Iowa City Community School District Bidopportunities #MEDIOMC26016

Iowa HHS Seeks Contractor for Medicaid Core Standardized Assessments Using interRAI Tools

The Iowa Department of Health and Human Services (HHS) is seeking a contractor to deliver Core Standardized Assessments (CSAs) for Medicaid Home and Community-Based Services (HCBS) programs statewide. - Government Buyer: - Iowa Department of Health and Human Services (Iowa Medicaid) - Products and Services Requested: - Conduct approximately 33,000 in-person CSAs annually for Medicaid members and applicants, including: - Assessments for 1915(c) HCBS waivers, 1915(i) Habilitation program, and Money Follows the Person initiative - Pre-assessment screenings (approx. 18,527 annually) - Off-year assessments (Form 470-5276), emergency needs assessments (Form 470-5486), and desk reviews (LOCUS/CALOCUS) - Use of agency-designated tools and software, including: - interRAI assessment tools (Early Years, Pediatric Home Care, Child and Youth Mental Health, Intellectual Disabilities, Community Mental Health) - Mayo-Portland Adaptability Inventory (for brain injury population) - Iowa Medicaid Portal Access (IMPA) and IoWANS systems - Contractor must provide all necessary software licensing, hardware, and automation for internal processes - Assessments must be conflict-free, objective, and timely, with in-person delivery required (off-year assessments may be remote) - Coordination with managed care organizations, case managers, and agency staff - Quality assurance, data management, and compliance with federal and state Medicaid requirements - Support for multiple languages and integration with state systems - OEMs and Vendors Mentioned: - interRAI (assessment tools) - Mayo-Portland Adaptability Inventory (assessment tool) - Notable Requirements: - Contractor responsible for all technology, training, and equipment - Annual assessment volumes and per-assessment pricing caps - Performance measures, data retention, and reporting requirements - Initial 3-year contract term with three 1-year extension options

Description

This Request for Proposal (RFP) issued by the Iowa Department of Health and Human Services seeks qualified contractors to conduct Core Standardized Assessments (CSAs) for Iowa Medicaid members and applicants. The assessments are required by Iowa law and administrative rules and aim to ensure consistent, objective, and timely determination of member needs, functional eligibility, and appropriate service levels across applicable Home and Community-Based Services (HCBS) programs. The contractor will conduct assessments for Medicaid members enrolled in 1915(c) HCBS waivers, individuals transitioning from nursing facilities with support from the Money Follows the Person initiative, and HCBS applicants with identified funding and waiver slots. The contract is anticipated to have an initial 3-year term with options to extend for three additional 1-year terms.

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