RFP-10A-202605096 | 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-10A-202605096 for a Quality Improvement Organization (QIO) to provide Quality Management and Support services. The primary objective is the management of critical incidents, including the triage and routing of reportable events and the resolution of grievances for participants in long-term services and supports programs. The selected contractor must maintain a current CMS designation as a QIO or QIO-Like entity to ensure enhanced federal financial participation. Key performance requirements include triaging 100 percent of reportable events within one business day and adhering to strict federal and state regulations, including HIPAA and CMS Access Rule standards. The contract features an initial performance period from September 1, 2026, to August 31, 2028, with three optional two-year renewal periods, potentially extending the engagement through August 31, 2034. Award selection is based on a best-value trade-off method, scoring proposed services at 40 percent, organizational qualifications at 30 percent, and cost at 30 percent. Requirements for the winning bidder include providing a detailed staffing plan with clinical expertise in home and community-based services and ensuring the project manager maintains a part-time physical presence in Maine. Proposals must be submitted electronically via the Vendor Self Service System by July 20, 2026, organized into four specific files covering preliminary information, qualifications, proposed services, and cost.