MURIEL BOWSER MAYOR March 14, 2024 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 section 202 of the Procurement Practices Reform Act of 2010 (D.C. Official Code § 2-352.02), enclosed for consideration and approval by the Council of the District of Columbia is proposed Modification No. M012 to exercise option period three of Contract No. CW89317 with Medical Transportation Management, Inc. The proposed modification is in the amount of $23,669,700. The proposed modification is for the period of April 10, 2024, through April 9, 2025. Under the proposed modification, Medical Transportation Management, Inc. shall continue to provide non-emergency transportation services for the District’s Medicaid-eligible fee-for-service beneficiaries. I am available to discuss any questions you may have regarding the proposed modification. 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 Council’s favorable consideration of this proposed modification. Sincerely, Muriel Bowser GOVERNMENT OF THE DISTRICT OF COLUMBIA Office of Contracting and Procurement Pursuant to section 202(c-3) of the Procurement Practices Reform Act of 2010, as amended, D.C. Official Code § 2-352.02(c-3), the following contract summary is provided: COUNCIL CONTRACT SUMMARY (Options) (A) Contract Number: CW89317 Proposed Contractor: Medical Transportation Management, Inc. Contract Amount (Option Period Three): $23,669,700 Unit and Method of Compensation: Fixed Capitated Rates Term of Contract: April 10, 2024, through April 9, 2025 Type of Contract: Requirements Contract (B) Identifying number of the underlying contract, including the identifiers assigned to the underlying contract by the Council for the base period and any subsequent option periods: Base Period Amount: $22,076,520 (April 10, 2021 – April 9, 2022) (Council Approval CA24-0069) Option Period One Amount: $23,207,580 (April 10, 2022 – April 9, 2023) (Council Approval CA24-0431) Option Period Two Amount: $23,430,780 (April 10, 2023 – April 9, 2024) (Council Approval CA25-0057) Option Period Three Amount: $23,669,700 (April 10, 2024 – April 9, 2025) Option Period Four Amount: $24,204,780 (April 10, 2025 – April 9, 2026) 1 (C) A statement 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 January 31, 2024, the Citywide Clean Hands database certified that Medical Transportation Management, Inc. is current with its District tax laws. (D) A statement 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 Department of Health Care Finance Agency Fiscal Officer certified that funding in the amount of $23,669,700 is available to support the contract. 2 >?87@84ÿAÿ458ÿ 47B4ÿAÿCD@E FAAB8ÿAÿ458ÿ58Aÿ1B CÿFAAB87 0010ÿ345ÿ6478849ÿ6 FAAB8ÿAÿGHÿIÿJ8?8D8ÿ 549ÿÿ113 ÿÿ !"#ÿ$%&ÿ'(') ÿ!/0"*((%(+,-.)- K23LMÿGJL46NFJGLG3F4ÿKL4L>2K24Gÿ34 12345ÿ66766689: 0:ÿOL PÿJ3>2ÿ3J  8ÿ35ÿ0;899< MLP2ÿ6L34GÿMFQ36ÿKFÿÿ:<<:970;:0 ÿ ÿ defghihdjgeÿliÿdmejnÿojnpq L ÿ78]748Iÿÿ458ÿC8ÿO Iÿ^48@9ÿ458ÿE?8ÿ78A878B8IÿI?IDCr844^ÿ5 ÿÿD44I CEC4^ÿs45ÿ458ÿ 47B4ÿAÿCD@E ÿFAAB8ÿAÿGHÿIÿJ8?8D8ÿ7ÿ458ÿ8]74@84ÿAÿ2@]C^@84 687?B8_ÿL ÿAÿ458ÿI48ÿE?89ÿ458ÿI?IDCr844^ÿ5 ÿB@]C8Iÿs45ÿÿI8ÿtÿ397;:9ÿÿ45878A78 45 ÿ874AB48ÿAÿC8ÿO Iÿÿ D8I_ G3GM2ÿ39_ÿGLuLG3F49ÿM324634>9ÿN2JK3G69ÿL66266K24G69ÿL4ÿ1226 OLNG2Jÿ;ÿ>242JLMÿM32462 6QvOLNG2Jÿ33_ÿM2L4ÿOL46ÿv21FJ2ÿJ223b34>ÿLÿM32462ÿFJÿN2JK3G __ÿF2ÿtÿ397;:ÿw11:x tÿ397;:ÿNJFO3v3G3F4ÿL>L346Gÿ366QL42ÿF1ÿM32462ÿFJÿN2JK3G X!S"ZVÿR#ÿ[UVÿ\Y R"SÿTS&ÿTUUÿVÿW "/ÿXV/Y" Gÿ?CI48ÿ45 ÿB874AB489ÿ]C8 8ÿ? 4ÿK^GH__?_ÿFÿ458ÿK^GHÿÿ5@8]89ÿBCB`ÿ458 ab CI48ÿÿ874AB48ÿAÿC8ÿO Icÿ5^]87C`ÿDI87ÿ458ÿC8ÿO Iÿ8B4_ yyzyÿ{|}ÿq|~|ÿq€ÿq‚ƒ|ÿ€„zÿ€†‡}ƒˆ‰|Šˆÿpdÿ„zz„{‹Œ}ŠˆÿŽ„z„ÿ„{‘z{‘‹’“g†”•pd•‰Š– ÿ GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health Care Finance Office of the Chief Financial Officer MEMORANDUM TO: Nancy Hapeman Interim Chief Procurement Officer Office of Contracting and Procurement THRU: Delicia V. Moore Associate Chief Financial Officer Human Support Services Cluster FROM: Darrin Shaffer Agency Fiscal Officer Department of Health Care Finance DATE: February 20, 2024 SUBJECT: Certification of Funding Availability for Non-Emergency Medical Transportation Services The Office of the Chief Financial Officer hereby certifies that the sum of $23,669,700.00 is included in the District’s Local Budget and Financial Plan for Fiscal Year 2024 to fund the costs associated with the Medical Transportation Management Inc. (MTM) contract that the Department of Health Care Finance’s (DHCF) has under its Non- Emergency Transportation Provider Services. This certification supports the MTM contract during the period from 04/10/2024 through 04/09/2025. The fund allocation is as follows: Vendor: Medical Transportation Management Inc. (MTM) Contract: CW89317 Fiscal Year 2024 Funding: 04/10/2024-09/30/2024 Agency DIFS Fund DIFS Cost Center DIFS Program DIFS Account Amount HT0 1010001 70208/70209 700100 7141003 $2,836,475.23 HT0 4025002 70208/70209 700100 7141003 $6,652,884.72 FY 2024 Total: $9,489,359.95 Fiscal Year 2025 Funding: 10/01/2024-04/09/2025 Agency DIFS Fund DIFS Cost Center DIFS Program DIFS Account Amount HT0 1010001 70208/70209 700100 7141003 $4,247,366.84 HT0 4025002 70208/70209 700100 7141003 $9,932,973.21 FY 2025 Total: $14,180,340.05 Upon approval of the District’s Local Budget and Financial Plan by the Council and the Mayor and completion of the thirty-day Congressional layover, 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. 