Preview
FILED: ALBANY COUNTY CLERK 12/28/2022 06:46 PM INDEX NO. 905064-22
NYSCEF DOC. NO. 30 RECEIVED NYSCEF: 12/28/2022
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF ALBANY
____________________________________
In the Matter of the Application of
BEST HELP HOMECARE, INC; CAREAIDE DIRECT
INC.; CAREFIRST CDPAP, CORP; EASY CHOICE
AGENCY INC.; HARBOR CARE LLC; HOME
CHOICE LLC; SAFE HAVEN HOME CARE, INC;
AND SILVER LINING HOMECARE AGENCY, INC.,
Petitioners,
-against-
NEW YORK STATE DEPARTMENT OF HEALTH, Index No. 905064-22
and MARY T. BASSETT, MD, MPH, in her official
capacity as Commissioner of Health of the State of New
York,
Respondents,
For a Judgment Pursuant to Article 78 of the N.Y. Civil
Practice Law & Rules (“CPLR”)
____________________________________
PETITIONERS’ MOTION FOR TEMPORARY RESTRAINING ORDER AND
PRELIMINARY INJUNCTION
ORAL ARGUMENT REQUESTED
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PLEASE TAKE NOTICE that, upon the accompanying memorandum of law, affidavits
of Rouandy Pascal and Yvonne Ward, and Petitioners’ previously filed verified petition,
supporting memorandum of law and reply brief, Petitioners, through counsel, at a return date to
be scheduled as soon as possible, will move this Court for a preliminary injunction preventing
Respondents from announcing additional contract awards and non-awards under RFO #20039
until this proceeding is resolved and Respondents have provided Petitioners with the documents
to which they are entitled under FOIL.
In the event that the Court cannot schedule a preliminary injunction hearing and rule on
Petitioners’ Motion prior to January 15, 2023, then Petitioners will move this Court for a
temporary restraining order on January 13, 2023 at 9:30 a.m., or as soon thereafter as counsel can
be heard. Pursuant to NY CPLR § 2214(b), Petitioners request that Respondents file their
response by January 6, 2023. Petitioners intend to file a reply by January 12, 2023.
DATED: December 28, 2022
Respectfully submitted,
Potomac Law Group
_____________________________
Derek Adams
Attorney for Petitioners
1300 Pennsylvania Avenue, NW Suite 700
Washington, DC 20004
dadams@potomaclaw.com
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To:
Letitia James
Attorney General of the State of New York
Stacey Hamilton
Assistant Attorney General, of Counsel
Attorney for Respondents Mary T. Bassett and
NYS Department of Health
The Capitol
Albany, New York 12224
2
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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF ALBANY
____________________________________
In the Matter of the Application of
BEST HELP HOMECARE, INC; CAREAIDE DIRECT
INC.; CAREFIRST CDPAP, CORP; EASY CHOICE
AGENCY INC.; HARBOR CARE LLC; HOME
CHOICE LLC; SAFE HAVEN HOME CARE, INC;
AND SILVER LINING HOMECARE AGENCY, INC.,
Petitioners,
-against-
NEW YORK STATE DEPARTMENT OF HEALTH, Index No. 905064-22
and MARY T. BASSETT, MD, MPH, in her official
capacity as Commissioner of Health of the State of New
York,
Respondents,
For a Judgment Pursuant to Article 78 of the N.Y. Civil
Practice Law & Rules (“CPLR”)
____________________________________
MEMORANDUM OF LAW IN SUPPORT OF PETITIONERS’ MOTION FOR
TEMPORARY RESTRAINING ORDER AND PRELIMINARY INJUNCTION
ORAL ARGUMENT REQUESTED
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TABLE OF CONTENTS
INTRODUCTION ...........................................................................................................................1
FACTUAL BACKGROUND ..........................................................................................................2
1. The CDPAP and the Role of FIs ..............................................................................2
2. The RFO...................................................................................................................3
3. Petitioners’ FOIL requests .......................................................................................6
4. Upcoming announcement of additional awards .....................................................10
LEGAL STANDARD ....................................................................................................................11
LEGAL ARGUMENT ...................................................................................................................12
