Medicaid RFPs
Discover Medicaid RFP opportunities from state Medicaid agencies, managed care organizations, and healthcare providers. Find solicitations for healthcare services, managed care contracts, and Medicaid administration systems updated daily.
The purpose of this RFI is to gather feedback and information for the FSSA regarding Medicaid managed care programs in the State of Indiana. Responses to this RFI will be an important input for the State’s considerations for program design and implementation to ensure managed care programs focus on improving member health outcomes and community well-being in financially sustainable manners. See attached files.
Posted Date
Mar 11, 2026
Due Date
Apr 15, 2026
Medicaid Managed Care (RFI)
Release: Mar 11, 2026
Close: Apr 15, 2026
The purpose of this RFI is to gather feedback and information for the FSSA regarding Medicaid managed care programs in the State of Indiana. Responses to this RFI will be an important input for the State’s considerations for program design and implementation to ensure managed care programs focus on improving member health outcomes and community well-being in financially sustainable manners. See attached files.
Medicaid Transportation Services Contact
Release: -
Close: Jun 1, 2026
Medicaid transportation services contact.
AvailableMedicaid Data Consulting Services
AvailableProvide medicaid data consulting services. Consulting will entail advising the agency on analysis and presentation of data to enhance usability by program areas and personnel.
Posted Date
Apr 27, 2022
Due Date
Dec 6, 2026
Medicaid Data Consulting Services
Release: Apr 27, 2022
Close: Dec 6, 2026
Provide medicaid data consulting services. Consulting will entail advising the agency on analysis and presentation of data to enhance usability by program areas and personnel.
AvailableScope of work includes the scheduling, coordination, and transport of individuals to non-emergency Medicaid coverable services. Client base consists of over 700 eligible families, seniors, and disabled individuals.
Posted Date
Apr 12, 2026
Due Date
Apr 30, 2026
Medicaid Transportation Services (RFP)
Release: Apr 12, 2026
Close: Apr 30, 2026
Scope of work includes the scheduling, coordination, and transport of individuals to non-emergency Medicaid coverable services. Client base consists of over 700 eligible families, seniors, and disabled individuals.
AvailableThird Party Medicaid Billing Services.
Posted Date
Mar 13, 2026
Due Date
Apr 21, 2026
Third Party Medicaid Billing Services (RFP)
Release: Mar 13, 2026
Close: Apr 21, 2026
Third Party Medicaid Billing Services.
AvailableThe South Carolina Department of Health and Human Services (SCDHHS) is soliciting proposals for a Medicaid Recovery Audit Contractor (RAC) to perform post-payment claim audits to identify and recover overpayments and ensure Medicaid claims compliance. The contractor must meet security and privacy requirements and provide deliverables and testing documentation prior to production. A pre-proposal conference is scheduled for April 17, 2026, and the response deadline is May 18, 2026.
Posted Date
Mar 27, 2026
Due Date
May 18, 2026
Medicaid Recovery Audit Contractor (RAC) - RFP
Release: Mar 27, 2026
Close: May 18, 2026
The South Carolina Department of Health and Human Services (SCDHHS) is soliciting proposals for a Medicaid Recovery Audit Contractor (RAC) to perform post-payment claim audits to identify and recover overpayments and ensure Medicaid claims compliance. The contractor must meet security and privacy requirements and provide deliverables and testing documentation prior to production. A pre-proposal conference is scheduled for April 17, 2026, and the response deadline is May 18, 2026.
AvailableProvide non-medicaid transportation contracts.
Posted Date
Mar 31, 2026
Due Date
Apr 23, 2026
Non-Medicaid Transportation Contracts (RFP) -*REBID*
Release: Mar 31, 2026
Close: Apr 23, 2026
Provide non-medicaid transportation contracts.
AvailableRFP for non-emergency Medicaid transportation services for the Bladen County Department of Social Services.
Posted Date
-
Due Date
Apr 23, 2026
Close: Apr 23, 2026
RFP for non-emergency Medicaid transportation services for the Bladen County Department of Social Services.
AvailableSeeking support for processing Washington State Medicaid/Apple Health, Washington State Health Benefit Exchange, and/or Financial Assistance applications. Applications extends to processing/assisting with out of state Medicaid and Exchange applications.
Posted Date
Mar 30, 2026
Due Date
Apr 17, 2026
Medicaid, Exchange, and Financial Assistance Eligibility Services (RFQ)
Release: Mar 30, 2026
Close: Apr 17, 2026
Seeking support for processing Washington State Medicaid/Apple Health, Washington State Health Benefit Exchange, and/or Financial Assistance applications. Applications extends to processing/assisting with out of state Medicaid and Exchange applications.
AvailableThe Centers for Medicare and Medicaid Services is seeking information regarding consumer-reported verification data sources to support state Medicaid agencies in eligibility determination. CMS is developing the EMMY platform, a centralized API-based data exchange requiring authoritative payroll and employment verification data. Responses are limited to 15 pages and must be submitted electronically by April 17, 2026.
