RFP-10A-202605092 | Quality Improvement Organization (QIO) Quality Management

The State of Maine Department of Health and Human Services, Office of Aging and Disability Services, is soliciting proposals under RFP 202605096 for a Quality Improvement Organization (QIO) to provide Quality Management and Support services. The primary objective is to deliver comprehensive quality oversight for Long-Term Services and Supports and Developmental Disabilities programs, specifically focusing on critical incident management, reportable event triage, and grievance resolution. The selected contractor must maintain a CMS QIO or QIO-Like designation to ensure the state receives enhanced federal Medicaid funding. Key performance requirements include triaging reportable events within one business day and resolving grievances within 90 days, while adhering to strict HIPAA and MaineIT data security standards. The contract is scheduled for an initial performance period from September 1, 2026, to August 31, 2028, with three optional two-year renewal periods extending through August 31, 2034. Award selection is based on a best-value trade-off approach rather than lowest price, with evaluation weighted toward proposed services (40%), organizational qualifications (30%), and cost (30%). Bidders must submit their proposals via the Vendor Self Service System by July 20, 2026, providing detailed staffing plans, financial statements, and a cost proposal. Special requirements include a part-time on-site presence in Maine for the project manager and full compliance with federal and state regulations, including the CMS-2442-F Access Rule.