1. Petitioners are likely to succeed on the merits of their claims ...............................13
2. Petitioners will be irreparably harmed if they are unable to access the FOIL
documents before they must submit their bid protests to OSC..............................19
3. The balance of the equities favors Petitioners .......................................................22
CONCLUSION ..............................................................................................................................24
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TABLE OF AUTHORITIES
CASES
AEP Res. Serv. Co. v. Long Island Power Auth., 179 Misc. 2d 639, 686 N.Y.S.2d 664
(Sup. Ct. 1999) ...................................................................................................................24
B. Milligan Contracting, Inc. v. State, 251 A.D.2d 1084, 674 N.Y.S.2d 204 (1998)....................20
Encore Coll. Bookstores, Inc. v. Auxiliary Serv. Corp. of State Univ. of New York at
Farmingdale, 87 N.Y.2d 410, 663 N.E.2d 302 (1995) ......................................................14
Encore Coll. Bookstores, Inc., 87 N.Y.2d at 420...........................................................................16
Glens Falls Newspapers, Inc. v. Ctys. of Warren & Washington Dev. Agency, 257 A.D.2d
948, 684 N.Y.S.2d 321 (1999) ...........................................................................................15
Lee v. NYC Dep’t of Hous. Pres. & Dev., 162 Misc. 2d 901, 614 N.Y.S.2d 694 (Sup. Ct.
1994) ............................................................................................................................13, 23
Loc. 3471 v. City of Geneva, 75 Misc. 3d 677, 168 N.Y.S.3d 250 (Sup. Ct. 2022) ......................12
Madera v. Elmont Pub. Libr., 101 A.D.3d 726, 957 N.Y.S.2d 129 (2012) ...................................18
Markowitz v. Serio, 11 N.Y.3d 43, 893 N.E.2d 110 (2008) ..........................................................14
Melvin v. Union Coll., 195 A.D.2d 447, 600 N.Y.S.2d 141 (1993) ........................................11, 23
Moody’s Corp. v. N.Y. State Dep’t of Tax’n & Fin., 141 A.D.3d 997, 35 N.Y.S.3d 785
(2016) .................................................................................................................................14
Mr. Natural, Inc. v. Unadulterated Food Prod., Inc., 152 A.D.2d 729, 544 N.Y.S.2d 182
(1989) .................................................................................................................................21
N.Y. 1 News v. Off. of President of Borough of Staten Island, 166 Misc. 2d 270, 631
N.Y.S.2d 479 (Sup. Ct. 1995) ......................................................................................18, 19
N.Y. Advocates for Home Care, et al. v. N.Y. State Dep’t of Health, et al., Index No.
910456-21 (Oct. 20, 2021) .................................................................................................18
N.Y. Advocates for Home Care, et al. v. N.Y. State Dep’t of Health, et al., Index No.
910456-21 (Oct. 20, 2021) .................................................................................................18
N.Y. State Law Enforcement Officers Union, Council 82, AFSCME, AFL-CIO ...........................12
NY Legal Assistance Grp. v. Bd. of Immigr. Appeals, 987 F.3d 207 (2d Cir. 2021) .....................21
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New England Sec. Corp. v. Stone, 33 Misc. 3d 1237(A), 941 N.Y.S.2d 539 (Sup. Ct.
2011) ..................................................................................................................................20
Prop. Valuation Analysts, Inc. v. Williams, 164 A.D.2d 131, 563 N.Y.S.2d 545 (1990) ..............22
R.W. Granger & Sons, Inc. v. State of N.Y. Facilities Dev. Corp., 207 A.D.2d 596, 615
N.Y.S.2d 509 (1994) ..........................................................................................................20
Rose v. Albany Cty. Dist. Attorney’s Off., 111 A.D.3d 1123, 975 N.Y.S.2d 258 (2013) ..............14
Steele v. NY State Dep’t of Health, 119 Misc. 2d 963, 464 N.Y.S.2d 925 (Sup. Ct. 1983)...........14
The N.Y. Times Co. v. City of N.Y. Fire Dep’t, 4 N.Y.3d 477, 829 N.E.2d 266 (2005) ................19
Title Guarantee Co. v. N.L.R.B., No. 75 CIV. 3828, 1975 WL 11990, at *3 (S.D.N.Y.
