Government Contract | Maryland
Sr. Medicaid Quality Assurance Analyst

Bid Information


Bid Alert No: 00000445286

Bid Title: Sr. Medicaid Quality Assurance Analyst

Agency Bid No. Title: R00R620047

Received Date: 12/21/2015

Close Date: 01/15/2016

Purchase Type: Not Stated

Delivery Point: Baltimore, Maryland

Delivery Date: Not Stated

Special Notices: Bidder Preregistration

Specifications

Specifications include, but are not limited to:Examine, analyze, and interpret quarterly Medicaid related charges to MSDE for theAutism Waiver. Conduct case studies of charges by group type, paid service andprocedure to identify discrepancies. Propose corrections and monitor changes tofinancial reports from DHMH and assist with monitoring the reconciliation process.Prepare reports and provide technical assistance with financial tracking of AutismWaiver State match costs;2. Conduct detailed case studies and prepare discrepancy reports related to the 1915(c)Home and Community Based Waiver payments and service utilization. Examinepayment discrepancies, compliance violations, utilization rates. Providerecommendations on payment rates and review and revise quarterly performancereports;3. Assist with preparing the end of year reconciliation of the Bridge to Excellence fundsfor the Medicaid state match. Monitor the payment to Medicaid providers for healthrelated services;4. Revise rules, regulations, and procedures to meet the requirements of the federal Homeand Community Based Final Rule for community integration; and5. Provide technical assistance with policy interpretation and agency collaboration insupport of the contractual agreements between the MSDE and the Department of Healthand Mental Hygiene (DHMH), Medical Day Care for long term support services forchildren with Autism Spectrum Disorders and their families.6. Provide technical assistance with policy interpretation and agency collaboration insupport of the contractual agreements between the MSDE and the Department of Healthand Mental Hygiene (DHMH), Division of Childrens Services for health relatedservices. Revise and prepare the protocol for the 2016 Intergovernmental Transfer

Bid Related Documents

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Amendments

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Product Codes: 91869, 95327, 94620

Agency Information


Issuing Agency: State of Maryland - Department of Education

State: Maryland

Agency Type: State and Local

Contact: June Dwyer 200 West Baltimore Street, 2nd FL, Baltimore, Maryland, 21201

Phone: 410-767-0116

Fax: 410-333-8723

Email: jdwyer@msde.state.md.us

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