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.
Medicaid Transportation Services Contact
Release: -
Close: Jun 1, 2026
Medicaid transportation services contact.
AvailableProvide medicaid certification and technical assistance.
Posted Date
Dec 2, 2025
Due Date
Feb 25, 2026
Medicaid Certification and Technical Assistance
Release: Dec 2, 2025
Close: Feb 25, 2026
Provide medicaid certification and technical assistance.
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.
AvailableTo establish a qualified vendor list (QVL) comprised of consultants experienced in providing any of the following selected areas of expertise: state administration and reporting for the medicaid program; federal cost allocation plans; medicaid, national health and federal child welfare law, policy development and program implementation.
Posted Date
Feb 20, 2024
Due Date
Mar 31, 2026
Medicaid Related Consultants (Requests for Qualifications)
Release: Feb 20, 2024
Close: Mar 31, 2026
To establish a qualified vendor list (QVL) comprised of consultants experienced in providing any of the following selected areas of expertise: state administration and reporting for the medicaid program; federal cost allocation plans; medicaid, national health and federal child welfare law, policy development and program implementation.
AvailableRequest for information regarding Medicaid billing services for incarcerated individuals under the Section 11-15 Medicaid Waiver.
Posted Date
-
Due Date
Feb 19, 2026
Close: Feb 19, 2026
Request for information regarding Medicaid billing services for incarcerated individuals under the Section 11-15 Medicaid Waiver.
Medicaid Billing Software Services
AvailableCharles County Public Schools (CCPS) is soliciting proposals for Medicaid Billing Software Services to bill Medicaid for services provided to students with documented health issues and to centralize documentation for service providers and case managers. The contract is for an initial one-year period with four optional one-year renewals and requires offerors to be registered with eMaryland Marketplace Advantage (eMMA); certified Minority Business Enterprises are encouraged to respond. The solicitation was posted 2026-02-05 and proposals are due 2026-03-03 at 3:00 PM local time (Eastern).
Posted Date
Feb 5, 2026
Due Date
Mar 3, 2026
Medicaid Billing Software Services
Release: Feb 5, 2026
Close: Mar 3, 2026
Charles County Public Schools (CCPS) is soliciting proposals for Medicaid Billing Software Services to bill Medicaid for services provided to students with documented health issues and to centralize documentation for service providers and case managers. The contract is for an initial one-year period with four optional one-year renewals and requires offerors to be registered with eMaryland Marketplace Advantage (eMMA); certified Minority Business Enterprises are encouraged to respond. The solicitation was posted 2026-02-05 and proposals are due 2026-03-03 at 3:00 PM local time (Eastern).
AvailableThe State of Hawaii Department of Human Services, Med-QUEST Division issued RFP-MQD-2026-005 (IDIQ Services for Medicaid Enterprise Systems) to procure IT staffing resources and services to support the Medicaid Enterprise Systems. The solicitation was posted on 2026-01-16 and has a response deadline of 2026-02-19; the estimated contract value range is approximately $5,000,000–$20,000,000. This is a competitive sealed proposal (RFP), not a grant, and the opportunity was listed as open/active as of 2026-01-17.
Posted Date
Jan 16, 2026
Due Date
Feb 19, 2026
IDIQ Services for Medicaid Enterprise Systems
Release: Jan 16, 2026
Close: Feb 19, 2026
The State of Hawaii Department of Human Services, Med-QUEST Division issued RFP-MQD-2026-005 (IDIQ Services for Medicaid Enterprise Systems) to procure IT staffing resources and services to support the Medicaid Enterprise Systems. The solicitation was posted on 2026-01-16 and has a response deadline of 2026-02-19; the estimated contract value range is approximately $5,000,000–$20,000,000. This is a competitive sealed proposal (RFP), not a grant, and the opportunity was listed as open/active as of 2026-01-17.
Provide medicaid billing services for incarcerated individuals, specifically related to requirements under the section 11-15 medicaid waiver.
Posted Date
Jan 27, 2026
Due Date
Feb 19, 2026
Medicaid Billing Services for Incarcerated Individuals Under the 11-15 Waiver (RFI)
Release: Jan 27, 2026
Close: Feb 19, 2026
Provide medicaid billing services for incarcerated individuals, specifically related to requirements under the section 11-15 medicaid waiver.
The Department of Vermont Health Access is seeking consulting services to support Medicaid reimbursement and payment reform initiatives. The selected contractor will provide expertise in developing and implementing payment models to improve healthcare delivery. The contract is expected to last three years with options for two one-year renewals starting in May 2026.
