Q -- Q -- DRAFT 7TH SCOPE STATEMENT OF WORK (SOW) FOR QUALITY IMPROVEMENT ORGANIZATIONS (QIOS)/PEER REVIEW ORGANIZATIONS (PROS)

Notice Date

November 30, 2001

Contracting Office

Department of Health and Human Services, Centers for Medicare & Medicaid Services, formerly known as the Health Care Financing Administration, Acquisition and Grants Group, 7500 Security Blvd. C2-21-15, Central Building, Baltimore, MD, 21244-1850

ZIP Code

21244-1850

Solicitation Number

Reference-Number-CMS-02-001-ELH

Response Due

December 14, 2001

Point of Contact

Ed Hughes, Contracting Officer, Phone 410-786-0203, Fax 410-786-9922, Email ehughes@cms.hhs.gov

Description

NOTE: The website address to download the SOW was incorrect in the first notice and has been corrected per this modificatin.CMS plans to release a draft SOW on or about December 3, 2001 for the 7th Scope QIO/PRO contract. The draft SOW will be available at the following website: http://www.hcfa.gov/quality/5b.html. Services covered in this draft shall encompass the requirements as defined in Title XI of the Social Security Act (the Act), as amended. In order to be eligible to receive a QIO/PRO contract, an offeror must meet the definition of a PRO, per Section 1152 of the Act. In general, QIOs/PROs are responsible for quality improvement of health care in the Medicare beneficiary population and for review of certain health care processes furnished under Title XVIII of the act. QIOs/PROs conduct reviews to determine whether services are reasonable, medically necessary, furnished in the appropriate setting and are of a quality which meets professionally recognized standards. Relevant comments on the draft SOW may be submitted to CMS at the following address: 7sowcom@cms.hhs.gov no later than December 14, 2001. While CMS will review comments, it does not intend to respond to individual comments. Interested parties shall be advised that a notice shall be published in the FEDBIZOPS at least 15 days prior to release of a Request for Proposal (RFP)for any State where the QIO/PRO contract will be competed.

Web Link

Visit this URL for the latest information about this (http://www.eps.gov/spg/HHS/HCFA/AGG/Reference-Number-CMS-02-001-ELH /listing.html)

Record

Loren Data Corp. 20011204/QSOL003.HTM (D-334 SN5140T0)