Medicaid Cost Reporting Consulting Services

The Ohio Department of Developmental Disabilities (DODD) seeks a qualified contractor to provide expert Medicaid cost reporting consulting services. The contractor will review current cost reporting methodologies used for Developmental Centers and county board TCM/MAC/waiver programs, advise on strategy, compliance risks, and potential improvements to enhance accuracy and maximize allowable reimbursement, and deliver training to division staff on Medicaid cost reporting fundamentals.
Entities considering submitting a proposal should first review the minimum qualifications listed in Part 2: Section IV of the Medicaid Cost Reporting Consulting Services RFP. All proposals and required attachments must be submitted through OhioBuys by the specified deadline, and the item grid must be completed.Part Three: General Instructions of the RFP outlines the detailed requirements for both the technical and cost proposals. The evaluation process, described in Part Four: Evaluation of Proposals of the RFP, will result in one contract awarded to the highest-scoring proposal. After initial scoring, preferences will be applied according to Ohio Administrative Code 123:5-1-06, but only when at least one offeror does not qualify for that particular preference. Offerors must complete and submit the Certification Statement Form for each preference they seek; otherwise, they will not qualify for that preference.Part One: Structure of the RFP describes all required and optional attachments that must be included in the proposal.
Public enterprises management or financial services
Items I1_000004 | Required Item | Methodology Review | Estimated usage: 1.00000 | Unit: AMT I1_000005 | Required Item | Strategic Advisory | Estimated usage: 1.00000 | Unit: AMT I1_000006 | Required Item | Training | Estimated usage: 1.00000 | Unit: AMT
Inquiries Inquiry 97348 | Is there an incumbent for this project? If so, are they allowed to propose? | Answer: There is no incumbent for this project. | Answered: 9/9/2026 Inquiry 97351 | Does the DODD require or desire on-site meetings? If so, when and where? | Answer: DODD does not require on site meetings for this project. | Answered: 9/9/2026 Inquiry 97357 | DODD plans for the engagement to end June 30, 2027. | Answer: DODD plans for the engagement to end June 30, 2027. | Answered: 9/9/2026 Inquiry 97363 | Is there a budget for this project? | Answer: As this is a new project, DODD does not have a set budget in place. | Answered: 9/9/2026 Inquiry 97366 | Does the DODD have a desired timeline for this project? | Answer: DODD plans for the engagement to end June 30, 2027. | Answered: 9/9/2026 Inquiry 97837 | Can a vendor propose that follow-up consultation extend beyond June 2027? | Answer: Yes, a vendor can propose that, we will need specific information outlining the deliverables that cannot be completed before June 2027, along with their associated costs for those deliverables. | Answered: 9/15/2026 Inquiry 97851 | How will hourly rates for the Methodology Review and the Strategic Advisory scopes of work be evaluated as part of the cost proposal scoring, and if so, how? | Answer: Section III and IV of the RFP outline the cost evaluation and scoring criteria. Please reference those sections for details regarding how costs will be scored. | Answered: 9/15/2026 Inquiry 98105 | Would DODD share the current cost report(s) and instruction(s) for the services in question (electronic versions or links to publicly available documents)? | Answer: Please see the attached current cost report instructions and technical guide. | Answered: 9/16/2026 Inquiry 98108 | How many cost report templates/forms are currently required for provider data submission, and does DODD anticipate changing the number of required templates/forms (e.g., varying the current template by type of provider)? | Answer: We require one submission per county board and one per council of government, and each template includes five components (statistics, expenditures, professional services, revenue and reports & others). We complete and submit one cost report for our developmental centers (state-operated ICF/IIDs). We would be interested in recommendations for streamlining county board submissions, but it is not the primary goal of the engagement. | Answered: 9/16/2026 Inquiry 98307 | Will Ohio consider an extension to the proposal due date since responses to questions could come as late as September 22 and the proposal is due September 28? | Answer: No, the deadline remains as is published. | Answered: 9/21/2026 Inquiry 98310 | If the contract period is a year-long, does the state assume the assessment / report delivery is completed in the first quarter / six months, with the rest of the contract period dedicated to implementation? | Answer: The Department is open to proposed timelines from potential suppliers. | Answered: 9/21/2026 Inquiry 98314 | What prompted DODD’s request for this support now? Are there any specific audit / compliance findings DODD is seeking to address, or is this proactive work? | Answer: The Department has had recent turnover of key personnel who completed our Developmental Center and County Board cost reports. As such, the Department wants an opportunity to revisit our methodology and further develop the knowledge and capacity of our internal staff handling the cost reports moving forward. There have been no significant audit or compliance findings leading to this engagement. | Answered: 9/21/2026 Inquiry 98317 | What cost reports, supporting schedules, prior-year submissions, allocation plans, audit correspondence, ODM feedback, policy guidance, prior ODM review comments, audit findings, and Auditor of State feedback will be made available to the selected contractor? | Answer: The Department is prepared to share all cost reports, supporting schedules, prior-year submissions, allocation plans, audit correspondence, ODM feedback, policy guidance, prior ODM review comments, audit findings, and Auditor of State feedback with the selected supplier to facilitate this work. | Answered: 9/21/2026 Inquiry 98320 | Will the State use Artificial Intelligence (AI) tools to review or score proposal responses? | Answer: The Department does not use AI tools to screen and score applications as part of its process, however, individual reviewers may use AI tools in their review of proposals. | Answered: 9/21/2026 Inquiry 98323 | Will the contractor be expected to develop implementation-ready cost reporting methodologies, allocation methods, templates, schedules, and documentation? Or is the scope limited to advisory recommendations? | Answer: The contractor will be expected to recommend and assist in developing revised methodology where warranted, including updated cost allocation bases, documentation templates, or supporting schedules. The Department anticipates owning the development of any new cost reporting components based on the analysis and recommendations provided, with the supplier advising and assisting. | Answered: 9/21/2026