Specifications include, but are not limited to: This Invitation for Bid (IFB) is issued by the Office of Procurement (OP), for the Arkansas Department of Human Services (DHS), Division of Medical Services (DMS), to obtain pricing and a contract with a qualified vendor to provide analysis and evaluation of the ARWorks program in comparison to traditional Medicaid, as well as related support functions. A. Overview of Program. DHS is issuing this IFB to obtain pricing and a contract to provide evaluation services related to the ARWorks program. The successful bidder under this IFB shall focus on evaluating the programmatic goals and objectives of ARWorks, including without limitation: 1. Successful Enrollment 2. Enhanced Access 3. Improved Quality of Care and Clinical Outcomes 4. Enhanced Continuity of Coverage and Care at Times of Reenrollment and Income Fluctuation. These goals and objectives must be achieved within a cost-effective framework for the Medicaid program compared with what would have occurred if the state had provided coverage for the same expansion group in Arkansas Medicaid’s traditional Fee-For-Service (FFS) delivery system (See Attachment I: CMS Fact Sheet for ARWorks). Arkansas submitted an Evaluation Plan for this §1115 Demonstration Waiver to The Center for Medicare and Medicaid Services (CMS) in 2014 and 2017 (Attachments G and H). The Evaluation to be conducted under this IFB shall comport with these Evaluation Plans, and the contract for evaluation services will be a continuation of prior evaluation services provided to DHS. The evaluation provided under this IFB shall not include evaluation of the Work and Community Engagement Requirements, which will be provided under a separate contract, yet to be procured. B. Hypotheses for Evaluation. As part of this IFB, Vendor shall evaluate the following hypotheses: 1. Access to Care: ARWorks beneficiaries will have equal or better access to health care compared with what they would have otherwise had in the FFS system over time. Access shall be evaluated using the following measures: a. Use of primary care and specialty physician services, including analysis of provider networks. b. Use of emergency room services (including emergent and non-emergent use). c. Potentially preventable emergency department and hospital admissions. d. Early and Periodic Screening, Diagnosis and Treatment benefit access for young, eligible adults. e. Non-Emergency Transportation (NET) access. 2. Improved Outcomes: ARWorks beneficiaries will have equal or better care and outcomes compared with what they would have otherwise had in the Medicaid FFS system over time. Health care and outcomes shall be evaluated using the following measures: a. Use of preventive and health care services. b. Experience with the care provided (patient satisfaction). c. Use of emergency room services (including emergent and non-emergent use). d. Potentially preventable emergency department and hospital admissions.