Government Contracting and Bid Submissions

Compliance and Regulatory Challenges

Expert Guidance for Successful Government Contract Submissions in Healthcare

It’s not just what you do — it’s how you do it. And how a federal or state contract is submitted remains the critical foundation for obtaining government approval. Using our expertise in government contracting, we work closely with both you and the federal and/or state agency to ensure your submission meets the agency’s requirements while providing it with insight into your organization’s strengths and advantages.

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The core competence of Compliance Strategies consultants stems from their compliance and regulatory experience, particularly with respect to CMS and state Medicaid agencies.

Compliance Strategies is regularly involved in new Medicare Advantage Prescription Drug and Medicaid Managed Care applications and service area expansions. Services range from completing required attestations and application deliverables to developing Model of Care program descriptions and annual member materials that reflect your unique organization.

End-to-End Support for Filings and Operations

KEEPING YOU ON SCHEDULE

Consultants work with your organization by developing a comprehensive project plan identifying everything required for a successful filing. It’s not just about a timely submission, it’s about making sure the filing accurately reflects your organization’s vision. We’re here to review the entire submission to ensure consistency and compliance with requirements.

Project planning
Regulatory interpretation
Application filing

FILLING IN THE GAPS

Need help with documenting your existing processes? Or maybe you require assistance with defining a new process altogether? Either way, we’re here for you. We have years of experience in operations and can document or create whatever is needed for filing.

Compliance Program
Case Management Program Description
Quality Program
Utilization Management Program Description
Operations Policies and Procedures

WE'RE HERE WHEN YOU NEED US

From a big-picture perspective, the application submission is just the beginning. We’re here to serve as liaison between you and government agencies. Do reviewers have questions? Is additional clarification required? No problem — we’ll be happy to respond on your behalf. Do agencies want to perform a site visit? We’re available to coach your team for the interviews and even to develop project plans to demonstrate how the organization expects to implement the product. Can’t find the ideal appeals supervisor? Consultants can even supplement your staffing until you’re fully operational.

Serve as liaison with government agencies
On-site presence during site visits
Temporarily fill gaps in staffing
Pre-delegation reviews

PUTTING IT ALL TOGETHER

So now you’re conditionally approved and it’s time to create your product and supporting marketing material … where do you begin? Let us help. We assist health plans every year in creating their competitive product designs and product bids, in educating their teams on Medicare benefits, and in coordinating their benefit descriptions with their actuaries. If needed, we can even help to create member materials such as your Summary of Benefits, member handbooks, and Evidence of Coverage and Disclosure booklets.

Training
Material development
Product development and bid submission