Medical Review Services for Home Care Programs in New York City
The New York City (NYC) Human Resources Administration (HRA)/Department of Social Services (DSS) is seeking appropriately qualified proposers to directly provide medical review services to Medicaid-eligible individuals who are medically and/or physically disabled and/or frail elderly. The Proposers shall provide the me…
Source ID: us-nyc-city-record-procurement-dept-of-social-svcs-human-resources-administration-20260126005
Scope overview
The New York City (NYC) Human Resources Administration (HRA)/Department of Social Services (DSS) is seeking appropriately qualified proposers to directly provide medical review services to Medicaid-eligible individuals who are medically and/or physically disabled and/or frail elderly.
The Proposers shall provide the medical personnel ( staff ) necessary to perform ongoing professional services for the Home Care Services Programs ( HCSP ) of HRA.
The staff shall provide medical expertise in assessing the service needs of home care applicants and recipients (hereinafter referred to as clients ) and offer professional judgements as to the clients appropriateness for home care and other related services, as well as the type and level of care which shall best meet the client s needs.
The staff s decisions on appropriateness, type, and level of care shall be based on the staff s professional judgement, Federal and New York State (NYS) Medicaid regulations, and the HRA HCSP Guidelines for Home Care. Final Determination of a client s eligibility is the sole responsibility of DSS/HRA.
Anticipated Contract Term: 7/1/26-6/30/29 Anticipated Funding: $ 2,994,000.00 Anticipated number of contracts: 1 Questions regarding this RFx must be transmitted in writing to the Agency Contact Person, Mohammad Alraimouny at hcspprogram-fiscal@hra.nyc.gov. Questions received prior to the Pre-Proposal Conference will be answered at the conference.
Responses to questions addressed at the conference and those received subsequently will shared in an addendum to the Citywide Bidder s List through the PASSPort System. To respond to this RFx, organizations must have an account in PASSPort. Proposals will ONLY be accepted through PASSPort. If you do not have a PASSPort account, please visit www.nyc.gov/passport.
Please submit your proposals by both acknowledging the receipt of the RFx in the Acknowledgement tab and completing your response in the Manage Responses tab of PASSPort. IF you need additional technical assistance with PASSPort, please contact the MOCS Service Desk at www.nyc.gov/mocshelp. Agency: Dept. of Social Svcs/Human Resources Administration Status: Solicitation
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