South Dakota Posting Board #26RFP20135

HCBS reimbursement rate methodology and review consulting services

South Dakota DHS is seeking consulting support to develop and review reimbursement rates for home- and community-based services (HCBS). - Government buyer: South Dakota Department of Human Services (DHS), including the Division of Long Term Services and Supports (LTSS) and Division of Developmental Disabilities (DDD); contact: Mary Rea. - Requested services: Rate methodology development and modeling, comprehensive reviews at least every five years, annual reviews in intervening years, stakeholder engagement, reports, budget and legislative support, and ongoing technical assistance. - Service areas and covered services: - LTSS: Assisted Living, Community Living Home, Structured Family Caregiving, Residential Respite Care, Adult Day, Meals, Conflict Free Case Managers (CFCM), and Family Support Coordinator. - Developmental Disabilities Services: Community Support Providers (CSPs), Intermediate Care Facilities (ICFs), Family Support Companion Care, Family Support Personal Care, and Family Support Respite Care. - In-Home Services: Personal Care, Homemaker, Adult Companion, Chore Services, Respite Care, and Nursing. - Notable requirements: Offerors may propose for one, two, or all three service areas and should identify the scope they propose to cover. Work must consider provider costs, labor-market conditions, inflation, and other relevant factors. - OEMs and vendors: No OEMs or consulting vendors are named in the opportunity. No products, part numbers, or quantities are specified.

Description

The South Dakota Department of Human Services seeks a qualified consultant to develop and review rate-setting methodologies for home and community-based services. Work includes a comprehensive rate methodology and modeling review at least every five years for each service category, plus annual reviews of provider costs, labor market conditions, inflation, and other relevant factors. The contractor will provide analyses, documentation, stakeholder facilitation, rate models, recommendations, and reports. Proposals may cover one, two, or all three service areas: Long Term Services and Supports, Developmental Disabilities Services, and In-Home Services.

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