Posted Date
Feb 16, 2026
Due Date
Mar 20, 2026
Medicaid Reimbursement and Payment Reform Consulting
Release: Feb 16, 2026
Close: Mar 20, 2026
The Department of Vermont Health Access is seeking consulting services to support Medicaid reimbursement and payment reform initiatives. The selected contractor will provide expertise in developing and implementing payment models to improve healthcare delivery. The contract is expected to last three years with options for two one-year renewals starting in May 2026.
AvailableThe Centers for Medicare & Medicaid Services (CMS) Office of Acquisition and Grants Management issued a contract justification for Medicaid Community Engagement Requirements State Technical Assistance Support to provide technical assistance and product development to support states implementing new Community Engagement requirements. The base period of performance is February 1, 2026 to January 31, 2027 with an option period to January 31, 2028, and work will cover multiple participating states. The opportunity is posted on SAM.gov and is active with an original inactive date of March 12, 2026.
Posted Date
Feb 10, 2026
Due Date
Mar 12, 2026
Medicaid Community Engagement Requirements State Technical Assistance Support
Release: Feb 10, 2026
Close: Mar 12, 2026
The Centers for Medicare & Medicaid Services (CMS) Office of Acquisition and Grants Management issued a contract justification for Medicaid Community Engagement Requirements State Technical Assistance Support to provide technical assistance and product development to support states implementing new Community Engagement requirements. The base period of performance is February 1, 2026 to January 31, 2027 with an option period to January 31, 2028, and work will cover multiple participating states. The opportunity is posted on SAM.gov and is active with an original inactive date of March 12, 2026.
AvailablePerform several key maintenance and support services in service of the state's efforts to detect, investigate, measure and deter fraud, waste and abuse in the medicaid program. The contractor shall provide systems and technologies capable of provider peer comparisons, case management, and reporting. Contractor duties also include, but are not limited to, audits and investigations, prepayment review, overpayment recoveries, provider education, and managed care plan oversight.
Posted Date
Nov 19, 2025
Due Date
Feb 20, 2026
Medicaid Fraud and Abuse Detection System (RFP)
Release: Nov 19, 2025
Close: Feb 20, 2026
Perform several key maintenance and support services in service of the state's efforts to detect, investigate, measure and deter fraud, waste and abuse in the medicaid program. The contractor shall provide systems and technologies capable of provider peer comparisons, case management, and reporting. Contractor duties also include, but are not limited to, audits and investigations, prepayment review, overpayment recoveries, provider education, and managed care plan oversight.
Provide 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.
AvailableContractor to assist the State with administrative claiming activities and in maximizing revenues from federal reimbursement for Medicaid-related services provided to special and general education students, provide data collection and analysis of student services within the State, Local Education Agencies (LEAs), and perform system maintenance and development of application programs, in accordance with the New Jersey School-Based Health Services (SBHS) and Medicaid Administrative Claiming (MAC) in schools programs.
Posted Date
Oct 29, 2025
Due Date
Mar 3, 2026
T2302 - School-based Health Services (SBHS) and Medicaid Administrative Claiming (MAC) Program Management
Release: Oct 29, 2025
Close: Mar 3, 2026
Contractor to assist the State with administrative claiming activities and in maximizing revenues from federal reimbursement for Medicaid-related services provided to special and general education students, provide data collection and analysis of student services within the State, Local Education Agencies (LEAs), and perform system maintenance and development of application programs, in accordance with the New Jersey School-Based Health Services (SBHS) and Medicaid Administrative Claiming (MAC) in schools programs.
AvailableContractor to assist the State with administrative claiming activities and in maximizing revenues from federal reimbursement for Medicaid-related services provided to special and general education students, provide data collection and analysis of student services within the State, Local Education Agencies (LEAs), and perform system maintenance and development of application programs, in accordance with the New Jersey School-Based Health Services (SBHS) and Medicaid Administrative Claiming (MAC) in schools programs.
Posted Date
Oct 29, 2025
Due Date
Mar 3, 2026
T2302 - School-based Health Services (SBHS) and Medicaid Administrative Claiming (MAC) Program Management
Release: Oct 29, 2025
Close: Mar 3, 2026
Contractor to assist the State with administrative claiming activities and in maximizing revenues from federal reimbursement for Medicaid-related services provided to special and general education students, provide data collection and analysis of student services within the State, Local Education Agencies (LEAs), and perform system maintenance and development of application programs, in accordance with the New Jersey School-Based Health Services (SBHS) and Medicaid Administrative Claiming (MAC) in schools programs.
