Title IV-E Claims Assistance C6064

The Commonwealth of Kentucky's Cabinet for Health and Family Services, Department for Community Based Services is issuing Request for Proposal (RFP) 736 2600000209 for Title IV-E Claims Assistance services. This procurement seeks qualified vendors to provide comprehensive onsite and remote technical assistance spanning Title IV-E calculations, quality control procedures, and Family First Prevention Services Act claiming management for fiscal years 2027 and 2028. The scope of work encompasses six primary service categories totaling approximately 3,400 hours over a 12-month contract period: onsite technical assistance regarding expenditure and eligibility data (1,000 hours), assistance in planning IV-E audits (100 hours), Family First Foster Care updates (350 hours), prevention claiming management (650 hours), Title IV-E eligibility redetermination management (500 hours), and independent systematic review activities (200 hours). Required deliverables include guidance on data preparation, quarterly claims production, evidence-based practices data collection through the Kentucky Worker Information System (TWIST), Title IV-E eligibility management, and systematic review activities. Vendors must demonstrate a minimum of five years of Title IV-E experience, including at least one year with the Family First Prevention Services Act, and must provide proof of commercial general liability insurance ($1,000,000 per occurrence/$2,000,000 aggregate), professional liability insurance ($1,000,000 per claim), and automobile liability insurance if applicable. Proposals must be submitted by April 29, 2026, at 2:00 PM Eastern Time and will be evaluated using a weighted scoring system of 800 points for technical evaluation (200 points for applicant description and qualifications and 600 points for experience and qualifications), 500 points for cost evaluation, and 200 points for oral presentations if required, with a maximum of 1,500 total points; proposals scoring below 480 points on technical evaluation will be eliminated from consideration. The initial contract term runs from July 1, 2026, through June 30, 2028, with the Commonwealth reserving the right to renew for up to two additional two-year periods.

The solicitation does not specify any set-aside designations or restrictions on organization types eligible to respond, nor does it identify any incumbent vendors or current contractors. Vendors must be authorized to sign proposals as owners, presidents, or other responsible employees with signature authority. Compensation will be determined based on hourly rates submitted for each of the six service categories and travel costs necessary to complete quarterly claims packages and deliverables, with invoices submitted electronically within thirty days of service completion. No specific funding amount or budget range is stated in the solicitation; however, compensation is contingent upon proper contract execution and approval by the Secretary of the Finance and Administration Cabinet and the Legislative Research Commission's Government Contract Review Committee. All selected vendors must execute a Business Associate Agreement (BAA) compliant with the Health Insurance Portability and Accountability Act (HIPAA) and the HITECH Act, establishing comprehensive obligations for protecting individually identifiable health information, including implementation of administrative, physical, and technical safeguards, maintenance of records for six years beyond contract termination, and immediate reporting of any unauthorized access or disclosure within five calendar days of discovery.