Informal Dispute Resolution (IDR) Waiver

The Texas Health and Human Services Commission (HHSC) has issued Request for Proposals (RFP) No. HHS0015354 for Informal Dispute Resolution (IDR) Waiver services, targeting providers of Texas Home Living (TxHmL) and Home and Community-based Services (HCS). The primary objective is to secure a contractor capable of conducting impartial IDR reviews that evaluate provider compliance with regulatory requirements, as mandated by House Bill H.B. 2590 from the 85th Texas Legislature. The selected contractor must be a disinterested third party with a minimum of five years of experience performing unbiased IDR reviews, demonstrating expertise in medicine, nursing, and building, fire, and life safety codes. Key deliverables include maintaining a secure online portal for tracking and reporting IDR data, complying with TX-RAMP security requirements, and providing monthly reports detailing IDR request volumes, outcomes, and compliance metrics. The solicitation was released on April 30, 2025, with proposal responses due by May 29, 2025, at 10:30 a.m. Central Time. The initial contract term will span three years, with HHSC retaining the option to extend the contract for up to two additional years.

While no specific set-aside designations were explicitly mentioned in the documentation, the RFP requires the contractor to be a highly specialized entity with significant regulatory review experience. The anticipated compensation is approximately $975,000 per fiscal year, with payment structured as a set fee per IDR violation reviewed, encompassing all anticipated costs. Contractors will be compensated on a per-review basis, suggesting flexibility for firms of various sizes that can meet the stringent qualification requirements. The successful respondent must demonstrate a comprehensive understanding of regulatory compliance processes, maintain technological infrastructure for secure data management, and provide detailed analytical reporting. No incumbent vendors were specifically identified in the available documentation, and the contract appears open to qualified organizations that can meet the technical and experiential prerequisites outlined in the RFP.