441 4th St. NW, Suite 900 South, Washington, D.C. 20001 (202) 442-5988 FAX (202) 478-1373 1. Contract Number Page of Pages AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT CW89317 1 2 2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase 5. Solicitation Caption Request No. M012 April 10, 2024 Non-Emergency Medical Transportation Services 6. Issued by: Code 7. Administered by (If other than line 6) Office of Contracting and Procurement Department of Health Care Finance Health Services Cluster 441 4th Street, NW, Suite 900S 441 4th Street NW, Suite 330S Washington, DC 20001 Washington, DC 20001 8. Name and Address of Contractor (No. street, city, county, state and zip code) 9A. Amendment of Solicitation No. Medical Transportation Management, Inc. 635 Maryville Centre Drive 9B. Dated (See Item 11) Suite 300 10A. Modification of Contractor/Order No. St. Louis, MO 63141-5847 CW89317 POC: Alejandro Macia X 10B. Dated (See Item 13) Telephone: 636-695-5512 Email: almacia@mtm-inc.net April 10, 2021 11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended. is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing Items 8 and 15, and returning one (1) copy of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) BY separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such may be made by letter or fax, provided each letter or telegram makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified. 12. Accounting and Appropriation Data (If Required) 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTORS/ORDERS, IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14 A. This change order is issued pursuant to (Specify Authority): 27 DCMR, Chapter 36, Contract Modifications The changes set forth in Item 14 are made in the contract/order no. in item 10A. B. The above numbered contract/order is modified to reflect the administrative changes (such as changes in paying office, appropriation data etc.) set forth in item 14, pursuant to the authority of: 27 DCMR § 3601.3 (a) C. This supplemental agreement is entered into pursuant to authority of: 27 DCMR § 3601.2 X D. Other: Exercise of Option, pursuant to the authority of: 27 DCMR § 3601.3 (c) E. IMPORTANT: Contractor is not required is required to sign this document and return one (1) copy to the issuing office. 14. Description of Amendment/Modification (Organized by UCF Section headings, including solicitation/contract subject matter where feasible.) Contract No. CW89317 is hereby modified as follows: 1) In accordance with Section F.2 titled “Option to Extend the Term of the Contract,” the District of Columbia Government, Office of Contracting and Procurement, on behalf of the Department of Health Care Finance, hereby exercise option period three to extend the term of the contract from April 10, 2024, through April 9, 2025, in the amount of $23,669,700. 2) Attachment A – Option Period Three Price Schedule ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED Except as provided herein, all terms and conditions of the document is referenced in Item 9A or 10A remain unchanged and in full force and effect. 15A. Name and Title of Signer (Type or print) 16A. Name of Contracting Officer Jarad Dorsey 15B. Name of Contractor 15C. Date 16B. District of Columbia 16C. Date Signed Signed (Signature of person authorized to sign) (Signature of Contracting Officer) Attachment A – CW89317 Option Period Three Price Schedule B.3.4 Option Year Three April 10, 2024, through April 9, 2025 Estimated Price Per Quantity Total CLIN Item Description Beneficiaries Beneficiary Months Estimated Price (Per Month) Manage and Administer the Districts Non-Emergency Medical Transportation (NEMT) services 3001 for the District’s Medicaid Eligible Fee-for-Service (FFS) Beneficiaries as described in C.1 District’s Medicaid Eligible 3001AA Fee-For-Service (FFS) $24.16 Per Person 35,000 12 $10,147,200.00 Beneficiaries (C.1, C.4.2) District’s IDD Beneficiaries 3001AB $751.25 Per Person 1,500 12 $13,522,500.00 (C.4.8, C.4.8.1) Option Year Three Total Price $23,669,700.00 2