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KWARA STATE HEALTH INSURANCE AGENCY (KWHIA)-

INVITATION FOR EXPRESSION OF INTEREST (EOI) FOR THE PROVIDERS OF HEALTHCARE SERVICES UNDER THE KWARA STATE HEALTH SCHEME

KWARA STATE GOVERNMENT
KWARA STATE HEALTH INSURANCE AGENCY (KWHIA)
INVITATION FOR EXPRESSION OF INTEREST (EOI) FOR THE PROVIDERS OF HEALTHCARE SERVICES UNDER THE KWARA STATE HEALTH SCHEME

1.0 BACKGROUND
Kuara State signed into Law the Kwara State Mandatory Health Scheme Law in November 2017. This was done in order to establish In Kwara State a mandatory health scheme aimed at fostering improved access of residents to affordable and quality health care services.

This will in turn improve the health indices of Kwara State.

The scheme will offer a basic, defined minimum benefit package of health care services with optional top-ups, for individuals and families.

Kwara State Health Insurance Agency now seeks Expression of Interest from reputable, and experienced primary and secondary healthcare providers for the purpose of implementation of the Health Insurance Scheme

2.0 PROJECT SCOPE
The health care services provider will be expected to:
• Provide services as defined in the Kwara State Health Plan benefit package
• Comply with the Scheme’s Operational Guidelines and Standard Treatment Guidelines
• Provide returns on utilization of services and other data to the Kwara State Health Insurance Agency in compliance with stipulated guidelines.
• Institute an effective complaint management system and report any unresolved complaints to Kwara State Health Insurance Agency Adhere to approved Quality Improvement Plans and institutionalization of internal quality management systems
• Other responsibilities to ensure the viability of the program as may be determined by Kwara State Health Insurance Agency from time to time.

3.0 REQUIREMENTS
Prospective healthcare providers must possess relevant experience and will he required to submit comprehensive technical and financial information as follows

Codes Requirements
R1 Letter of expression of interest to the Executive Secretary, Kwara State Health Insurance Agency (private providers)
R2 Kwara Ministry of Health registration fee for 2 consecutive years including current year 2020 (private providers)
R3 Evidence of tax payment (private providers)
R4 Corporate registration certificate from Corporate Affairs Commission (private providers)
R5 License to practice in Kwara State from Kwara Ministry of Health
R6 Governance structure – evidenced by a detailed organogram and staff documentation updated licenses and job description
R7 Evidence of HMIS data rendition to Ministry of Health
R8 Medical malpractice indemnity Insurance
R9 IT base which can be linked to State Health Insurance Agency IT platform
R10 Appropriate staffing mix based on the services offeredHospitals – 2 Doctors, 5 Nurses/Midwives, 1 Pharmacist/ Pharmacy Technician, 1 Lab Scientist/Lab Technician and 4 Hospital AttendantsClinic/Maternity– 1 Doctor, 3 Nurses/midwives, 2 CHEW and 2 Hospital Attendants.
R11 Appropriate Infrastructure and adequate equipment to be determined by Kwara State CQI teamMinistry of Health approved structural drawing from State Town Planning AuthorityChecklist of required equipment should be attached
R12 Evidence of Sterling bank account

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