Nov. 28, 1975) ...................................................................................................................21
Verizon N.Y., Inc. v. Bradbury, 40 A.D.3d 1113, 837 N.Y.S.2d 291 (2007) ..........................13, 15
Washington Post Co. v. NY State Ins. Dep’t, 61 N.Y.2d 557, 463 N.E.2d 604 (1984) .................14
Yung Bros. Real Est. Co. v. Limandri, 26 Misc. 3d 1203(A), 906 N.Y.S.2d 784 (Sup. Ct.
2009) ......................................................................................................................11, 12, 21
STATUTES AND RULES
New York Public Officers Law
§ 87.......................................................................................................................................2
§ 87(2)(d) .................................................................................................................8, 14, 15
§ 87(2)(g) ...........................................................................................................................10
New York Social Services Law
§ 365-f ......................................................................................................................4, 10, 11
§ 365-f(1) .............................................................................................................................3
§ 365-f(3) .............................................................................................................................3
§ 365-f(4-a)(b-1), (b-2) ......................................................................................................11
§ 365-f(4-a)(e) ......................................................................................................................3
State Finance Law (“SFL”)
SFL § 163(2)(b) .................................................................................................................23
SFL § 163(9) ......................................................................................................................20
SFL § 163(9)(c) ..................................................................................................................17
SFL § 163(9)(c)(iv) ........................................................................................................5, 18
New York Freedom of Information Law (“FOIL”) ............................................................... passim
§ 78...............................................................................................................................22, 23
§ 84.....................................................................................................................................19
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§ 84.....................................................................................................................................23
§ 87(2)(d) ...........................................................................................................................17
§ 87(2)(g) ...........................................................................................................................18
§ 89(4)(b) ...........................................................................................................................17
§ 89(5) ................................................................................................................................15
§ 89(5)(f) ............................................................................................................................17
NY CPLR
§ 6301.................................................................................................................................12
§ 6311.................................................................................................................................12
§ 6312.................................................................................................................................12
§ 6312(a) ............................................................................................................................20
§ 6313(a) ............................................................................................................................12
§ 7803(1) ............................................................................................................................13
§ 7803(3) ............................................................................................................................13
§ 7805.................................................................................................................................12
N.Y.C.C.R.R. § 202.8-d .................................................................................................................12
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INTRODUCTION
After nearly two years of controversy and criticism surrounding RFO #20039,
Respondent New York State Department of Health (“DOH”) intends to announce additional
contract awards under the RFO on or about January 15, 2023. 1 Petitioners are fiscal
intermediaries (“FIs”) providing services through the Consumer Directed Personal Assistance
Program (“CDPAP”) that submitted offers in response to the RFO. They are generally smaller
businesses that did not receive contract awards in the initial flawed evaluation process and that
are not eligible for the latest size-based round of awards. Petitioners will have ten business days
from their receipt of non-award letters—concurrent with the DOH’s announcement of the new
awards—to file renewed protests with the Office of the State Comptroller (“OSC”). 2
The information sought in this proceeding, pursuant to New York’s Freedom of
Information Law (“FOIL”), is essential to Petitioners’ upcoming OSC protests. That is precisely
why Petitioners began seeking it in March 2021—twenty two months ago—to support their
belief that the DOH’s evaluation process was arbitrary and unfair, and to enable Petitioners to
meaningfully challenge DOH’s awards and save their businesses. Since that time, DOH
extensively delayed providing responsive documents and ultimately produced many documents
that this action challenges as improperly and overly redacted, so as to render them effectively
useless. As the time approaches for DOH to announce additional contract awards and for
Petitioners to protest their impending non-awards to OSC, it becomes increasingly likely that the
relief Petitioners seek here will be ineffectual. That is, if Petitioners must submit protests
without the benefit of reviewing the documents to which they are entitled under FOIL, they will
be unable to challenge fully the DOH’s actions that threaten their businesses, and the OSC will
1
https://www.health.ny.gov/funding/rfo/20039/.
