Active SLED Opportunity · NEW MEXICO · NEW MEXICO HUMAN SERVICES DEPARTMENT
AI Summary
RFP issued by New Mexico Human Services Department to contract professional agencies for Service Coordination to individuals with brain injury under the BISF Program. Services include eligibility, assessment, planning, and coordination to support independence and crisis resolution.
The purpose of this Request for Proposals (RFP) is to solicit sealed proposals to establish contracts with qualified professional agencies to provide Service Coordination to eligible individuals living with brain injury. These services are provided through the New Mexico Health Care Authority (HCA) Brain Injury Services Fund (BISF) Program and are funded through the Brain Injury Services Fund. Contracted Service Coordination Agencies (SCAs) are sought to provide direct, participant-facing services to New Mexicans with traumatic or other acquired brain injuries who have crisis-interim needs, in accordance with 8.326.10 NMAC. All services are intended to resolve a participant’s crisis needs while enhancing self-determination and promoting independence. The specific Service Coordination services required under this RFP include eligibility determination; assessment of participant needs; development, implementation, and monitoring of Independent Living Plans (ILPs); coordination of authorized services and supports; facilitation of access to available payer sources and community resources; and planning for transition and discharge. Service Coordination services shall be provided through professional agencies specializing in serving individuals with brain injury and related disabilities within designated service regions of the state. Offerors may submit proposals in response to both the Service Coordination Agency (SCA) RFP and the Fiscal Intermediary Agent (FIA) RFP. However, an Offeror may be awarded only one of the two service components and may not provide both Service Coordination and Fiscal Intermediary services to enrolled participants of the BISF Program. This restriction is intended to prevent actual or perceived conflicts of interest in accordance with 8.326.10 NMAC. As a payer of last resort, the BISF Program provides brain-injury-specific services when such services are not available through other responsible payer sources. Service Coordination services are provided in one hundred eighty (180) day increments, until a participant becomes eligible to receive needed services through another payer source or until the identified crisis need is otherwise resolved, allowing the individual to function independently in their home and community. The per member per month amounts have been increased from the Fiscal Year (FY) 24 RFP. The projections outlined below are intended to inform Offerors of anticipated service demand and contractor capacity expectations over the upcoming contract terms. BISF Enrollment Trend and Projected Enrollment FY24 (actual) FY25 (actual) FY26 (as of Q2) FY27 (Projected) FY28 Projected FY29 (Projected) FY30 (Projected) 138 112 99 125 130 135 140 All Service Coordination services shall be provided in accordance with 8.326.10 NMAC, BISF Service Standards, and any subsequent regulations, policies, or written guidance issued by HCA.
SLED stands for State, Local, and Education. These are solicitations issued by state governments, counties, cities, school districts, utilities, and higher education institutions — as opposed to federal agencies.
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