Medicaid RFPs

Close: Feb 6, 2026

The Alaska Department of Health seeks a vendor to implement and support a modern, hosted Service Authorization (SA) software solution and supporting services including a configurable rules engine, direct data entry, workflow management, call center and clinical review support. The contractor must provide implementation, hosting, maintenance, program management, and ensure privacy/security and CMS compliance. The procurement is for statewide professional services to manage service authorizations for Medicaid/health programs.

Close: Jan 12, 2026

MHBE solicits a 12-month renewal of Atlassian JIRA Software (Data Center) commercial subscription for 500 users (Support Entitlement SEN-54102527). Procurement is an IFB (Competitive Sealed Bids, firm-fixed price). Bidders must be authorized Atlassian resellers (manufacturer authorization letter required). Direct Atlassian support must be included in the price. Bids submitted electronically via eMaryland Marketplace in PDF. Federal funds (Medicaid CFDA 93.778) apply.

Close: Jan 28, 2026

The State of New Jersey seeks a primary contractor to serve as the Non-Emergency Medical Transportation (NEMT) broker for eligible Medicaid Managed Care and Fee-for-Service beneficiaries statewide. The contractor will maintain a provider network, determine appropriate modes of transport, dispatch trips, operate a 24/7 call center, and ensure quality assurance and compliance with program requirements. The solicitation is issued by the NJ Division of Purchase and Property on behalf of the Department of Human Services' Division of Medical Assistance and Health Services (DMAHS).

Close: Jan 9, 2026

Provide enrollment broker systems and services. This RFP is to secure a contractor to serve as an enrollment broker. This partnership will be critical in streamlining member enrollment into medicaid health plans, establishing a robust system for managing member and health plan data, facilitating efficient health plan assignments, and delivering a comprehensive self-service portal that enables beneficiaries to check their eligibility and enrollment status, request mihealth card, etc. The state is seeking either a contractor hosted or state hosted cots or saas software solution and applicable services. See attached file.

Close: Jan 12, 2026

Seeks to contract with an organization experienced in mental health Pre-Admission Screenings and Resident Reviews (PASRR) in accordance with state and federal Mental Health PASRR requirements. The contractor will provide, coordinate, and oversee PASRR preadmission (PASRR Level I) screenings and mental health assessments (PASRR level 2) of individuals identified through the pre-admission screening to ensure individuals with serious mental illness seeking admission to Medicaid-certified nursing facilities are appropriately identified and placed in the least restrictive, clinically appropriate setting.

Close: Jan 23, 2026

The Maryland Department of Health, Behavioral Health Administration seeks an applicant to provide Targeted Case Management Plus (TCM Plus) services for youth under 17 who are Medicaid-ineligible, including linking youth to TCM Plus providers and managing invoicing and fiscal tasks. Proposers must submit a technical proposal and separate budget justification via the eMMA system; a pre-bid meeting is scheduled for 2026-01-06. The solicitation opens 2025-12-23 and closes 2026-01-23, and is a standard procurement (not a grant).

Close: Jan 12, 2026

Seeks to contract with an organization experienced in mental health Pre-Admission Screenings and Resident Reviews (PASRR) in accordance with state and federal Mental Health PASRR requirements. The contractor will provide, coordinate, and oversee PASRR preadmission (PASRR Level I) screenings and mental health assessments (PASRR level 2) of individuals identified through the pre-admission screening to ensure individuals with serious mental illness seeking admission to Medicaid-certified nursing facilities are appropriately identified and placed in the least restrictive, clinically appropriate setting.

Close: Feb 18, 2026

The State of Missouri seeks a web-based SaaS/COTS Case Management System to support 1915(c) HCBS waiver and state plan programs, replacing manual/paper processes with automated workflows, consolidated records, and enhanced analytics. The system must support roughly 47,800 users, integrate with systems like the Missouri Medicaid Enterprise System, and include fraud/waste/abuse detection and person-centered care planning. The procurement requires vendor registration in MissouriBUYS (MOVERS) and anticipates a project duration of seven years with an estimated budget of $5M–$20M.

Close: Dec 31, 2029

The Oregon Department of Human Services (ODHS) seeks applications to expand Qualified Residential Treatment Programs (QRTPs) statewide to provide services to children ages 1018 with significant emotional, behavioral, or mental health needs. Selected applicants must provide integrated Medicaid-reimbursable clinical supports, become QRTP-certified within 180 calendar days of notice of award, and meet program licensing/certification requirements. The initial contract term is expected to extend through the current Oregon legislative biennium with options to renew up to a cumulative maximum of six years.

Close: Feb 27, 2026

The Virginia Department of Medical Assistance Services (DMAS) issued an RFP (RFP-107228) to develop a mobile pregnancy application to promote awareness of state maternal and infant health programs for Medicaid-eligible prenatal, pregnant, and postpartum individuals. The contractor will design an accessible Android/iOS app, provide multilingual support, collect aggregate deidentified usage data for reporting, and support development, implementation, and maintenance including compliance with clinical standards. The RFP is a procurement (not a grant) with a one-year base period and possible option years; vendors should obtain official documents from the eVA IVDetails posting.

Close: Jan 18, 2026

The Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS) Office of Acquisition and Grants Management, issued Justification 260294J to procure specialized litigation support services using the Relativity platform integrated with Deloittes Secure Release case management system to support FOIA processing, RADV appeals, and related litigation. The period of performance is five years (Dec 23, 2025–Dec 22, 2030) and the posting shows no bidder response deadline; the posting is listed on SAM.gov. This is a procurement (justification/sole-source style award), not a grant, and appears to be a single CMS solicitation/justification.

Close: Jan 19, 2026

The New Hampshire Department of Health and Human Services (Division of Long Term Supports and Services) seeks a vendor to implement and administer statewide Pre-Admission Screening Resident Review (PASRR) and provide medical/psychological/psychiatric consultant services and Nursing Facility Level of Care (NFLOC) determinations for Medicaid payments. The contract will include PASRR Level I and Level II evaluations and NFLOC determinations using the MEA tool, with requirements for expertise in PASRR/NFLOC rules and ability to provide on-site consultation in New Hampshire. Period of performance is expected to start July 1, 2026 through June 30, 2028 with renewal options up to six additional years.

Close: Jan 27, 2026

The State of Maine Department of Health and Human Services, Office of Aging and Disability Services issued RFP# 202512168 to conduct the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey for adults with disabilities, evaluating experiences of care under Medicaid HCBS waiver programs. The contractor will develop and administer a customized CAHPS instrument (69 items plus a 21-item Employment Module and up to three department-specific questions), produce a representative sample plan, administer surveys within required timelines, provide respondent support, analyze survey data, and deliver a final report with methodology and recommendations. The period of performance begins April 1, 2026 through March 31, 2028 with two optional renewal periods.