Texas DIR/ESBD #HHS0017139

Texas HHSC seeks outsourced Informal Dispute Resolution services

Texas HHSC is seeking an independent organization to handle Informal Dispute Resolution reviews for regulated care facilities. - Government buyer: State of Texas, Texas Health and Human Services Commission (HHSC), Procurement and Contracting Services (PCS), HHSC IDR department. - Procurement: Outsourced Informal Dispute Resolution (IDR) services under RFQ HHS0017139; one contract is anticipated. - Facilities covered: Nursing Facilities, Assisted Living Facilities, and Intermediate Care Facilities for Individuals with Intellectual Disabilities. - Service requirements: Provide unbiased, two-level reviews of disputed deficiencies and violations; share case information; issue written recommendations and supporting records within required timelines; and recommend revisions when HHSC identifies legal or regulatory conflicts. An optional desk, telephone, or virtual conference must be available at no charge. - Staffing and qualifications: Include at least one registered nurse with long-term-care experience for quality-of-care cases. The organization must have at least five years of independent IDR review experience, be financially solvent, and qualify as a disinterested person without conflicts of interest. - Technology and reporting: Operate a secure case-management portal certified to TX-RAMP Level 2 before award, with at least 95% availability, and provide monthly reports. - Compliance: Reviews must follow applicable federal regulations, the CMS State Operations Manual, Texas law, and the statement of work. - Quantity and value: One service contract; no case volume is stated. Estimated contract value is $5,175,475. Historical compensation is approximately $1,035,095 per state fiscal year and is not a funding commitment. - OEMs and vendors: No commercial OEMs or prospective service providers are named.

Description

The State of Texas, through the Texas Health and Human Services Commission (HHSC), seeks proposals from qualified disinterested organizations to conduct Informal Dispute Resolutions (IDR). The work is to be performed in accordance with the specifications in the Request for Qualifications (RFQ). The solicitation lists an estimated value of $5,175,475.00 and a response deadline of December 10, 2026, at 10:30 AM.

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