Description
The State of Maine’s Department of Health and Human Services seeks a fiscal‑agent to administer the Individual Planning Funds (IPF) program, which provides short‑term, medically‑necessary services for children with behavioral‑health needs. The contractor will design a secure, HIPAA‑compliant web portal for families and providers to submit IPF requests, review eligibility within two business days, issue approvals/denials within five business days, and process payments within five business days of approval. Ongoing responsibilities include tracking fund usage, prioritizing requests when remaining funds drop to ~25 % of the $170 k annual allocation, submitting quarterly IPF payment reports, and maintaining required insurance and cybersecurity safeguards. Eligibility excludes current MaineCare providers and any entity that delivers the underlying services being reimbursed. The contract runs from Oct 1 2026 to Sep 30 2031 (five‑year term) with optional renewals, and the solicitation closes on Aug 27 2026.
• Build and host a HIPAA‑compliant web‑based IPF request system linked from the CBHS website.
• Perform rapid eligibility review, decision making, and payment issuance (check/ACH) for approved requests.
• Monitor fund balances, enforce a $5,000 per‑child annual cap, and provide quarterly reporting on payments and performance metrics.
• Maintain insurance per the State’s IT‑Service Contract Rider B‑IT and conduct risk‑assessment and vulnerability‑scanning in line with MaineIT standards.