Posted Date
Mar 27, 2026
Due Date
Apr 17, 2026
Consumer-Reported Verification Data Sources for State Medicaid Eligibility Determination
Release: Mar 27, 2026
Close: Apr 17, 2026
The Centers for Medicare and Medicaid Services is seeking information regarding consumer-reported verification data sources to support state Medicaid agencies in eligibility determination. CMS is developing the EMMY platform, a centralized API-based data exchange requiring authoritative payroll and employment verification data. Responses are limited to 15 pages and must be submitted electronically by April 17, 2026.
AvailableThe Ohio Department of Medicaid seeks a vendor to provide National Change of Address (NCOA) monthly data matching services to maintain accurate addresses for Medicaid enrollees. The contractor will process approximately 2 million records each month and return any forwarding addresses within one week via SFTP, delivering results in Excel format and preserving an ODM‑provided unique identifier. The contract is planned for 12 months with compensation based on an accepted price list and monthly invoicing.
Posted Date
-
Due Date
Apr 16, 2026
Close: Apr 16, 2026
The Ohio Department of Medicaid seeks a vendor to provide National Change of Address (NCOA) monthly data matching services to maintain accurate addresses for Medicaid enrollees. The contractor will process approximately 2 million records each month and return any forwarding addresses within one week via SFTP, delivering results in Excel format and preserving an ODM‑provided unique identifier. The contract is planned for 12 months with compensation based on an accepted price list and monthly invoicing.
The General Services Administration is soliciting a two-phase design-build project for the renovation of roofs and elevators at the Centers for Medicare & Medicaid Services Headquarters in Woodlawn, Maryland. This project is a total small business set-aside with an estimated construction magnitude between $20,000,000 and $30,000,000. The formal solicitation package is expected to be released electronically on or about April 28, 2026.
Posted Date
Apr 13, 2026
Due Date
Apr 28, 2026
Centers for Medicare & Medicaid Services Headquarters (CMS) Roofs & Elevators - Pre-Solicitation Notice
Release: Apr 13, 2026
Close: Apr 28, 2026
The General Services Administration is soliciting a two-phase design-build project for the renovation of roofs and elevators at the Centers for Medicare & Medicaid Services Headquarters in Woodlawn, Maryland. This project is a total small business set-aside with an estimated construction magnitude between $20,000,000 and $30,000,000. The formal solicitation package is expected to be released electronically on or about April 28, 2026.
AvailableProvide open enrollment for independent review organization services, medicaid & chip services, medical & UR appeals.
Posted Date
Feb 1, 2025
Due Date
Jan 31, 2028
Open Enrollment for Independent Review Organization Services, Medicaid & Chip Services, Medical & UR Appeals
Release: Feb 1, 2025
Close: Jan 31, 2028
Provide open enrollment for independent review organization services, medicaid & chip services, medical & UR appeals.
AvailableThe Department of Homeland Security proposes to extend the ordering period of contract 70RFP319DE3000005 with Kerberos International, Inc. for armed Protective Security Officer services. This extension applies to the Centers for Medicare & Medicaid Services facility located in Woodlawn, Maryland, for a period of performance from April 1, 2026, to September 30, 2026. The action is being conducted on the basis of other than full and open competition.
Posted Date
Mar 18, 2026
Due Date
Apr 17, 2026
Armed Protective Security Officer (PSO) services at the Center for Medicaid Services (CMS) in Woodlawn, MD
Release: Mar 18, 2026
Close: Apr 17, 2026
The Department of Homeland Security proposes to extend the ordering period of contract 70RFP319DE3000005 with Kerberos International, Inc. for armed Protective Security Officer services. This extension applies to the Centers for Medicare & Medicaid Services facility located in Woodlawn, Maryland, for a period of performance from April 1, 2026, to September 30, 2026. The action is being conducted on the basis of other than full and open competition.
AvailableThe General Services Administration will publish a design-build solicitation for the renovation of approximately 300,000 square feet of roofs and multiple elevators at the CMS Headquarters in Woodlawn, Maryland. This project is a total small business set-aside with an estimated value between $20 million and $30 million. The procurement follows a two-phase selection process, with the full solicitation expected to be available on SAM.gov around April 28, 2026.
Posted Date
Apr 13, 2026
Due Date
Apr 28, 2026
47PB5126R0022 - Centers for Medicare & Medicaid Services Headquarters (CMS) Back on Campus - Roofs & Elevators Project
Release: Apr 13, 2026
Close: Apr 28, 2026
The General Services Administration will publish a design-build solicitation for the renovation of approximately 300,000 square feet of roofs and multiple elevators at the CMS Headquarters in Woodlawn, Maryland. This project is a total small business set-aside with an estimated value between $20 million and $30 million. The procurement follows a two-phase selection process, with the full solicitation expected to be available on SAM.gov around April 28, 2026.
