Measurement of agency perf standards

The South Carolina Department of Disabilities and Special Needs (SCDDSN) has issued a Request for Proposal (RFP) for the Measurement of Agency Performance Standards (MAPS) system, seeking a qualified contractor to provide comprehensive quality assurance and compliance review services. The primary objective is to conduct Administrative Compliance and Individual Service (ACIS) Reviews, Licensing Reviews, and Observation and Participant Experience Surveys for approximately 1,100 contracted providers serving 21,500 individuals with disabilities. Key deliverables include comprehensive reports, compliance tracking, quarterly and annual reporting, an on-demand data portal with pivot tables, and up to four virtual education sessions for providers. The contractor must be a Federally Designated Quality Improvement Organization under contract with the Centers for Medicare and Medicaid (CMS) or a CMS-designated PRO-like entity. Evaluation criteria will be based on a 1,000-point scale, with points allocated across MAPS Review Requirements (250 points), Organizational Capabilities (200 points), Automation/Data/Reports (200 points), Price and Payment Schedule (150 points), Staffing and Training (100 points), and Internal Quality Assurance (100 points). The pre-proposal conference was held on July 25, 2023, with questions due by July 27, 2023, and proposal submissions originally extended to September 15, 2023, at 11:00 AM EST. The anticipated contract award date is October 24, 2023, with an initial contract period from October 13, 2023, through October 12, 2028.

The solicitation requires the contractor to maintain a centrally located office in Richland or Lexington County, South Carolina, and carry comprehensive liability insurance with $5,000,000 per occurrence and $10,000,000 aggregate for information security and privacy coverage. The contractor must have a minimum of three years of documented experience performing quality assurance reviews for Medicaid services or publicly funded service systems for individuals with lifelong disabilities. No specific set-aside designations or restrictions for disadvantaged enterprises are mentioned in the provided documentation. Sampling requirements specify a minimum of 7 and maximum of 45 individual participant files per review, with representation from different waiver programs including ID/RD Waiver (5%), Community Supports Waiver (10%), and HASCI Waiver (22%). While a specific budget range is not explicitly stated, the scope of work involves conducting extensive reviews across a large number of providers, including 81 annual ACIS reviews, 74 follow-up ACIS reviews, 1,352 annual Licensing reviews, 1,056 follow-up Licensing reviews, 77 Day observations, and 404 Residential observations. The contractor will be responsible for providing real-time data extracts and conducting follow-up reviews for providers not achieving 100% compliance.