Specifications include, but are not limited to: This RFP details the work that the Contractor may be requested to perform as an AHCCCS External Quality Review Organization (EQRO). 3.1. AHCCCS will award the following activities to one (1) EQRO Contractor for the term of this Contract. This may result in AHCCCS awarding each activity listed below to different EQRO Contractors or AHCCCS awarding the two activities below to a single EQRO Contractor. 3.1.1. External Quality Review (EQR) Annual Technical Report(s) 3.1.2. Network Adequacy; 3.2. AHCCCS will award each of the following Mandatory EQRO activities to one (1) EQRO Contractor for the term of this Contract. This may result in AHCCCS awarding each activity listed below to different EQRO Contractors or AHCCCS awarding one (1) or more of the activities below to a single EQRO Contractor. Due to anticipated variation in the scope of project activities from year to year, AHCCCS will issue Non-competitive Task Orders to the awarded EQRO Contractor(s) for the performance of these activities throughout the term of this Contract. 3.2.1. Performance Improvement Project (PIP) Validation 3.2.2. Performance Measure Validation 3.2.3. Compliance Reviews (i.e., Operational Reviews); 3.3. AHCCCS will award each of the following Optional EQRO activities to one (1) or more EQRO Contractor. Based on business need, AHCCCS will issue Competitive Task Orders to the EQRO Contractor(s) awarded for that specific activity. There is no guarantee that award of the Optional EQRO activity will result in the award of related Task Order(s): 3.3.1. Encounter Data Validation 3.3.2. Member and Provider Surveys Administration and Validation 3.3.3. Performance Measure Calculations 3.3.4. Conducting PIPs 3.3.5. Conducting Studies on Quality 3.3.6. Assisting with Quality Rating System (QRS)
