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. Specifically, HFS is requesting approval to release a Request for Quote Proposal (RQP) for a vendor to perform remote/off-site quality assurance oversight record reviews of customers receiving services in the Persons who are Elderly and Persons with HIV/AIDS HCBS waiver programs in Illinois. The vendor shall conduct a total of 394 record reviews - 319 records for the Persons who are Elderly waiver and 75 records for the Persons with HIV/AIDS waiver. The reviews will determine compliance with performance measures applicable to the associated waivers. The vendor must meet certain qualifications, including having a current designation as a Quality Improvement Organization (QIO), QIO-like entity, or External Quality Review Organization (EQRO). The pricing shall be submitted on a per approved record review basis, with the total payments under the contract not to exceed $99,999.00.

This is a small purchase procurement, and there is no disadvantaged business enterprise set-aside. Subcontractors are allowed, but any subcontracts with an annual value over $100,000 must include the required Standard Illinois Certifications. The term of the contract is one year, with no renewal options specified. There are no incumbent vendors or current contractors listed, and no existing infrastructure or technology that requires integration.