2
See Affidavit of Rouandy Pascal (hereinafter, “Pascal Aff.”), at ¶ 32, Ex. 1, OSC letter.
1
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not have an accurate and fulsome picture of the DOH’s evaluation process when it determines
whether to approve the DOH’s proposed contract awards.
Accordingly, Petitioners hereby move the Court to enter a preliminary injunction,
preventing DOH from announcing contract awards and sending non-award letters until this
proceeding is resolved and the Court’s decision in this litigation is effectuated. Petitioners also
move for a temporary restraining order if the Court is unable to hold a hearing prior to January
15, 2023. Injunctive relief will prevent irreparable harm to Petitioners, will cause no hardship to
Respondents, nor to the other FIs seeking awards, and could obviate the need for additional
proceedings challenging adverse determinations by the OSC.
For the reasons discussed in Petitioners’ verified petition, supporting memorandum of
law and reply brief, Respondents’ erroneous FOIL determinations should be overturned and
DOH should be required to reproduce documents with limited redactions consistent with New
York Public Officers Law § 87—and for the reasons discussed in this motion and memorandum,
until DOH does so it should be restrained from announcing new contract awards.
FACTUAL BACKGROUND
Petitioners incorporate by reference the facts as set forth in their Verified Petition and
accompanying Memorandum of Law (Dkt. 1 and 5) but also repeat many of them here and add
new factual developments.
1. The CDPAP and the Role of FIs
The CDPAP is a New York State Medicaid program designed to permit chronically ill
and/or physically disabled individuals (referred to as “consumers”) receiving personal care
services at home (e.g., assistance with toileting and bathing, washing and dressing, preparing
meals, providing transportation to medical appointments, assisting with medications,
2
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housekeeping tasks) greater flexibility and freedom of choice in obtaining such services. N.Y.
Soc. Serv. § 365-f(1). Medicaid beneficiaries receiving personal care services through the
CDPAP may select their caregivers, which can include certain family members or friends of the
beneficiary. Id. at § 365-f(3). The beneficiary (a.k.a., consumer) serves as a co-employer of the
personal assistant and must be “under the eligible individual’s [or his or her personal
representative’s] instruction, supervision and direction.” Id. However, the FI as the
“participating provider” also serves as co-employer of the personal assistant and exercises
oversight and care responsibilities for the consumer and the personal assistant. Id.; 4-a(a).
2. The RFO
FIs in New York currently contract with Medicaid Managed Care Organizations
(“MCOs”) under Managed Long-Term Care (“MLTC”) Plans, and county social services
departments to provide CDPAP services. In the 2017-2018 New York State Budget, the
legislature created a new requirement in which FIs would need to apply for an authorization from
the DOH to continue serving as an FI. The authorization would be a five-year period if the DOH
was satisfied with the FI’s “character, competence and standing in the community” and its ability
to provide FI services. 3 In 2017, the DOH began a process to implement the new authorization
requirement. 4 Applications for authorization were thereafter submitted. For example, Petitioner
Safe Haven Home Care, Inc. submitted its application, consisting of 176 pages, on December 13,
2017, and received confirmation by DOH on January 2, 2019 that it had met all requirements and
was approved for a five-year authorization. Pascal Aff. at ¶¶ 13-14.
3
N.Y. Soc. Serv. § 365-f(4-a)(e), effective January 1, 2018 to April 11, 2018.
4
https://www.health.ny.gov/health_care/medicaid/program/update/2017/2017-10.htm#consumer.
