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 reviews for its Home and Community-Based Services (HCBS) Waivers, including the Persons who are Elderly waiver and the Persons with HIV/AIDS waiver. The vendor will be required to perform a total of 394 record reviews, 319 for the Persons who are Elderly waiver and 75 for the Persons with HIV/AIDS waiver, within one year of the contract start date. The vendor must hold a current designation as a Quality Improvement Organization (QIO), QIO-like entity, or External Quality Review Organization (EQRO), and have a minimum of three years of experience in managing continuous quality improvement for publicly funded home and community-based services. The contract pricing is based on a price per approved record review, and the total payments under the contract shall not exceed $99,999.

This procurement is subject to the Chief Procurement Officer for General Services Small Business Set-Aside Program, which means that only small businesses as defined by the program are eligible to respond. The procurement does not provide information on any incumbent vendors or current contractors, nor does it specify any existing infrastructure or technology that requires integration. The available information does not indicate a budget range, but the Department has stated that it will not consider a budget greater than the maximum amount of $99,999.00, even if the requirements for contract amounts at or above $100,000 were satisfied per Illinois administrative code.