Home Care Services Medical Review Services RFx

The New York City Human Resources Administration (HRA)/Department of Social Services (DSS) is seeking qualified proposers to provide medical review services to Medicaid-eligible individuals. The proposers will provide medical personnel to assess the service needs of home care applicants and recipients and offer professional judgments on the clients' appropriateness for home care and other related services. The contract term is anticipated to be from 7/1/26 to 6/30/29, with an anticipated funding of $2,994,000.00. Key responsibilities include: • Providing medical expertise in assessing the service needs of home care applicants and recipients • Offering professional judgments on the clients' appropriateness for home care and other related services • Determining the type and level of care that shall best meet the client's needs • Ensuring that decisions on appropriateness, type, and level of care are based on professional judgment, Federal and New York State Medicaid regulations, and the HRA HCSP Guidelines for Home Care