3
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DOH did not, however, conclude its review of all submissions for authorization prior to
the legislature once again amending the N.Y. Soc. Serv. Law (“SSL”) § 365-f, effective April 1,
2019. This time, the authorization process was removed and replaced by a new procurement
process in which FIs would enter into contracts with the DOH. The SSL amendments instructed
the DOH to enter into contracts with eligible contractors based on their ability to provide FI
services, experience, cultural and language competencies specific to the population served, and
geographic distribution particularly in underserved areas, among other factors. Section 365-f of
the SSL placed no limit on the number of FIs to which contracts could be awarded, and it did not
include reducing the number of FIs as a goal of the procurement process. The goal of the
CDPAP remained the same: to permit consumers greater flexibility and freedom of choice in
obtaining home care services. The more qualified FIs that contract with the DOH, the more
flexibility and freedom of choice consumers will have in obtaining services under the CDPAP.
When the DOH issued the RFO for FI contracts, on December 18, 2019, however, it revealed the
DOH’s intent to award the fewest number of contracts possible. See Dkt. 4 (Appendix) at 31.
Not only would this be problematic for patient choice and quality of care, it will also provide the
remaining FIs with more leverage for MLTC rate negotiations, ultimately costing the State more
in Medicaid funding.
Petitioners each timely submitted the required Administrative and Technical Offers in
response to the RFO. The DOH assembled a team of fifteen evaluators, purportedly randomly
assigned three to score each Technical Offer, and instructed them to assign a numeric score, on a
scale of 0 (not provided) to 5 (excellent), to offerors’ narrative responses for each RFO category.
Guidance provided to the evaluators regarding the grading scale lacked detail and consisted of
highly subjective descriptions (e.g., very good as “clearly and concisely demonstrated a high
4
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level of performance and approach” v. good as “demonstrated an adequate level of performance
and approach”), without any concrete or objective criteria. Dkt. 4 at 47. Evaluators were
permitted, but not required, to list the offerors’ strengths and weaknesses in each category. See
Dkt. 4 at 40-60. The DOH averaged the raw scores for each criterion across the three evaluators,
multiplied the average score by the weight for each category or categories, and added the
weighted scores to calculate the total overall score for each offer.
The lack of concrete guidance provided to the evaluators resulted in wildly inconsistent
scoring of similar narratives—or even virtually identical narratives—from different offerors.
Petitioners maintain that the evaluation process was inherently arbitrary, subjective, and unfair,
enabling the awards to be determined by chance and reliant on which evaluators scored the
offers, rather than the strength of the offers.
In total, 395 FIs submitted offers, and DOH determined that 373 of those had met certain
minimum qualifications and were eligible for evaluation. Of those, the DOH selected only 68
FIs to receive contract awards pursuant to the RFO—a reduction of approximately 85 percent of
the current number of FIs. 5 The DOH informed Petitioners Carefirst and Home Choice that their
offers had been disqualified and had not even been evaluated because of certain clerical or
scanning errors that had occurred with their offer transmissions to the DOH. The DOH notified
the remaining Petitioners that they had not been selected as contract recipients. See e.g., Pascal
Aff. at ¶ 17. All FIs that were not selected will be terminated from their participation in the
CDPAP and their consumers transferred to other FIs within 90 days of the DOH finalizing and
the OSC approving the contracts. 6 Although Petitioners requested debriefings pursuant to State
Finance Law (“SFL”) Section 163(9)(c)(iv), the DOH’s process was wholly inadequate. DOH
5
https://www.health.ny.gov/funding/rfo/20039/docs/awardees_names_and_counties.pdf.
6
https://www.health.ny.gov/health_care/medicaid/redesign/mrt90/mltc_policy/21-01.htm.
5
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failed to explain why the 68 successful offerors were selected, why Petitioners were not selected,
and how evaluators applied the selection criteria, including strengths and weaknesses. Pascal
Aff. at ¶¶ 18-20.
