Government Contract | Delaware
External Quality Review Organization (EQRO)

Bid Information


Bid Alert No: 00002010105

Bid Title: External Quality Review Organization (EQRO)

Agency Bid No. Title: HSS20009-EQRO

Received Date: 01/13/2020

Close Date: 02/21/2020

Purchase Type: Term:

Delivery Point: Not Stated, Delaware

Delivery Date: Not Stated

Special Notices: Questions Due By 01/22/2020, Bidder Preregistration

Specifications

Specifications include, but are not limited to: The selected vendor for this project will be required to perform the external quality reviewactivities as outlined in 42 CFR 438.358 for the Delaware Medicaid Managed CareProgram. Specifically, the services to be provided under the resulting contract includemultiple tasks and deliverables that are consistent with applicable federal EQR regulationsand protocols for MCOs. The contract will allow Delaware to be compliant with federalEQR regulations and rules. The specifications for tasks and deliverables required underthis RFP may evolve from year to year in response to program changes and federalmandates. Proposed contract modifications will be defined and agreed upon in writing byboth the State and the EQRO through an allowable amendment. The Vendor will need tocomplete the tasks and deliverables in accordance with expectations specified in this RFPto assure adequate oversight of the Delaware Medicaid Managed Care program. Thesetasks may include, but are not limited to the following: Annual Managed Care Compliance Review Validation of Performance Measures (PM) Validation of Performance Improvement Projects Validating network adequacy MCO encounter data validation. Information Systems Capabilities Assessment (ISCA) Technical Assistance Quality StrategyThe selected vendor will also be required to assist and collaborate with the State on variousspecial projects during the duration of the contract. Examples of these special projectsinclude: Template development and implementation Conducting Focus Studies Readiness reviews and/or implementation assistance.

Product Codes: 91888, 91878, 91812

Agency Information


Issuing Agency: State of Delaware - Department of Health and Social Services (DHSS)

State: Delaware

Agency Type: State and Local

Contact: Cheryl McDonaugh 1901 N. DuPont Highway, New Castle, Delaware, 19720

Email: cheryl.mcdonaugh@delaware.gov

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