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Home and Community Based Services Rate Study

11/13/2024
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New Mexico

New Mexico Health Care Authority

The buyer is seeking a professional organization to conduct a rate study for Home and Community Based Services waiver programs. The study will analyze and recommend reimbursement rates for services provided to individuals with intellectual and developmental disabilities. The contractor will develop rate models, engage stakeholders, research best practices, and provide fiscal impact analysis. The study will cover four waiver programs and include considerations for value-based rates and incentive strategies.

  • 10/7/2024 - Issue RFP
  • 10/22/2024 - Deadline to Submit Written Questions
  • 10/30/2024 - Response to Written Questions
  • 11/13/2024 - Proposal Due Date
Refer to RFP
  • Conduct independent rate study for HCBS waiver programs
  • Analyze and recommend reimbursement rates for services
  • Develop rate models for each waiver program and service category
  • Conduct stakeholder engagement and facilitate meetings
  • Provide fiscal impact analysis of proposed rate structures
  • Research best practices and conduct literature reviews
  • Propose methodology for assessing quality of services
  • Incorporate value-based rates and incentive strategies
  • Update fee schedules and individual budget allotments
  • Present findings to management and advisory groups

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