Technical_Evaluation_Criteria.docx

Technical Evaluation Criteria Contract for Databases and Analysis of Hearing Decisions

· Expertise, knowledge, and current experience with the Centers for Medicare & Medicaid Services’ operations and certification responsibilities, Medicare and Medicaid regulations, and survey processes for nursing homes. The contractor must be an attorney or an expert with a legal background with an in-depth knowledge of the U.S. Department of Health & Human Services’ Decisions Search website that allows searching of hearing decisions by Administrative Law Judges and the Departmental Appeals Board related to the nursing home enforcement system. The contractor must demonstrate knowledge of the formal and informal appeals processes, the long term care industry, and standards of care. This includes knowledge of state and Federal regulatory and legislative issues, familiarity with national association program initiatives, education, and outreach. The contractor is required to have extensive knowledge of provider regulations, the State Operations Manual, provider certification, and enforcement issues. The level of experience should be able to be determined through review of proposals highlighting the bidder’s knowledge, skills, abilities, and experience and can be independently verified.

· Demonstrated experience producing, updating, and delivering various documents such as searchable Access Databases, reports, and the ability to conduct a thorough analysis of the databases specific to nursing home enforcement. The bidder must have demonstrated experience in producing high quality documents that require little or no modifications.