Independent Informal Dispute Resolution FY26

The Illinois Department of Public Health is seeking a vendor to provide Independent Informal Dispute Resolution services as required under Chapter 7; section 7213 of the Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM). The vendor will provide a written record of the review for each survey citation disputed and a summary of the IIDR recommendation for each deficiency. The contract length is from 07/01/2026 to 06/08/2028, with an estimated total of 500 hours required. The vendor must have experience related to Long-Term Care compliant and noncompliant surveys and must be able to review surveys with an understanding of CMS Federal and State guidelines. • Must be able to review surveys (CMS 2567) with an understanding of CMS Federal and State guidelines. • Recommend to IDPH whether survey deficiency should be deleted, supported, or amended based upon the evidence provided by the Facility. • Complete all reviews within 30 calendar days. • Compare survey results to the Federal and State regulations. • Provide written decisions and specific evidence regarding the decision. • Knowledge and understanding related to Medicare and Medicaid program requirements, including 42 CFR §488.431 (nursing homes); Chapter 7; Section 7213; (The State Operations Manual [SOM]), Definitions, and Appendix PP - Appendix Q - Appendix Z