Find Medicaid RFPs and Bid Opportunities - Page 2

Open Enrollment for Independent Review Organization Services, Medicaid & Chip Services, Medical & UR Appeals

Provide open enrollment for independent review organization services, medicaid & chip services, medical & UR appeals.

Sourcing Event - Provider Data Management-Credentialing Verification Office (RFP)

Replacing the department's medicaid management information system (MMIS) with a medicaid enterprise system (mes), also referred to as the medicaid integrated modular solution (MMIS).

RFP_F-Contr-0000000280 - Out-of-State Medicaid Billing, Comm. Ins. Billing, & Denial Follow-up Services

Contra Costa County is soliciting proposals for out-of-state Medicaid billing, commercial insurance billing, and denial follow-up services.

Request for Proposal RFP # 20260731/ RFx # 3160008164 MISSISSIPPI DIVISION OF MEDICAID External Quality Review Organization (EQRO) Services

Procurement of External Quality Review Organization (EQRO) Services to conduct EQR activities for Medicaid and CHIP managed care programs.

Independent Review Organization Services

Provider Enrollment Management System (PEMS) (RFP)

Design, development, implementation, and ongoing hosting and support of a Medicaid Provider Enrollment and Management System (PEMS).

Rural Health Transformation Program

Provide medicare & medicaid services designed to modernize and strengthen health systems within rural communities.

Pharmacy Benefit Services (PBS) (RFP)

Provide Pharmacy Benefit Services (PBS) solution to modernize and support the Medicaid Pharmacy business and technical environment.

Ohio Department of Health-Bureau of Maternal Child and Family Health-Oral Health Program-Dental Access Collaborative-61298

The Ohio Department of Health is soliciting proposals for the Dental Access Collaborative to improve access to dental care for Medicaid-insured individuals, particularly in rural and underserved Ohio communities.

ODMR 2627-0025 Non-Emergency Medical Transportation (NEMT) Services RFI

The Ohio Department of Medicaid is seeking information on methods to collect and verify GPS coordinates and related data for non-emergency medical transportation services provided to Ohio Medicaid enrollees.

Request for Qualification - PASRR Level II Evaluations

Provide Pre-Admission Screening Resident Review (PASRR) Level II evaluations for individuals seeking admission to, or residing in, Medicare/Medicaid Certified Nursing Facilities (NFs).

AMMP - Claims Processing Management Services RFP

The Alabama Medicaid Agency is seeking a contractor to takeover, modernize, and operate its Medicaid Management Information System (MMIS) and deliver Claims Processing and Management Services (CPMS), including cloud migration to a Microsoft Azure Government tenant.

Asset Verification System (AVS) Services

Seeking an asset verification system (AVS) services contractor to operate an electronic solution to identify assets held by Financial Institutions that affect the Medicaid eligibility of aged, blind, or disabled applicants and recipients.

KupunAloha Pilot Program to Provide In-Home Health Care and Support Services for Elderly Individuals on the Island of Oahu (Request for Proposal)

Applicants to design and implement a pilot program and provide in-home health care and support services for elderly individuals who do not qualify for existing programs, such as medicaid and cannot afford in-home care services.

NEMT Medical Transportation

The State Fiscal Accountability Authority (SFAA), through its Materials Management Office, is soliciting proposals on behalf of the South Carolina Department of Health and Human Services (SCDHHS) for a Non-Emergency Medical Transportation (NEMT) solution for the state's Medicaid program.

Medical Billing, Revenue Cycle Consulting, and Full-service Billing Operations (Request for Proposal)

Electronic Visit Verification (EVV) Data Aggregation, Validation, Compliance, and Oversight Services (RFP)

NewMMIS RFR Announcement

The Massachusetts Executive Office of Health and Human Services has posted a solicitation to procure and implement a new Medicaid Management Information System (MMIS).

Hospital-Determined Presumptive Eligibility RFA

The Massachusetts Executive Office of Health and Human Services is seeking applications from hospitals to make presumptive Medicaid eligibility determinations and assist presumptively eligible individuals with completing full MassHealth applications.

ArrayRx: Pharmacy Solutions Addressing the Needs of Public Sector Purchasers

The Oregon Health Authority issued an informational notice describing ArrayRx pharmacy services for public sector purchasers, including pharmacy benefit management, prescription discount options, and managed Medicaid support.