The 450 FIs operating in New York provide a broad range of cultural and language
competencies, consistent with the diversity of New York State. New FIs have formed because a
need has existed. Petitioners, for example, serve a multi-lingual and multi-cultural population of
consumers and FIs in the five Boroughs and Long Island, including in several underserved areas.
Many of Petitioners’ consumers are immigrants to the United States, and Petitioners have hired
employees who speak the same languages as the consumers they serve, understand the cultural
sensitivities and customs which may apply, and have invested time developing relationships
within their communities to understand specific local health care needs. Pascal Aff. at ¶¶ 8-11.
3. Petitioners’ FOIL requests
Shortly after receiving non-award letters in February 2021, Petitioners filed a FOIL
request for information that would shed light on DOH’s offer evaluation process. The FOIL
Request sought copies of, in relevant part, the full Technical Offer that the DOH received from
each bidder and the Technical Offer Evaluation Tool documents containing narrative
descriptions of the strengths and weaknesses of each offer and scoring by each evaluator.
Petitioners sought these documents with the belief that they might clarify why the successful
bidders were selected and Petitioners were not—as the SFL guarantees. They also may reflect
DOH’s flawed process in evaluating the offerors’ submissions and may confirm that scoring was
arbitrary, with similar or virtually identical narratives receiving divergent scores. Affidavit of
Yvonne Ward (hereinafter, Ward Aff.), ¶¶ 4-6.
6
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The DOH previously had made clear that both categories of documents—the Technical
Offers and the Technical Offer Evaluation Tools—would be subject to disclosure under FOIL.
The RFO had notified offerors that their offers would become State records available to the
public pursuant to FOIL. Offerors could “clearly and specifically designate” portions of their
offers that they believed constituted proprietary information exempt from FOIL. However, the
RFO noted: “Blanket assertions of proprietary material will not be accepted, and failure to
specifically designate proprietary material may be deemed a waiver of any right to confidential
handling of such material.” See RFO § 5.9 (Dkt. 4 at 20).
Likewise, the DOH’s instructions to evaluators had stated that their comments, including
those addressing strengths and weaknesses, were subject to public disclosure under FOIL. The
DOH’s “Technical Offer Instructions and Evaluation Tool” indicated: “Comments made by
evaluators are subject to public disclosure under the Freedom of Information Act (FOIL). If
included, comments should only address the strengths and weaknesses of the section that is being
scored.” Dkt. 4 at 42. Instructions to evaluators also noted that “Comments should be kept to
strengths and weaknesses ONLY” and that “All review tools and notes are subject to FOIL.”
(RAO Admin 32880.) Debriefings held by DOH in March of 2021 were done via Zoom
sessions, with either the Procurement Coordinator, Michael Lewandowski, or with Jackie
McGovern, an Associate Health Care Fiscal Analyst. Neither Mr. Lewandowski nor Ms.
McGovern had personal knowledge about the Petitioners’ evaluation; rather, they read comments
made by the evaluators in the three completed Technical Offer Evaluation Tools, and answered
general questions about the review process. Pascal Aff. at ¶ 19; Ward Aff. at ¶ 8. In addition,
they instructed Petitioners to submit FOIL requests for additional information sought and for
written copies of the evaluation tools. Ward Aff. at ¶ 9.
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Nevertheless, Respondents have denied Petitioners access to the Technical Offers and
Technical Offer Evaluation Tools through their excessive redactions to those documents. The
DOH acknowledged receipt of Petitioners’ FOIL Request on March 8, 2021. Dkt. 4 at 63. DOH
completed production after nearly a year of delay (id. at 186-87), but many of the materials that
DOH produced were so heavily redacted as to render them useless.
After initially offering no justification for redactions of Technical Offers, the DOH
subsequently invoked the FOIL exemption found in § 87(2)(d), for “trade secrets or
[information] submitted to an agency by a commercial enterprise or derived from information
obtained from a commercial enterprise and which if disclosed would cause substantial injury to
the competitive position of the subject enterprise.” See Dkt. 4 at 141. DOH did not provide
particularized, specific justifications for each redaction—that is, more than conclusory or generic
explanations or quoting the statutory language of the exemption—or evidence that disclosure of
commercial information will cause injury.
