Ombudsman Services for Medicaid Beneficiaries and Providers

This Request for Proposals (RFP) solicits proposal from a qualified Offeror to provide Medicaid Ombudsman services to eligible Medicaid beneficiaries and Medicaid participating Providers. The Medicaid Ombudsman Offeror must be able to assist the Medicaid beneficiaries to ensure their access to care, promote their quality of care, and to improve their satisfaction with the QUEST Integration (QI) and Fee-For-Service (FFS) programs. The Offeror will assist Medicaid beneficiaries in resolving issues/concerns about access to, quality of, or limitations to, health care services in the QI and FFS programs. The Medicaid Ombudsman Offeror will also address concerns of the Medicaid participating providers.