AvailableThe Alaska Department of Health is seeking federal approval from CMS for amendments to the Medicaid State Plan and the Alternative Benefit Plan. The amendments would broaden acceptable vaccination guidance beyond ACIP to include other evidence-based governing bodies and allow coverage for select prescribed drugs not otherwise covered when medically necessary during FDA-identified shortages. There is no anticipated increased financial impact, and public comments are accepted until 5 PM on February 25, 2026 via email or mail.
Posted Date
Jan 26, 2026
Due Date
Feb 26, 2026
Amendments to the Title XIX Medicaid State Plan and the Alternative Benefit Plan
Release: Jan 26, 2026
Close: Feb 26, 2026
The Alaska Department of Health is seeking federal approval from CMS for amendments to the Medicaid State Plan and the Alternative Benefit Plan. The amendments would broaden acceptable vaccination guidance beyond ACIP to include other evidence-based governing bodies and allow coverage for select prescribed drugs not otherwise covered when medically necessary during FDA-identified shortages. There is no anticipated increased financial impact, and public comments are accepted until 5 PM on February 25, 2026 via email or mail.
AvailableRegional Resource Development Centers for Combined Administration of NHTD and TBI Medicaid Waivers
AvailableThe New York State Department of Health is extending nine existing Regional Resource Development Center contracts to continue the administration of Nursing Home Transition and Diversion and Traumatic Brain Injury Medicaid Waiver programs. This procurement action provides an additional $2,475,000 in funding and extends the contract period through January 31, 2026. The notice is handled as a single-source procurement due to the unique qualifications of the selected entities and the specific requirements of the waiver programs.
Posted Date
Feb 17, 2026
Due Date
Feb 27, 2026
Regional Resource Development Centers for Combined Administration of NHTD and TBI Medicaid Waivers
Release: Feb 17, 2026
Close: Feb 27, 2026
The New York State Department of Health is extending nine existing Regional Resource Development Center contracts to continue the administration of Nursing Home Transition and Diversion and Traumatic Brain Injury Medicaid Waiver programs. This procurement action provides an additional $2,475,000 in funding and extends the contract period through January 31, 2026. The notice is handled as a single-source procurement due to the unique qualifications of the selected entities and the specific requirements of the waiver programs.
AvailableThe State of New Jersey (Division of Purchase and Property) issued RFP T2302 soliciting proposals for School-Based Health Services (SBHS) and Medicaid Administrative Claiming (MAC) Program. The solicitation is listed as OPEN with a bid opening (deadline) on 2026-02-18 02:00:59 PM ET and contract term dates from 2026-05-13 to 2033-05-12. No primary solicitation file (PDF/DOCX/PPT) is listed on the NJSTART detail page; bidders should use the NJSTART posting as the official source for response instructions.
Posted Date
Oct 29, 2025
Due Date
Feb 18, 2026
T2302 - School-Based Health Services (SBHS) and Medicaid Administrative Claiming (MAC) Program
Release: Oct 29, 2025
Close: Feb 18, 2026
The State of New Jersey (Division of Purchase and Property) issued RFP T2302 soliciting proposals for School-Based Health Services (SBHS) and Medicaid Administrative Claiming (MAC) Program. The solicitation is listed as OPEN with a bid opening (deadline) on 2026-02-18 02:00:59 PM ET and contract term dates from 2026-05-13 to 2033-05-12. No primary solicitation file (PDF/DOCX/PPT) is listed on the NJSTART detail page; bidders should use the NJSTART posting as the official source for response instructions.
8,000 to 8,200 SF lease space for office.
Posted Date
Jan 21, 2026
Due Date
Feb 19, 2026
Lease Space - Farmland lease Division of Medicaid
Release: Jan 21, 2026
Close: Feb 19, 2026
8,000 to 8,200 SF lease space for office.
The State of Hawaii Med-QUEST Division seeks a qualified firm to provide Medicaid provider rate review and reimbursement, Disproportionate Share Hospital (DSH) audits, Recovery Audit Contractors (RAC) program services, Minimum Data Set (MDS) data management and Case-Mix Index (CMI) calculation for nursing facilities, and periodic financial audits of Managed Care Organizations (MCOs).
Posted Date
-
Due Date
Feb 27, 2026
Close: Feb 27, 2026
The State of Hawaii Med-QUEST Division seeks a qualified firm to provide Medicaid provider rate review and reimbursement, Disproportionate Share Hospital (DSH) audits, Recovery Audit Contractors (RAC) program services, Minimum Data Set (MDS) data management and Case-Mix Index (CMI) calculation for nursing facilities, and periodic financial audits of Managed Care Organizations (MCOs).
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.
AvailableWin More Medicaid RFPs
Get AI-powered buying signals and real-time alerts for medicaid opportunities