24-478HFS-MEDPR-B-44592 | HCBS Waiver

The Illinois Department of Healthcare and Family Services awarded contract 24-478HFS-MEDPR-B-44592 to Public Consulting Group LLC for Home and Community Based Services (HCBS) Waiver Quality Review services. The contract is valued at 24,031,102.00 dollars with an initial term of 24 months and options to renew for up to eight additional years, for a maximum total term of ten years. The vendor is required to act as a Quality Improvement Organization or External Quality Review Organization to develop electronic quality assurance tools, conduct compliance reviews, and maintain a Continuous Quality Improvement Plan. The scope of work includes the delivery of an Implementation Work Plan within 15 business days, policies and procedures within 20 business days, and a Business Continuity and Disaster Recovery Plan within 60 business days. Performance is monitored through strict Service Level Agreements, including a requirement for 95 percent daily system connectivity. The vendor must provide key personnel, including a Program Director, RN Supervisor, and six Nurse Reviewers, all of whom must undergo rigorous annual background screenings and exclusion checks. Security and compliance are central to the agreement, requiring adherence to HIPAA, HITECH, and the Illinois Information Technology Accessibility Act. The vendor must comply with hosted security requirements, including SOC 2 audit reports and annual risk assessments. All intellectual property, source code, and data developed under the contract remain the property of the State of Illinois. The award was determined based on a Lowest Price Technically Acceptable basis after verifying the bidder's responsiveness and responsibility.