Quality Improvement Organization

The Maryland Department of Health (MDH), Department of Developmental Disabilities (DDA or the Department) is issuing this Request for Proposals (RFP) to request a Contractor certified by Centers for Medicare and Medicaid Services (CMS) as a Quality Improvement Organization (QIO) or QIO-like entity to: (1) provide strategies that enhance the quality of life and help to ensure the health and well-being for individuals with intellectual and developmental disabilities; (2) develop audit standards for the DDA’s services including review cases and analyze patterns of services related to assessed need and quality review; (3) conduct ongoing utilization reviews to safeguard against unnecessary utilization of care and services and to assure efficiency, economy and quality of care; and (4) administer the DDA’s National Core Indicators Surveys.