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RFP opportunitySolicitation RFP-2027-DPQI-02-EQRO

External Quality Review Organization Service — New Hampshire Department of Health and Human Services

Submission deadlineNov 14, 2026See documents for time and submission instructions
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About this opportunity

AI summary

The government authority located in New Hampshire requires an external quality review organization service. The selected vendor must provide statewide external quality reviews (EQRs) of healthcare services delivered to New Hampshire Medicaid beneficiaries enrolled in Medicaid care management. EQRs evaluate and analyze aggregated information regarding the quality, timeliness, and access to health care services provided by state-contracted Managed Care Plans. These reviews aim to improve the state's oversight and management of contracted managed care plans and assist those plans in improving their performance. Eligible bidders must be an onshore USA organization. The contractor will perform the work offsite. The buyer is looking for proposals regarding the budget, and applicants can submit their responses digitally via email or online. The provided text does not contain evaluation criteria or key-date details.

Buyer and opportunity details

Client
New Hampshire Department of Health and Human Services
Solicitation No.
RFP-2027-DPQI-02-EQRO

Scope of work

  • Validation of Managed Care Organization performance measures
  • Validation of Performance Improvement Projects
  • Validation of provider network adequacy
  • Validation of encounter data reported by MCOs and Dental Organizations
  • Conduct annual quality focus studies
  • Administer member and provider surveys
  • Conduct contract compliance audits
  • Produce annual EQR Technical Reports

Minimum qualifications

  • Onshore (USA Organization Only)
  • Maintain all qualifications of an External Quality Review Organization (EQRO) as outlined in 42 CFR 438.354

Documents to include with your response

  • Appendix H - IT Requirements Workbook

Key dates

MCO Implementation Plan due
8/1/2027
DO Implementation Plan due
no later than August 8/1/2027
Initial draft of Technical Report due annually
no later than December 1st
Final Technical Report due annually
no later than April 30th
Final DO Technical Report due
no later than 4/1/2028

How to submit

Method
Digitally via Email or Online

Contract details

Place of performance
Offsite
Funding
Medicaid
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