AvailableThis notice is a Limited-Sources Justification issued by the CMS Office of Acquisition and Grants Management to support a modification and extension for the CMS Analysis, Reporting & Tracking System (CMS ARTS). The justification documents the intent to extend services for approximately two months, valued at roughly $100,000, to continue work supporting business proposal and workload tracking functions. The procurement is centered in Windsor Mill, MD, and identifies specific contacts within the CMS OAGM.
Posted Date
Mar 27, 2026
Due Date
Apr 26, 2026
Centers for Medicare & Medicaid Services Analysis, Reporting & Tracking System (CMS ARTS) Limited-Sources Justification (Justification 261270)
Release: Mar 27, 2026
Close: Apr 26, 2026
This notice is a Limited-Sources Justification issued by the CMS Office of Acquisition and Grants Management to support a modification and extension for the CMS Analysis, Reporting & Tracking System (CMS ARTS). The justification documents the intent to extend services for approximately two months, valued at roughly $100,000, to continue work supporting business proposal and workload tracking functions. The procurement is centered in Windsor Mill, MD, and identifies specific contacts within the CMS OAGM.
AvailableThe New Mexico Health Care Authority (Medical Assistance Division) issued a sole-source procurement to obtain comprehensive actuarial, financial, policy, and programmatic consulting services to support administration and strategic advancement of New Mexico’s Medicaid program, including Turquoise Care. The procurement designates Mercer Health and Benefits, LLC as the sole source incumbent and structures a bridge contract from July 1, 2026 through December 31, 2026, with an estimated contract value of $7,500,000. Proposals/objections were posted in mid-April 2026 and the procurement has a due/response date of April 29, 2026; this is a contract procurement (not a grant).
Posted Date
Apr 13, 2026
Due Date
Apr 29, 2026
Close: Apr 29, 2026
The New Mexico Health Care Authority (Medical Assistance Division) issued a sole-source procurement to obtain comprehensive actuarial, financial, policy, and programmatic consulting services to support administration and strategic advancement of New Mexico’s Medicaid program, including Turquoise Care. The procurement designates Mercer Health and Benefits, LLC as the sole source incumbent and structures a bridge contract from July 1, 2026 through December 31, 2026, with an estimated contract value of $7,500,000. Proposals/objections were posted in mid-April 2026 and the procurement has a due/response date of April 29, 2026; this is a contract procurement (not a grant).
AvailableConduct external medical reviews (EMRs) for: texas medicaid managed care organization (MCO) or dental maintenance organization (DMO) benefit denials or reductions that are appealed by medicaid members or their authorized representatives and subsequently are requested for review by a contracted IRO; and eligibility decisions made by HHSC for a medicaid program in which eligibility is based on a medicaid applicant or recipient's medical or functional need.
Posted Date
Nov 14, 2023
Due Date
Oct 31, 2026
Independent Review Organization Services
Release: Nov 14, 2023
Close: Oct 31, 2026
Conduct external medical reviews (EMRs) for: texas medicaid managed care organization (MCO) or dental maintenance organization (DMO) benefit denials or reductions that are appealed by medicaid members or their authorized representatives and subsequently are requested for review by a contracted IRO; and eligibility decisions made by HHSC for a medicaid program in which eligibility is based on a medicaid applicant or recipient's medical or functional need.
AvailableConduct independent certified audits of designated Medicaid State plan rate years of the Kansas Medicaid Program that provide Disproportionate Share Hospital Payments to Kansas hospitals eligible for such payments.
Posted Date
Mar 23, 2026
Due Date
Apr 29, 2026
Disproportionate Share Hospital Program Audit (RFP)
Release: Mar 23, 2026
Close: Apr 29, 2026
Conduct independent certified audits of designated Medicaid State plan rate years of the Kansas Medicaid Program that provide Disproportionate Share Hospital Payments to Kansas hospitals eligible for such payments.
AvailableRate Setting C5987
AvailableThe Commonwealth of Kentucky, Cabinet for Health and Family Services, is soliciting proposals for Medicaid rate setting services, including desk and field audits of cost reports and maintaining provider data. The selected contractor will calculate Medicaid rates for various provider types such as nursing facilities and hospitals while ensuring compliance with federal and state regulations. This procurement seeks technical assistance and reimbursement report preparation to support the Department for Medicaid Services.
Posted Date
Apr 6, 2026
Due Date
May 6, 2026
Rate Setting C5987
Release: Apr 6, 2026
Close: May 6, 2026
The Commonwealth of Kentucky, Cabinet for Health and Family Services, is soliciting proposals for Medicaid rate setting services, including desk and field audits of cost reports and maintaining provider data. The selected contractor will calculate Medicaid rates for various provider types such as nursing facilities and hospitals while ensuring compliance with federal and state regulations. This procurement seeks technical assistance and reimbursement report preparation to support the Department for Medicaid Services.
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