EMERGENCY PURCHASE: 4TH Quality Improvement and Utilization Managemen

The State of Illinois Department of Healthcare and Family Services, Bureau of Quality Management awarded an emergency purchase contract to Keystone Peer Review Organization, Inc. (dba Acentra Holdings, LLC) for Quality Improvement Organization (QIO) services valued at $450,000. The contract was awarded on July 27, 2026, with a completion date of October 24, 2026, and is funded through a combination of federal and state appropriated funds. The vendor is located at 8440 Jefferson Highway, Baton Rouge, Louisiana 70809, while the contracting organization is headquartered at 201 S. Grand Ave E, Springfield, Illinois 62704.

The scope of services encompasses comprehensive utilization management and quality assurance support for Medicaid members across multiple levels of care, including medical necessity determinations, continued stay reviews for inpatient hospital care, hospital outpatient services review, psychiatric residential treatment facility oversight, and long-term acute care hospital review. Additional deliverables include pre-payment and post-payment utilization reviews, appeals and reconsideration reviews, quality of care investigations, web-based referral and authorization platform operations, provider training and technical assistance, and related reporting functions. The emergency procurement was authorized under 30 Illinois Compiled Statutes 500/20-30 to prevent serious disruption in critical state services following expiration of the prior competitively procured contract, with the incumbent vendor selected based on its capability to provide immediate continuity of operations.