Department of Behavioral Health and Developmental Services

Buyer seeks a contractor to conduct Quality Service Reviews for individuals with developmental disabilities receiving Home and Community Based Waiver services. The reviews will evaluate service quality at individual, provider, and system-wide levels. The contractor will collect information through interviews, document reviews, and direct observation of service provision. Findings will be used to improve practice and quality of services.

• 3/13/2025 - Issue Date
• 3/27/2025 - Pre-proposal Conference
• 5/1/2025 - Proposal Due Date

• Bachelor degree or higher in human service-related field
• Three years experience in human service-related field
• Three years of ID/DD experience
• One year experience conducting chart reviews, audits, interviews
• Two years experience with Medicaid program requirements

• Conduct person-centered reviews with face-to-face interviews of individuals receiving services
• Review provider quality improvement and risk management plans
• Assess adequacy of providers' QI strategies and provide recommendations
• Develop quality enhancement plan templates and guidance
• Develop and implement communication plan for QSR process
• Conduct direct observation of individuals receiving waiver services
• Perform interrater reliability testing with documented procedures
• Evaluate quality of services at individual, provider, and system-wide levels
• Assess providers' implementation of HCBS Settings requirements
• Provide actionable recommendations based on QSR findings