What the buyer needs
AI summaryThe Texas Health and Human Services Commission requires an appropriate disinterested organization to provide informal dispute resolution outsourcing services for long-term care regulatory findings. The contractor will conduct informal reviews, facilitate document sharing, provide desk reviews or virtual conferences, and deliver completed written records. Reviews involving quality of care deficiencies must be performed by a registered nurse with long-term care experience, and the contractor's online portal must maintain Texas Risk and Authorization Management Plan Level Two compliance. Eligibility is restricted to onshore United States organizations performing work offsite from their own office premises. Interested vendors must submit all questions no later than November 13, 2026.
Scope of work
- Conduct two-level Informal Dispute Resolution reviews for long-term care facilities
- Offer facilities desk reviews or secure telephone/virtual conferences free of charge
- Distribute written records of completed IDRs within statutory timeframes
- Provide a secure online portal compliant with TX-RAMP Certification Level 2
- Produce written reports detailing findings, regulatory support, and recommended outcomes for deficiencies
- Maintain ongoing training for review staff on state and federal standards
- Submit monthly performance and activity tracking reports by the 3rd calendar day
- Provide secure virtual conferencing safeguarding protected health information and using de-identified resident references
Minimum qualifications
- Must be an appropriate disinterested organization with no conflicts of interest or industry affiliations
- Five years of experience conducting Informal Dispute Resolution reviews as an independent entity
- Staff must include at least one Registered Nurse with long-term care experience
- Relevant experience in or with long-term care and regulatory expertise
- Staff expertise in medicine, nursing, and building, fire, and life safety codes
- All staff certifications, registrations, licenses, and permits must remain in good standing
- Compliance with TX-RAMP Certification Level 2
Documents to include with your response
- Written record of completed IDR with facility rebuttal letter and supporting documentation
- Conflict of interest certification and disclosure of potential conflicts or affiliations
- Copies of staff continuing education or in-services acquired during contract
- Documented review process containing standard operating procedures
- Monthly performance reports using designated forms
- Properly completed monthly invoices detailing total amount due