№ lp_1_2_60211
File format: docx Character count: 45435 File size: 199 KB
Formal procurement document detailing requirements, timelines, and contractual conditions for selecting a contractor to provide external quality review and quality improvement services for Oklahoma Medicaid programs.
RFP Number: 8070001252
Issuing Organization: Oklahoma Health Care Authority (OHCA)
Contact: Gina Kwiatkowski
Email: [email protected]
Issue Date: December 1, 2020
Proposal Due Date: January 12, 2021
Contract Start Date: Upon execution
Contract End Date: June 30, 2021
Optional Renewal: Up to six additional one-year periods
Scope: External Quality Review Organization (EQRO) and Quality Improvement Organization (QIO) services
Target Audience: Bidders capable of providing EQRO/QIO services
Mandatory Requirements: Federal compliance, minimum three years experience, QIO certification or in process, medical/utilization review experience
Budget: Competitive procurement process, value-based purchasing included
Price: 8 / 10 USD
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REQUEST FOR PROPOSALS (RFP) for NEW MEXICO MEDICAL ASSISTANCE DIVISION EXTERNAL QUALITY REVIEW ORGANIZATION (EQRO) SERVICES
Year: 2018
Region / city: New Mexico
Theme: Medicaid Services, External Quality Review
Document Type: Request for Proposals
Organization / Institution: New Mexico Human Services Department (HSD)
Author: HSD/MAD
Target Audience: External Quality Review Organizations (EQROs), potential contractors
Period of Action: From July 1, 2018
Approval Date: February 26, 2018
Modification Date: Not specified
KEPRO-SCDHHS QIO Prior Authorization Fax Submission Form
Year: 2026
Region / City: South Carolina
Theme: Medicaid, Prior Authorization
Document Type: Form
Organization / Institution: KEPRO-SCDHHS
Author: KePRO
Target Audience: Medicaid providers
Period of Validity: Ongoing
Approval Date: Not specified
Date of Changes: Not specified
Report to CongressThe Administration, Cost, and Impact of the Quality Improvement Organization (QIO) Program for Medicare Beneficiaries for Fiscal Year 2012
Year: 2012
Region / City: United States
Topic: Quality Improvement, Medicare
Document Type: Report
Organization / Institution: Centers for Medicare & Medicaid Services (CMS)
Author: Not specified
Target Audience: Policymakers, healthcare administrators, Medicare beneficiaries
Period of Validity: FY 2012
Approval Date: Not specified
Date of Changes: Not specified
expenditures: $372.8 million
Contract Duration: August 1, 2011 – July 31, 2014
QIOs Involved: 53 contractors
Monitoring and Evaluation: Ongoing quarterly performance assessments
Program Objective: Improve quality of care for Medicare beneficiaries
Background: Adjustments to QIO contract requirements after January 1, 2012
Context: This report provides an overview of the Quality Improvement Organization (QIO) Program for fiscal year 2012, detailing its cost, administration, and the impact of its activities for Medicare beneficiaries.
Topics: 2020–June EQRO QIO