attachment-4-rfp-2027-dpqi-01-eqro-letter.docx
DOCX document 50 KB Posted
- Solicitation number
- RFP-2027-DPQI-01-EQRO
- Issued by
- New Hampshire
About this file
This is a Transmittal Letter and Vendor Information Form (Appendix D) issued by the New Hampshire Department of Health and Human Services for RFP-2027-DPQI-01-EQRO, soliciting responses from qualified External Quality Review Organizations (EQROs). Vendors submitting proposals must confirm their qualifications under 42 CFR 438.354 and attest to understanding all solicitation requirements, including the Scope of Services (Appendix A) and General Provisions (Appendix B). The vendor response is effective for 180 days from the due date or until contract execution, whichever is later. Proposals are due March 13, 2026, at 12:00 PM Eastern Time. The anticipated contract term runs from July 1, 2026, through June 30, 2029, with possible renewal extensions of up to four additional years. The contractor will conduct comprehensive quality reviews of three Medicaid Managed Care Organizations and one Dental Organization, delivering annual contract compliance audits, performance measure validations, performance improvement projects, provider network adequacy assessments, encounter data validation, member surveys, provider satisfaction surveys, quality studies, and biennial quality roundtable meetings, with all annual technical reports due by April 1st each year.
The RFP employs a scoring methodology allocating 1,000 points for technical responses and 450 points for cost proposals, with vendors required to achieve a minimum of 500 technical points to have their cost proposals evaluated. Vendors must provide three professional references demonstrating prior EQRO experience with both MCOs and dental organizations, disclose any potential conflicts of interest, and submit detailed company information including management structure, organizational history, current commitments, and project capabilities. Contractors must maintain commercial general liability insurance of not less than $1,000,000 per occurrence and $2,000,000 aggregate, assign a dedicated contract manager, implement 128-bit encryption minimum for data security, and comply with HIPAA requirements and current CMS EQR Protocols. Funding is anticipated through Federal, General, and Other funds under Assistance Listing Number 93.778 (Medicaid), contingent upon Governor and Executive Council approval and continued legislative appropriation. No incumbent vendor is identified, and the Department anticipates awarding one contract for these services.
View the file
Other files
Show all 19
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
New Hampshire Department of Health and Human Services Appendix D – Transmittal Letter and Vendor Information
TRANSMITTAL LETTER
| Solicitation ID Number |
| RFP-2027-DPQI-01-EQRO |
Vendor Name
Vendor Address
Vendor Telephone
State of NH Vendor Code Number (required)
Date of Submission
To whom it may concern:
We hereby submit this response to the Solicitation referenced above, in complete accordance with all conditions and specifications set forth in the Solicitation.
☐ By checking this box the Vendor confirms that they meet all the qualifications of an External Quality Review Organization (EQRO) as outlined in 42 CFR 438.354.
We attest to the fact that:
1. The Vendor has read and fully understands this Solicitation and agrees to be bound by its terms, conditions, and requirements.
2. The Vendor has read and fully understands Appendix A - Scope of Services and Appendix B - Form P-37 General Provisions and Standard Exhibits.
3. The Vendor’s Solicitation Response is effective for a period of 180 days from the Vendor Solicitation Response Due Date or until the Effective Date of any resulting Contract, whichever is later.
4. The prices, terms and conditions, and services in the Vendor’s Solicitation Response have been established without collusion with other vendors.
5. This document is signed by a person who is authorized to legally obligate the responding Vendor.
Further, in accordance with RSA 21-I:11-c, the undersigned Vendor certifies that neither the Vendor nor any of its subsidiaries, affiliates or principal officers is currently debarred from performing work on any project of the federal government or the government of any state.
Authorized Signature
Authorized Signature (printed)
Title
Telephone
1. Vendor Contact Information
Primary Point of Contact Individual who will serve as the Vendor’s primary contact for all other matters relating to the Solicitation.
Name
| 1.1. |
| Title |
| 1.2. |
| 1.3. |
| Telephone |
Fiscal Contact Individual who will serve as the Vendor’s primary contact for fiscal matters.
Name
Title
Telephone
2. Vendor References Provide the information requested below for three (3) individuals or organizations who have knowledge of your organization’s capability to deliver services applicable to this Solicitation. The Department may contact references at its discretion. A current Department employee will not be considered a valid reference.
Vendor Reference 1
Individual/Organization Name
Telephone
Description of Work Complete
Dates of Performance
Vendor Reference 2
Individual/Organization Name
Telephone
Description of Work Complete
Dates of Performance
Vendor Reference 3
Individual/Organization Name
Telephone
Description of Work Complete
Dates of Performance
3. Affiliations – Conflict of Interest
| Does your organization have any affiliations that might result in a conflict of interest in relation to this Solicitation? |
| Choose an item. |
a. If YES, explain the relationship(s) and how the affiliation(s) would not represent a conflict of interest.
4. Executive Summary
a. Provide a general company overview:
i. Describe the company’s management, organizational structure, and history; ownership and subsidiaries; company background and primary lines of business; headquarters and satellite locations; mission statement; and number of employees.
ii. Summarize the organization’s current project commitments, as well as major government and private sector clients.
iii. Summarize the organization’s programs and activities, as well as the number of people served.
iv. Describe any strengths considered to be assets to the organization and notable company accomplishments.
b. Provide an overview of the services the Vendor intends to provide.
i. Describe the organization’s understanding of the services requested in this solicitation and any problems anticipated in accomplishing the work.
ii. Summarize the overall design of the project in response to achieving the deliverables as defined in this solicitation.
iii. Describe the organization’s familiarity with the project elements, its solutions to the problems presented and knowledge of the requested services.
iv. Summarize how the organization is capable of effectively completing the services outlined in the solicitation.
File details come from the government source that posted it. Updated .