RFP 30-2025-013-DHB Minimum Data Set

The North Carolina Department of Health and Human Services (NCDHHS) has issued Request for Proposal (RFP) 30-2025-013-DHB for Minimum Data Set (MDS) validation services targeting the state's 421 Medicare/Medicaid certified skilled nursing facilities. The primary objectives include verifying MDS evaluations completed by nursing facilities, training facility staff on accurate assessment completion, and developing Case Mix Indices for rate setting purposes. Key contractor requirements include maintaining at least two full-time registered nurses to conduct MDS validation reviews, performing both on-site and remote facility assessments, providing eight annual training sessions, and calculating quarterly Case Mix Index data. The RFP specifies a three-year initial contract term with two optional one-year renewal periods, with the contractor expected to implement services within 45 days of contract award. Critical deadlines include a pre-proposal conference via Microsoft Teams on March 6, 2025, and proposal submissions due by April 16, 2025, at 5:00 p.m. EST. The contractor must also be prepared to assist with potential transitions to the Patient Driven Payment Model (PDPM) reimbursement system and maintain a help desk and provider website throughout the contract period.

While the RFP does not explicitly detail specific set-aside designations or restrictions on respondent types, it does outline comprehensive performance standards and requirements that will likely influence vendor selection. The contract includes monthly and annual fixed pricing structures covering the entire contract term, including potential renewal periods. Although no incumbent vendor is specifically mentioned, the RFP suggests a continuation of existing MDS validation services with potential technological and methodological improvements. The contract will involve comprehensive oversight of MDS processes across all 421 skilled nursing facilities in North Carolina, indicating a significant operational scope. While no precise budget range is specified in the provided documents, the extensive requirements suggest a substantial contract value commensurate with the statewide service delivery expectations. The RFP includes standard state terms and conditions, with specific performance standards and potential liquidated damages provisions that will be critical to vendor compliance and contract management.