Independent Assessments for Medicaid Waivered Services

The Idaho Department of Health and Welfare (Division of Medicaid) issued an RFI to gather detailed information from vendors capable of delivering independent clinical assessments for a broad suite of Medicaid waiver and HCBS programs across the state. The agency seeks insight into staffing models, cost drivers, pricing structures, and operational logistics (including travel, tele‑health, language services, and AI utilization) to shape a future RFP and budget. Respondents must describe their organizational capabilities, clinical workforce qualifications (QIDPs, LPNs/RNs, mental‑health professionals, etc.), and provide cost estimates for per‑assessment fees, implementation, travel, and ancillary services. No award will be made from this RFI; all responses become public record. • Scope covers adult and pediatric Medicaid waiver programs (A&D, DD, Personal Care, Youth Empowerment, Katie Beckett, etc.). • Required assessments include SIB‑R, UAI, Vineland‑3, CANS, CDA, and others, with annual eligibility determinations and triennial re‑assessments. • Vendors must address statewide coverage, tele‑health delivery, bilingual staffing, and any AI‑driven efficiencies, and submit cost models by June 30 2026.