All correspondence must be made through the Vendor Portal. Specifications include, but are not limited to: Through this Request for Proposal (RFP), the Vermont Department of Financial Regulation (hereinafter the “State”) is seeking to establish a contract with a qualified consultant to analyze claims and other health care data to identify the current status of MNT utilization in Vermont; a comprehensive list of barriers to the optimal utilization of MNT, as described herein; and recommendations for overcoming each barrier. The following statements describe an optimal vision of the utilization of MNT within the Vermont health care system to prevent and treat diet-related health conditions: • Primary care providers (PCPs) and other frontline, non-specialist providers, such as urgent care providers and emergency care providers, have a consistent understanding of the indications for MNT, including how MNT fits within other treatment options, such as pharmaceuticals and Diabetes Self-Management Education and Support (DSMES) services or other self-management programs. • PCPs and other frontline, non-specialist providers have a current and sufficient understanding of the health outcomes that can be expected from MNT and are comfortable both referring patients to MNT and, if they are a PCP, providing complementary medical care. • Insurance coverage includes clinically indicated MNT to the same degree as pharmaceutical treatment, and providers referring patients to MNT are aware of what MNT services are reimbursed by insurance. • Patients do not forego clinically indicated MNT due to lack of timely appointment slots to see MNT providers, food access, transportation constraints, or other secondary barriers. • Patients referred to clinically indicated MNT access such treatment and achieve expected health outcomes.