This Solicitation opportunity from Maryland was posted on October 25, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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RFQ - Medicaid Quality Assurance Analyst

Closed

BPM046983State & Local

Submission Closed10/31/2024, 12:00:00 AM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 561110

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AI Contract Overview

The contract involves providing specialized services to support the Maryland State Department of Education in managing and ensuring compliance with the school-Based Medicaid Program and Autism Waiver program. The selected provider will be responsible for monitoring adherence to federal Medicaid requirements and Maryland regulations, analyzing payment data, provider qualifications, and documentation to identify potential compliance issues. They will also prepare reports, manage Corrective Action Plans, and assist in reviewing grants and technical assistance related to various federal and state funding programs, including LAFF, IGT, and EPSDT. A key aspect of the role includes coordinating the application process for Autism Waiver providers, conducting statewide workshops, providing technical assistance, and collaborating with the Maryland Department of Health to approve providers. Additionally, the contractor will analyze data from multiple Medicaid and school-based reporting systems, recommend updates to rules and regulations to support program expansion, and deliver training and technical support to stakeholders. The scope of work emphasizes policy interpretation, procedural revisions, and fostering partnerships with Medicaid providers and community entities to enhance program delivery. The contract, valued between $500,000 and $1.5 million, aims to strengthen program compliance, expand services, and improve operational efficiency within Maryland’s Medicaid and autism support initiatives.

General Info

Agency

Maryland State Department of Education - Administration

NAICS

561110 - Office Administrative Services

Place of Performance

MD, USA

Set-Aside

NONE

Documents

MSDE RFQ FY24-DEISES-018 Medicaid Quality Assurance Analyst

rfq

High

AI Contract Breakdown

Uniform Contract Format

Timeline

PhaseClosed

PostedOct 25

Solicitation

Response DeadlineOct 31

Deadline has passed

Submission Closed

10/31/2024, 12:00:00 AM UTC

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Organization & Contact Information

AgencyMaryland State Department of Education - Administration

Contacts1 person available

OfficeN/A

Organization / AgencyMaryland State Department of Education - Administration

Office AddressN/A

Contacts

Lisa MCMILLAN

contact@example.gov

Full Description

This request is to procure services to support MSDE, DEI/SES, to implement the school-Based Medicaid Program and Autism Waiver program. As assigned, the person in this position will: Support compliance monitoring and identify strategies to ensure compliance with Code of Maryland Regulations (COMAR) and federal Medicaid requirements of the school-Based Medicaid Program and Autism Waiver program. Examine, analyze, track, and interpret payments to Medicaid providers, documentation to support paid claims, and provider qualifications. Examine monitoring data, identify and report discrepancies that could lead to high-risk COMAR compliance violations, prepare reports, and process Corrective Action Plans (CAPs) as assigned. Assist the Division in review of grants and technical assistance related to Local Application for Federal Funds (LAFF); Intergovernmental Transfer (IGT); Maryland’s Blueprint; Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit; Maryland Children’s Health Program (MCHP); and the AW as requested. Coordinate the dissemination of information regarding the AW provider application process, assist AW prospective providers through the application process and collaborate with MDH to approve AW providers. Conduct AW prospective provider Statewide workshops on a quarterly basis, provide technical assistance to AW prospective providers, process applications from prospective providers in collaboration with the MDH, coordinate and lead structured interviews, and recommend approval to the MDH. Review and analyze data in Medicaid and school-based reporting structures: MA Grants database, Maryland Online IEP (MOIEP), Special Services Information System (SSIS), local Medicaid or IEP databases, AW Online Databases, AW Registry/Waitlist tracking system, AW performance measures, and MOVE IT secure transfer system. Recommend revision to rules, regulations, and procedures to support the expansion of the AW, and EPSDT for school-based services; for example, changes to COMAR 10.09.52 and 10.09.56. Provide training and technical assistance as needed with policy interpretation and agency collaboration in support of partnerships with the MDH, Medicaid providers, and community stakeholders.