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MCO and DO Performance Measure Validation

Active

State & Local

Response Deadline10/14/2026, 04:00:00 AM UTC

Contract Overview

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

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This subcontract with the New Hampshire Department of Health and Human Services focuses on the validation of healthcare quality, timeliness, and access metrics for prime contractors on Medicaid projects. The selected provider will be responsible for verifying the accuracy of reported healthcare outcomes for Medicaid beneficiaries by analyzing aggregated data and validating Managed Care Organization and Dental Organization performance measures against CMS EQR protocols. The role requires specialized expertise in 42 CFR 438.354 and CMS EQR protocols to ensure compliance and accuracy. Key deliverables include the production of validation reports and essential contributions to the Annual EQR Technical Report. This opportunity is categorized under NAICS code 541611, with a response deadline of October 14, 2026.

General Info

Subcontract to validate Medicaid healthcare quality metrics and CMS EQR compliance for NH DHHS.

Agency

New Hampshire → Dhhs-Department Of Health & Human ServicesView Agency

NAICS

541611 - Administrative Management and General Management Consulting ServicesView NAICS

Place of Performance

Not specified

Set-Aside

NONE

Documents

This scope was carved out of RFP-2027-DPQI-02-EQRO.

The full solicitation package (9 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

External Quality Review Organization

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Timeline

PostedSep 15

subcontract

Response DeadlineOct 14

Submission deadline

Response Deadline

10/14/2026, 04:00:00 AM UTCin 28 days

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Organization & Contact Information

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AgencyNew Hampshire → Dhhs-Department Of Health & Human Services

ContactsNo contacts available

OfficeN/A

Organization / Agency

New Hampshire → Dhhs-Department Of Health & Human Services

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Office AddressN/A

ContactsNo contact information available

Full Description

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Performs validation of healthcare quality, timeliness, and access metrics for prime contractors on NH DHHS Medicaid projects. Validates MCO and DO performance measures against CMS EQR protocols, analyzes aggregated data on quality and access to care, and verifies accuracy of reported healthcare outcomes for Medicaid beneficiaries. Requires expertise in CMS EQR protocols and 42 CFR 438.354. Delivers validation reports and contributions to the Annual EQR Technical Report.

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