Single Source Procurement: Health Information Technology (MRT – HIT)

Pursuant to New York State Finance Law § 163.10(b), The New York State Department of Health is presenting the following summary of relevant circumstances, and material and substantial reasons why a competitive procurement was not feasible. The New York State Department of Health, Medicaid Redesign Team – Health Information Technology (MRT – HIT) Program has made a determination to issue a Single Source Procurement to three grantees to support ongoing currently funded projects.

The MRT-HIT initiative aims to develop, test and implement a technology infrastructure that supports perinatal risk identification, assessment and referral, and facilitates information sharing across a network of health and social service providers for coordination and delivery of care for high-risk pregnant women. The purpose is to demonstrate the effective use of HIT to coordinate perinatal services across a network of providers, reduce costs by streamlining fragmented and redundant systems, and improve quality of care.

Medicaid (MA) accounted for 52% of all births in New York State in 2015. Demonstrated use of HIT to effectively manage perinatal care for high-risk MA-enrolled women has the potential to result in significant savings to New York State and the Medicaid program. According to the March of Dimes, the average cost for management of a premature or low birth-weight baby is $49,000 in the first year. By comparison, the cost of care for a newborn without complications is $4,551 in the first year, a difference of $44,449. It is estimated that a reduction of only 1% of premature births to MA-enrolled women would result in average annual savings of $64,384,376.

Poor perinatal outcomes are major cost drivers for health care institutions and the Medicaid program. When high-risk pregnant and postpartum women receive early and comprehensive screening to identify special needs and risk factors, along with timely social and medical interventions to address those risks identified, birth outcomes for women and babies are greatly improved. Ensuring a coordinated system of care and referral will improve the quality of care provided and has the potential to reduce adverse outcomes in a high-risk population.

Procurement / Program Name Medicaid Redesign Team – Health Information Technology (MRT – HIT) Contractor Name(s) Contract Period 12/01/2018 – 11/30/2019 Contract Number

Procurement / Program Name	Medicaid Redesign Team – Health Information Technology (MRT – HIT)
Contractor Name(s)	Multiple Contractors - See attached List
Contract Period	12/01/2018 – 11/30/2019
Contract Number(s)	Various Contract Numbers - See attached list