New Hampshire Department of Health and Human Services · Posted September 15, 2026
Application Due
October 14, 2026
LOI Deadline
September 22, 2026
Q&A Deadline
September 22, 2026
The New Hampshire Department of Health and Human Services (DHHS), Division of Program Quality and Integrity is soliciting proposals from qualified Vendors to provide External Quality Review (EQR) services of healthcare services delivered to Medicaid beneficiaries enrolled in Medicaid Care Management statewide. The selected organization(s) will conduct assessments of Managed Care Organizations (MCOs) and Dental Organizations (DOs) using current CMS protocols, covering activities such as validating performance measures, provider network adequacy, encounter data, compliance, and conducting focus studies and surveys. The contract is anticipated to start upon Governor and Executive Council approval and run through April 30, 2030, with up to four years of renewal possible.
Qualified Vendors must meet all the qualifications of an External Quality Review Organization (EQRO) as outlined in 42 CFR 438.354.
Required attachments
Email to rfx@dhhs.nh.gov AND to the Contract Specialist (danielle.l.richey@dhhs.nh.gov); subject line must reference RFP-2027-DPQI-02-EQRO
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Application Prep
Application #: RFP-2027-DPQI-02-EQRO
Reference: RFP-2027-DPQI-02-EQRO
Program: Medicaid External Quality Review Organization (EQRO)
Match: Match Requirements: N/A
Performance: Upon approval by Governor and Executive Council through April 30, 2030; may be extended up to four additional years.
Key Dates:
Review Criteria:
Portal: https://www.dhhs.nh.gov/doing-business-dhhs/contracts-procurement-
FAQ: https://www.dhhs.nh.gov/doing-business-dhhs/contracts-procurement-opportunities
Contact
Danielle L
Richey, Contract Specialist, danielle.l.richey@dhhs.nh.gov, 603-271-9099