Specifications include, but are not limited to: 1.3.1.1. Guidance on making improvements in areas as it relates to and impacts the filing of a Medicare Cost Report (MCR), which includes, but is not limited to: 1.3.1.1.1. The Department’s MCR filing history. 1.3.1.1.2. Processes used to gather and organize data and work papers. 1.3.1.1.3. Manuals, procedures, and policies. 1.3.1.1.4. Current NHH operations. 1.3.1.1.5. Changes to NHH operations in the past few years. 1.3.1.1.6. Legislative plan for future changes and how they would impact Medicare Cost Report filings. 1.3.1.1.7. Disproportionate Share Hospitals. 1.3.1.1.8. Other areas, as requested by the Department. 1.3.1.2. Work plans for NHH to prepare and complete the MCRs by the required filing dates that in a most efficient manner. The selected vendor must ensure work plans include but are not limited to: 1.3.1.2.1. Milestones. 1.3.1.2.2. Activities. 1.3.1.2.3. Types of data needed and their sources. 1.3.1.2.4. Names of NHH staff to complete the activities. 1.3.1.2.5. Deliverables. 1.3.1.2.6. Dues Dates. 1.3.1.3. Reviews and analysis of drafts, steps, adjustments and work papers to be used for the final submission of the MCR by providing: 1.3.1.3.1. Recommendations on different approaches. 1.3.1.3.2. Other options to consider that NHH may not understand or know. 1.3.1.3.3. Recommendations for maximizing costs.