Consultant - Medicare Cost Report, Allocations and Reimbursement

The Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH) is seeking a temporary consultant to review and improve the current process for preparing annual Medicare Cost Reports for state hospitals. The Request for Proposal (RFP25004842) aims to engage a qualified professional to analyze and potentially enhance the existing Medicare cost reporting methodology. The initial contract period will commence approximately January 1, 2025, and will run for six months, with the potential for one additional 12-month renewal based on vendor performance and funding availability. Vendors must submit comprehensive proposals electronically through the Ocean State Procures system by November 20, 2024 at 10:00 AM EST, with a vendor Q&A period running from October 23 to November 4, 2024. The proposal evaluation will be conducted by a technical committee and will consider three primary factors: technical merit, cost structure, and proposed Inclusive Small Business Enterprise (ISBE) participation rates. Proposing vendors must demonstrate relevant experience in Medicare cost reporting and healthcare financial analysis, and must provide detailed technical and cost proposals as separate submissions.

The RFP strongly encourages participation from Minority Business Enterprises (MBEs), Women Business Enterprises (WBEs), and Disability Business Enterprises (DisBEs), with evaluation points awarded based on proposed ISBE utilization rates. Vendors must register in the Ocean State Procures system and comply with specific insurance requirements, including $1 million in general liability coverage, $100,000 in workers compensation, $1 million in automobile liability, $2 million in professional liability, and $5 million in cyber/privacy coverage. While no specific contract value is listed, the solicitation indicates that award is contingent on fund availability and the state reserves the right to cancel the procurement. The RFP includes standard terms related to affirmative action, HIPAA compliance, and subcontracting provisions. Interested vendors must complete the Supplemental Bidder Attestation Form and provide comprehensive documentation demonstrating their qualifications and proposed approach to reviewing and potentially improving the Medicare Cost Report preparation process.