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Federal Informal Dispute Resolution (IDR) Specialist

Active

State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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This subcontract for a Federal Informal Dispute Resolution Specialist supports the Illinois Department of Public Health by providing regulatory review and dispute resolution services for prime contractors. The primary responsibility involves analyzing CMS-2567 Statement of Deficiencies forms and evaluating survey results against the CMS State Operations Manual Chapter 7, section 7212 to ensure cited deficiencies in skilled nursing and dually participating facilities align with federal mandates. The selected provider will be responsible for delivering completed IDR reviews and determinations. This engagement is categorized under NAICS code 541611 and is performed in Springfield, Illinois, under the agency of Healthcare Regulation.

General Info

Subcontract for IDR specialist providing regulatory review and dispute resolution in Springfield, Illinois.

Agency

Illinois → Healthcare RegulationView Agency

NAICS

541611 - Administrative Management and General Management Consulting ServicesView NAICS

Place of Performance

Springfield, IL, 62761, USA

Set-Aside

NONE

Documents

This scope was carved out of 26-482DPH-HLTHC-B-51707.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

26-482DPH-HLTHC-B-51707 | Informal Dispute Resolution (IDR)

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Timeline

PostedMar 31

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Organization & Contact Information

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AgencyIllinois → Healthcare Regulation

ContactsNo contacts available

OfficeN/A

Organization / Agency

Illinois → Healthcare Regulation

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Office AddressN/A

ContactsNo contact information available

Full Description

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Performs regulatory review and dispute resolution services for prime contractors on Illinois Department of Public Health projects. Reviews CMS-2567 Statement of Deficiencies forms and analyzes survey results against CMS State Operations Manual Chapter 7, section 7212. Evaluates whether cited deficiencies in skilled nursing and dually participating facilities align with federal mandates. Delivers completed IDR reviews and determinations.

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More opportunities from Illinois → Healthcare Regulation

Same awarding agency

26-482DPH-HLTHC-B-51707 | Informal Dispute Resolution (IDR)

Solicitation # 26-482DPH-HLTHC-B-51707

The Illinois Department of Public Health Office of Health Care Regulation is soliciting quotes for Informal Dispute Resolution (IDR) services for fiscal years 2027 and 2028. The contract period runs from July 1, 2026, through June 30, 2028, with an estimated workload of 150 hours per year. The selected contractor will provide federal IDR services as mandated by the Centers for Medicare and Medicaid Services (CMS) State Operations Manual, specifically reviewing disputed survey citations (CMS-2567) for nursing and dually participating facilities. Key deliverables include providing written recommendations to the Department on whether deficiencies should be deleted, supported, or amended, with all reviews required to be completed within 20 calendar days. To qualify, respondents must meet strict mandatory requirements, including at least three years of experience with nursing home facility surveys and deep expertise in Medicare and Medicaid program requirements, such as 42 CFR 488.331. Independence is critical; candidates must have no financial interest in nursing homes and cannot have served as legal counsel for long-term care facilities or been employed by the State survey agency or ombudsman program within the past year. The award will be granted to the lowest-priced respondent who meets all mandatory qualifications. Notably, services are to be paid for by the facility rather than the Department of Public Health. The contract is subject to standard State of Illinois terms, including compliance with the State Prompt Payment Act, FOIA requirements, and specific insurance mandates for general liability, auto liability, and worker's compensation.

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