debarment,
and the reasons for debarment:
As of October 27, 2021, the contractor does not appear on the Office of Inspector General
Exclusions Database, the Federal Excluded Parties List or the Districts list of Debarred and
Suspended Contractors.
(Q) Any determination and findings issues relating to the contracts formation, including any
determination and findings made under D.C. Official Code 2-352.05 (privatization
contracts):
Determination and Findings for Contractor Responsibility
Determination and Findings for Price Reasonableness
(R) Where the contract, and any amendments or modifications, if executed, will be made
available online:
http://ocp.dc.gov
4
(S) Where the original solicitation, and any amendments or modifications, will be made
available online:
http://ocp.dc.gov
5
Government of the District of Columbia
Office of the Chief Financial Officer 1101 4th Street, SW
Office of Tax and Revenue Washington, DC 20024
Date of Notice: December 1, 2021 Notice Number: L0006533849
UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC. FEIN: **-***0183
10175 LITTLE PATUXENT PKWY FL 6 Case ID: 1011970
COLUMBIA MD 21044-2655
CERTIFICATE OF CLEAN HANDS
As reported in the Clean Hands system, the above referenced individual/entity has no outstanding
CO
liability with the District of Columbia Office of Tax and Revenue or the Department of Employment
Services. As of the date above, the individual/entity has complied with DC Code 47-2862, therefore
this Certificate of Clean Hands is issued.
TITLE 47. TAXATION, LICENSING, PERMITS, ASSESSMENTS, AND FEES
CHAPTER 28 GENERAL LICENSE
SUBCHAPTER II. CLEAN HANDS BEFORE RECEIVING A LICENSE OR PERMIT
D.C. CODE 47-2862 (2006)
PY
47-2862 PROHIBITION AGAINST ISSUANCE OF LICENSE OR PERMIT
Authorized By Marc Aronin
Chief, Collection Division
To validate this certificate, please visit MyTax.DC.gov. On the MyTax DC homepage, click the
Validate a Certificate of Clean Hands hyperlink under the Clean Hands section.
1101 4th Street SW, Suite W270, Washington, DC 20024/Phone: (202) 724-5045/MyTax.DC.gov
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Department of Health Care Finance
Office of the Chief Financial Officer
MEMORANDUM
TO: George A. Schutter
Acting Chief Procurement Officer
Office of Contracting and Procurement
THRU: Delicia Moore
Associate Chief Financial Officer
Human Support Services Cluster
FROM: Darrin Shaffer
Agency Fiscal Officer
Department of Health Care Finance
DATE: 11/08/2021
SUBJECT: Certification of Funding for Dual Eligible Special Needs Program
The Office of the Chief Financial Officer hereby certifies that the sum of $77,114,755.75 is included in the Districts
Local Budget and Financial Plan submitted to Congress by the Chairman of the Council to the Speaker of the House of
Representatives for Fiscal Year 2022 to fund the costs associated with the Department of Health Care Finances (DHCF)
Dual Eligible Special Needs Program (DSNP) contract. This certification supports the contract during the period of
February 1, 2022 through December 31, 2022. The fund allocation is as follows:
Vendor: TBD Contract Number: TBD
Fiscal Year 2022 Funding:
Agency Fund Program Amount
HT0 0100 5000 $16,698,849.84
HT0 8250 5000 $41,137,216.97
FY22 Total $57,836,066.81
Fiscal Year 2023 Funding:
Agency Fund Program Amount
HT0 0100 5000 $5,783,606.69
HT0 8250 5000 $13,495,082.25
FY23 Total $19,278,688.94
Upon approval by Congress of the Districts Local Budget and Financial Plan funds will be sufficient to
pay for fees and costs associated with the contract. There is no fiscal impact associated with the contract.
Should you have any questions, please contact me at (202) 442-9079.
cc: Angelique Martin, ORRFA
Lisa Truitt, DHCF
Helena Barbour, OCP
441 4th Street, NW, Suite 900 South, Washington, D.C. 20001 (202) 442-5988 FAX (202) 478-1373
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of the Attorney General
ATTORNEY GENERAL
KARL A. RACINE
Commercial Division
MEMORANDUM
TO: Ronan Gulstone
Director
Office of Policy and Legislative Affairs
FROM: Robert Schildkraut
Section Chief
Government Contracts Section
DATE: January 14, 2022
SUBJECT: Award of Dual Eligible Special Needs Program Contract
Contractor: UnitedHealthcare of the Mid-Atlantic, Inc.
Contract No.: CW95350
Contract Type: Indefinite Delivery/Indefinite Quantity with Fixed Capitated
Rates
Annual Maximum Amount: $192,786,889.35
Annual Minimum Amount: $77,114,755.34
This is to Certify that this Office has reviewed the above-referenced
Contract and we have found it to be legally sufficient.
If you have any questions in this regard, please do not hesitate to call me at (202) 724-4018.
___ .
Robert Schildkraut
400 Sixth Street, N.W., Suite 9100, Washington, D.C. 20001 (202) 727-3400 Fax (202) 347-8922
1. Solicitation Number Page of Pages
AWARD/CONTRACT Doc564983 1 263
2. Contract Number 3. Effective Date 4. Requisition/Purchase Request/Project No.
CW95350 See 20C. below
5. Issued By: Code 6. Administered by (If other than line 5)
Office of Contracting and Procurement Department of Health Care Finance
Health and Human Services Cluster Long Term Care Administration
441 4TH Street, NW; 300 South 441 4TH Street, NW; 900 South
Washington, DC 20001 Washington, DC 20001
7. Name and Address of Contractor (No. street, city, county, state, and Zip Code) 8. Delivery
UnitedHealthcare of the Mid-Atlantic, Inc. FOB Origin FOB Destination
10175 Little Patuxent Parkway, 6th Floor 9. Discount for prompt payment:
Columbia, MD 20144 Net 30 days
POC: Erin Henderson Moore Office: (763) 361-3504 10. Submit invoices to the Address shown in Section G.2
(2 copies unless otherwise specified)
Email: erin_hendersonmoore@uhc.com
11. Ship to/Mark For Code 12. Payment will be made by Code
Department of Health Care Finance Department of Health Care Finance
Long Term Care Administration