CMS has issued notice of a proposed contract action for the program entitled “Beneficiary and Family Centered Care (BFCC) Quality Improvement Organization (QIO)” (BFCC-QIO). The proposed contract will be for a multiple award Indefinite Delivery, Indefinite Quantity (IDIQ) contract.
The purpose of the Beneficiary and Family Centered Care (BFCC) Quality Improvement Organization (QIO) contract is to improve healthcare services for Medicare beneficiaries through BFCC-QIO performance of numerous statutory review functions, including, but not limited to, quality of care reviews, beneficiary complaint reviews, discharge and termination of service appeals in various provider settings, medical necessity reviews, and Emergency Medical Treatment and Labor Act (EMTALA) reviews.
CMS intends to solicit this requirement under a full and open competition. It is anticipated that CMS will award multiple IDIQ contract awards that will have a ten (10) year ordering period. The NAICS code applicable to this procurement is 541618 (Other Management Consulting Services) with a size standard of $15 million.
Among the statutory duties is the review of some or all of the professional activities of providers and practitioners in the QIO area, subject to the terms of their contracts, in the provision of health care items or services to Medicare beneficiaries; such reviews are for purposes of determining whether services are or were reasonable and medically necessary, whether the quality of the services meets professionally recognized standards of care, and, for inpatient services, whether the proposed services could be effectively provided more economically on an outpatient basis or in a different type of inpatient facility.
Questions in support of clarifying the eventual RFP are due by May 10, 2018.