There were also inconsistencies in the extent of the redactions across different Technical
Offers. In many instances, all or nearly all of the Technical Offer is redacted; in others whole
pages and sections are redacted; and some offers have limited redactions or none whatsoever.
For example, the entire narrative portions of the Technical Offers submitted by successful
bidders Heart to Heart Home Care, Inc., 7 High Standard Home Care Inc., 8 and Link Homecare 9
are fully redacted—a total of more than 150 redacted pages. All but two sentences are redacted
from the Technical Offer narratives of awardee Horizon Home Care Services, Inc.; 10 only the
executive summary and list of policies in Apple Best Home Care Agency Inc.’s Technical Offer
7
RAO Administrative Record (“RAO Admin”) 15695-15754.
8
RAO Admin 15979-15995.
9
RAO Admin 19064-19101
10
RAO Admin 16810-16904.
8
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are visible; 11 and Infiniti Home Care’s Technical Offer narrative, which exceeds 100 pages,
leaves only the three closing paragraphs unredacted. 12 Respondents offered no explanation of
how all or virtually all information about an FI’s operations is protected from disclosure and
would result in substantial injury to the offeror if disclosed—nor could they. There are multiple
other examples of entire pages and sections redacted. At the same time, however, some offers
have no redactions whatsoever—for example, those submitted by Bena Home Care Agency Inc.,
First Chinese Presbyterian Community Affairs Home Attendant Corporation, and HSM Personal
Care Corp.—or have limited redactions, even though the information is provided in response to
the very same questions.
To illustrate the discrepancies, below are comparative examples of two offerors’
responses to an RFO question concerning offerors’ websites, following the FOIL “trade secrets”
process (the left being a Petitioner in this action and the right a winning bidder):
11
RAO Admin 06001-06036.
12
RAO Admin 17824-17936.
9
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Compare RAO Admin 26204 with RAO Admin 15714.
Likewise, the DOH redacted all comments that evaluators had made regarding
offerors’—including Petitioners’—strengths and weaknesses from the Technical Offer
Evaluation Tools it produced, purportedly pursuant to Section 87(2)(g) of FOIL (as intra-agency
materials). See Dkt. 4 at 156-85 for representative examples.
4. Upcoming announcement of additional awards
In response to persistent criticism of the DOH’s initial RFO process, including concerns
regarding transparency, fairness, network adequacy, and arbitrariness, the New York State
Legislature twice amended the applicable law (Soc. Serv. § 365-f). 13 The current version of
13
https://hca-nys.org/full-press-to-stop-the-lhcsa-rfo-process-must-
continue/#:~:text=The%20RFO%20for%20Fiscal%20Intermediaries%20%28FIs%29%2C%20that%20preceded,Le
gislature%E2%80%99s%20reversal%20of%20most%20of%20DOH%E2%80%99s%20RFO%20actions (“The RFO
for Fiscal Intermediaries (FIs), that proceeded the LHCSA RFO, was chastised by the public, the industry and the
10
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FILED: ALBANY COUNTY CLERK 12/28/2022 06:46 PM INDEX NO. 905064-22
NYSCEF DOC. NO. 30 RECEIVED NYSCEF: 12/28/2022
Section 365-f provides for additional contract awards for qualified offerors that meet certain
legislatively prescribed size thresholds. 14 Namely, DOH shall award contracts to offerors that
attest (to be confirmed by the Office of the Medicaid Inspector General) that they provided FI
services for at least 200 consumers in a city with a population of more than one million (i.e.,
New York City), or at least 50 consumers in another area of the state, during the first quarter of
2020, and that meet other requirements under the statute.
DOH issued the attestation form on September 30, 2022, and submissions were due by
November 29, 2022. DOH anticipate