Posted Date : July 13,2020
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-4349
Government Authority located in Nebraska; USA based organization looking for expert vendor for Medicaid reimbursement services.
[A] Budget: Looking for proposal
[B] Scope of Service:
(1) Vendor needs to provide develop and implement the most state-of-the-art, cost effective, and sustainable nursing facility and home and community-based services, casemix reimbursement methodology, and assist the State in implementing reform initiatives related to the inclusion of nursing facility services in a managed care arrangement and methods to incorporate quality incentives into the reimbursement systems.
- All finalized rates must be submitted to DHHS through email in an excel file.
- Desk Audit/Rate Computation: LTCs, ICF/DDs, LRC, HRC, and TNFs
- Perform desk audits of annual FYE 6/30/XX Medicaid cost reports per 471 NAC 12 and 471 NAC 31;
- Perform rate setting functions per 471 NAC 12 and 471 NAC 31;
- Prepare and issue audit adjustments;
- Compute and issue interim and retroactive rates for new providers, on an ongoing basis;
- Develop of a new reimbursement methodology within one year after contract award, to be approved by agency.
- DHHS shall approve the final reimbursement methodology prior to execution of the new methodology;
- After execution of reimbursement methodology, Contractor shall provide:
- Ongoing support, as needed
- Post implementation analysis one year after implementation date; DHHS may request additional post implementation analysis, as necessary.
- Provide expertise, analysis and/or recommendations regarding Value Based Purchasing/Pay for Performance system design and monitoring for providers reimbursement;
- Receipt/review of quarterly Quality Assurance Assessment forms and payments; and
- With regard to Tribal Nursing Facilities:
- Audit quarterly cost reports;
- Compute quarterly and annual additional payments
(2) All the questions must be submitted no later than July 26, 2020
(3) The contract period will be for five year.
[C] Eligibility:
Onshore (US organization Only)
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office premises.
Budget :
Deadline to Submit Proposals: September 15,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
![]()
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-4349
Government Authority located in Nebraska; USA based organization looking for expert vendor for Medicaid reimbursement services.
[A] Budget: Looking for proposal
[B] Scope of Service:
(1) Vendor needs to provide develop and implement the most state-of-the-art, cost effective, and sustainable nursing facility and home and community-based services, casemix reimbursement methodology, and assist the State in implementing reform initiatives related to the inclusion of nursing facility services in a managed care arrangement and methods to incorporate quality incentives into the reimbursement systems.
- All finalized rates must be submitted to DHHS through email in an excel file.
- Desk Audit/Rate Computation: LTCs, ICF/DDs, LRC, HRC, and TNFs
- Perform desk audits of annual FYE 6/30/XX Medicaid cost reports per 471 NAC 12 and 471 NAC 31;
- Perform rate setting functions per 471 NAC 12 and 471 NAC 31;
- Prepare and issue audit adjustments;
- Compute and issue interim and retroactive rates for new providers, on an ongoing basis;
- Develop of a new reimbursement methodology within one year after contract award, to be approved by agency.
- DHHS shall approve the final reimbursement methodology prior to execution of the new methodology;
- After execution of reimbursement methodology, Contractor shall provide:
- Ongoing support, as needed
- Post implementation analysis one year after implementation date; DHHS may request additional post implementation analysis, as necessary.
- Provide expertise, analysis and/or recommendations regarding Value Based Purchasing/Pay for Performance system design and monitoring for providers reimbursement;
- Receipt/review of quarterly Quality Assurance Assessment forms and payments; and
- With regard to Tribal Nursing Facilities:
- Audit quarterly cost reports;
- Compute quarterly and annual additional payments
(2) All the questions must be submitted no later than July 26, 2020
(3) The contract period will be for five year.
[C] Eligibility:
Onshore (US organization Only)
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office premises.
Budget :
Deadline to Submit Proposals: September 15,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$