Home and Community Based Services (HCBS) Waivers

The Illinois Department of Healthcare and Family Services (HFS), Division of Medical Programs, is seeking a vendor to conduct quality assurance record reviews for the Home and Community-Based Services (HCBS) Waivers for Persons who are Elderly and Persons with HIV/AIDS. The vendor will be required to perform a total of 394 record reviews, 319 for the Persons who are Elderly and 75 for the Persons with HIV/AIDS waiver. The reviews will assess compliance with waiver eligibility requirements, customer rights, person-centered planning, service implementation, and provider systems for ensuring health, safety and welfare. The vendor must have a current designation as a Quality Improvement Organization (QIO), QIO-like entity, or External Quality Review Organization (EQRO) and a minimum of 3 years' experience managing continuous quality improvement in publicly funded home and community-based services. The contract term is 1 year, and pricing shall be submitted on a per approved record review basis. The total contract value shall not exceed $99,999.

This is a Small Business Set-Aside procurement, and the state may deduct from payments to the vendor to compensate for any damage resulting from termination or rescission, and withhold payments if federal funds are at risk due to the vendor's failure to meet requirements. There is no information provided about any incumbent vendors or current contractors, and the announcement does not mention any existing infrastructure or technology that requires integration.