Mississippi Division of Medicaid External Quality Review Organization Services RFP # 20260731
Mississippi Division of MedicaidState · Jackson, MS- Due
- Sep 18, 2026
- Deadline passed
- Posted
- Jul 31, 2026
- Contract term
- 3 years
- Primary contact
- Sharon Clark
- (601) 359-6153
The 30-second brief
The Mississippi Division of Medicaid (DOM) is seeking proposals for an External Quality Review Organization (EQRO) to conduct mandatory and optional External Quality Review (EQR) activities in compliance with 42 CFR Part 438, Subpart E and 457.1250. Services support the Mississippi Coordinated Access Network (MississippiCAN) and the Children’s Health Insurance Program (CHIP) managed care programs. Scope includes validation of performance improvement projects (PIPs), performance measure validation, annual quality surveys (AQS), network adequacy validation, encounter data audits, quality of care and secret shopper surveys, calculation of additional performance measures, focus studies, QRS assistance, and MCO reporting reviews. The proposal submission deadline is September 18, 2026, at 2:00 PM CT via secure SharePoint upload (requires SharePoint Access Request by September 9, 2026). Questions are due August 18, 2026. The contract term is 3 years with 2 one-year renewal options.
Price (35 pts / 35%), Methodology (20 pts / 20%), Work Plan and Schedule (15 pts / 15%), Corporate Background and Experience (20 pts / 20%), Organization and Staffing (10 pts / 10%)
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Summary
The Mississippi Division of Medicaid (DOM) is seeking proposals for an External Quality Review Organization (EQRO) to conduct mandatory and optional External Quality Review (EQR) activities in compliance with 42 CFR Part 438, Subpart E and 457.1250.
Services support the Mississippi Coordinated Access Network (MississippiCAN) and the Children’s Health Insurance Program (CHIP) managed care programs. Scope includes validation of performance improvement projects (PIPs), performance measure validation, annual quality surveys (AQS), network adequacy validation, encounter data audits, quality of care and secret shopper surveys, calculation of additional performance measures, focus studies, QRS assistance, and MCO reporting reviews. The proposal submission deadline is September 18, 2026, at 2:00 PM CT via secure SharePoint upload (requires SharePoint Access Request by September 9, 2026). Questions are due August 18, 2026. The contract term is 3 years with 2 one-year renewal options.
EVALUATION CRITERIA
5- Price (35 pts / 35%)
- Methodology (20 pts / 20%)
- Work Plan and Schedule (15 pts / 15%)
- Corporate Background and Experience (20 pts / 20%)
- Organization and Staffing (10 pts / 10%)
REQUIRED ATTACHMENTS
19- Transmittal Letter
- Addendum 1 - Executive Summary
- Addendum 2 - Methodology
- Addendum 3 - Work Plan and Schedule
- Addendum 4 - Corporate Background and Experience (References)
- Addendum 5 - Organization and Staffing
- Addendum 6 - Ownership and Financial Disclosure Information
- Addendum 7 - Cost Proposal Worksheet
- Disclosure of Subcontractor Information
- DHHS Certification Drug-Free Workplace
- Certification Debarment
- Suspension
- Other Responsibility Matters
- Proprietary Information Form
- References
- Acknowledgement of Amendments
- Business Associate Agreement
- Proposal Response Checklist
- Financial Disclosure Information
- Submit to
- https://medicaid.ms.gov/
- Duration
- 36 months
- Scope location
- Jackson, MS
Questions about this RFP
How do I respond to this RFP from Mississippi Division of Medicaid?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is September 18, 2026. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: https://medicaid.ms.gov/. For questions, contact Sharon Clark.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Mississippi Division of Medicaid in MS, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFP submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Sharon Clark at (601) 359-6153. Questions and answers are typically shared with all prospective bidders.
Show 5 more questions
What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Price (35 pts / 35%), Methodology (20 pts / 20%), Work Plan and Schedule (15 pts / 15%), Corporate Background and Experience (20 pts / 20%), Organization and Staffing (10 pts / 10%)" Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from Mississippi Division of Medicaid?
All active and historical solicitations from Mississippi Division of Medicaid are tracked and searchable. As a state agency, Mississippi Division of Medicaid regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 3 years. Contract terms may include renewal options.
What documents are required to bid on this RFP?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: Transmittal Letter, Addendum 1 - Executive Summary, Addendum 2 - Methodology, Addendum 3 - Work Plan and Schedule, Addendum 4 - Corporate Background and Experience (References), Addendum 5 - Organizat. Review the full document from Mississippi Division of Medicaid for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Jackson, MS. Review the full solicitation for detailed scope requirements.