Master Blanket Purchase Order 40DHHS-NV21-9279

Header Information
Purchase Order Number: 40DHHS-NV21-9279 Release Number: 0 Short Description: Managed Care Organization
Status: 3PS - Sent Purchaser: Teri Becker Receipt Method: Dollars
Fiscal Year: 2022 PO Type: Blanket Minor Status:
Organization: Department of Health and Human Services
Department: 403 - Health Care Financing and Policy Location: 3243 - Nevada Medicaid, Title XIX Type Code:
Alternate ID: CETS 24575 Entered Date: 08/05/2021 07:49:20 AM
Days ARO: 0 Retainage %: 0.00% Discount %: 0.00%
Release Type: Direct Release
Contact Instructions: Theresa Carsten; Tax Rate: Actual Cost: $0.00
Print Format:
Emergency Purchase: No
Federal Funding: Yes
Procurement Type: Services
From Contract (Agency or Statewide): No
Contract Type: Vendor (Contract for Service of Independent Contractor, NRS 333.700)
Anticipated BOE/Clerk Approval: September
CETS Number: 24575
Retroactive: No
Contract Start Date: 01/01/2022
Original Contract End Date: 12/31/2025
Current Contract End Date: 12/31/2025
State Purchasing Led Solicitation: Yes - New Solicitation
Statewide Contract Usage: Agency Contract
Alternate Vendor Names: No
Agency Attachments:
24575 Comm Care Health Plan dba AnthemBCBS.pdf
Attachment AA Scope of Work and Deliverables~2.pdf
Attachment BB - Insurance Schedule.doc
Attachment CC State Solicitation and
Attachment DD Vendor Proposal~1.pdf
Vendor Attachments: Anthem Technical Proposal

Primary Vendor Information & PO Terms
Vendor: VEN719 - Community Care Health Plan of Nevada, Inc. Anthem Blue Cross Blue Shield
Tracey Woods
9133 W Russell Road
Las Vegas, NV 89148
Phone: (702)228-1308
FAX: (702)360-0755
Payment Terms: Shipping Method:
Shipping Terms: Freight Terms:
PO Acknowledgements:
Document Notifications Acknowledged Date/Time
Purchase Order Emailed to at 10/12/2021 01:05:34 PM
Master Blanket/Contract Vendor Distributor List
Vendor ID Vendor Name Preferred Delivery Method Vendor Distributor Status
Community Care Health Plan of Nevada, Inc. Anthem Blue Cross Blue Shield Email Active
Master Blanket/Contract Controls
Master Blanket/Contract Begin Date: 01/01/2022 Master Blanket/Contract End Date: 12/31/2025
Cooperative Purchasing Allowed: No
Organization Department Dollar Limit Dollars Spent to Date Minimum Order Amount
40DHHS - Department of Health and Human Services 403 - Health Care Financing and Policy $11,060,376,094.00 $0.00 $0.00
Item Information   
Print Sequence # 1.0, Item # 1:   Managed Care Organization Services 3PS - Sent
NIGP Code: 958-56
   Health Care Management Services, Including Managed Care Services
Bid # / Bid Item #:  40DHHS-S1457 / 1 Quote # / Quote Item #:  40DHHS-VQ10181 / 1
Receipt Method Qty Unit Cost UOM Discount % Total Discount Amt. Tax Rate Tax Amount Total Cost
Dollars 1.0 $0.00 LOT - Lot 0.00 $0.00 $0.00 $0.00
Manufacturer: Brand: Model:
Make: Packaging: