Technical_Evaluation_Criteria_DAB.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 provide the services of an attorney with an in-depth knowledge of the U.S. Department of Health & Human Services’ Decisions Search website. This website provides access to hearing decisions by Administrative Law Judges and the Departmental Appeals Board related to the nursing home enforcement system. The attorney 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 attorney is required to have extensive knowledge of provider regulations, the State Operations Manual, provider certification, and enforcement issues. Their level of experience should be ascertainable through review of submitted proposals that provide the attorney’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.