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 Home and Community-Based Services (HCBS) Waiver quality assurance reviews. The vendor will perform remote/off-site quality assurance oversight record reviews to ensure compliance with the waiver agreement, federal and state laws, rules, regulations, policies, and interagency agreements. The vendor must have a current designation as a QIO, QIO-like entity, or EQRO, and a minimum of three years' experience in managing continuous quality improvement for publicly funded home and community-based services. The vendor shall conduct a total of 394 record reviews, with 319 for the Persons who are Elderly waiver and 75 for the Persons with HIV/AIDS waiver. The pricing for this contract is based on a price per approved record review, with the total payments not to exceed $99,999.00. The contract term is for one year, with no option to renew. Proposals are due by July 13, 2023, and the State will only accept electronic submissions through BidBuy or email.

This is a small purchase procurement, and subcontractors are allowed for contracts over $100,000. There are no set-aside designations or restrictions on the types of organizations that can respond. The State has not provided information on any incumbent vendors or current contractors, nor any existing infrastructure or technology that requires integration. The State has also not disclosed a budget range for this procurement.