This Solicitation opportunity from Mississippi was posted on July 31, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
RFP for External Quality Review Organization
Contract Overview
Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.
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The Mississippi Division of Medicaid is seeking a qualified External Quality Review Organization (EQRO) to review, assess, and validate the performance of contracted Medicaid and CHIP managed care organizations, specifically supporting MississippiCAN and CHIP. The selected contractor will be responsible for identifying quality improvement opportunities and providing recommendations to enhance care outcomes. Key deliverables include the validation of performance improvement projects, compliance reviews, quality systems assessments, and the production of an annual EQR technical report. The scope also includes specific reporting requirements such as Protocol 7 for additional performance measures, Protocol 9 for health care quality focus studies, and Protocol 10 for the MCO Quality Rating System. The contract features an initial three-year term with two optional one-year renewals. To be eligible, offerors must certify at least three years of experience within the last five years conducting EQR or similar quality oversight for Medicaid or CHIP programs and must comply with federal independence and competence standards under 42 CFR Part 438. All services must be performed exclusively within the United States. The procurement process utilizes a phased evaluation totaling 100 points, weighted across technical proposals (35%), management proposals (30%), and cost proposals (35%), with the final award decision made by the Executive Director of the Division of Medicaid. Proposals must be submitted as a single searchable PDF via SharePoint by September 18, 2026, at 2:00 p.m. CT. The contractor is required to maintain a Business Associate Agreement to ensure HIPAA compliance regarding Protected Health Information and must adhere to strict staffing continuity requirements for key personnel, including a subject matter expert statistician. Payment is handled via E-Payment and Paymode, and the Division of Medicaid reserves the right to withhold 16.67% of monthly payments during the final 180 days of the contract until all deliverables are accepted.
General Info
Place of Performance
MS, USASet-Aside
Timeline
Submission Closed
Organization & Contact Information
Full Description
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