Medicaid RFPs

The State of Oregon, acting jointly through the Oregon Health Authority (OHA) and the Oregon Department of Human Services (ODHS), is issuing this Request for Proposal for a Medicaid Enterprise System (MES) System Integration Platform and Services. The procurement seeks a qualified vendor to design, develop, integrate, and support a best-in-class System Integration Platform that will support the state's broader MES Modernization (MES-Mod) effort. Bid responses are due by 12:00 PM Pacific Time on August 7, 2026, under an Open, Competitive Sealed Proposal procurement method (not a grant program).

This solicitation, titled "AMMP - Claims Processing Management Services RFP," requests vendors to provide claims processing and management services for Alabama's AMMP (Medicaid Enterprise Modernization) program. The aggregator listing shows the opportunity was posted April 23, 2026 and that proposals are due September 22, 2026. An official buyer-hosted posting or primary solicitation PDF matching this solicitation identifier (2026-CPMS-01 / RFP 062 2026-CPMS-01) was not located on the public Alabama procurement pages searched, so the aggregator listing at the provided URL is used as the source for the extracted metadata.

The Centers for Medicare and Medicaid Services (CMS) Rural Health Transformation (RHT) Program was authorized by Public Law 119-21 on July 4, 2025. The RHT Program is a $50 billion federal initiative planned to establish funding to strengthen rural hospitals and modernize the healthcare ecosystem for all 50 states. The RHT Program is designed to transform the rural healthcare ecosystem along five strategic axes: supporting rural health innovations, improving provider sustainability, developing the local healthcare workforce, expanding care delivery models, and testing technology-based solutions.

The Centers for Medicare and Medicaid Services (CMS) Rural Health Transformation (RHT) Program was authorized by Public Law 119-21 on July 4, 2025. The RHT Program is a $50 billion federal initiative planned to establish funding to strengthen rural hospitals and modernize the healthcare ecosystem for all 50 states. The RHT Program is designed to transform the rural healthcare ecosystem along five strategic axes: supporting rural health innovations, improving provider sustainability, developing the local healthcare workforce, expanding care delivery models, and testing technology-based solutions.

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.

The Centers for Medicare and Medicaid Services (CMS) Rural Health Transformation (RHT) Program was authorized by Public Law 119-21 on July 4, 2025. The RHT Program is a $50 billion federal initiative planned to establish funding to strengthen rural hospitals and modernize the healthcare ecosystem for all 50 states. The RHT Program is designed to transform the rural healthcare ecosystem along five strategic axes: supporting rural health innovations, improving provider sustainability, developing the local healthcare workforce, expanding care delivery models, and testing technology-based solutions.

The Centers for Medicare and Medicaid Services (CMS) Rural Health Transformation (RHT) Program was authorized by Public Law 119-21 on July 4, 2025. The RHT Program is a $50 billion federal initiative planned to establish funding to strengthen rural hospitals and modernize the healthcare ecosystem for all 50 states. The RHT Program is designed to transform the rural healthcare ecosystem along five strategic axes: supporting rural health innovations, improving provider sustainability, developing the local healthcare workforce, expanding care delivery models, and testing technology-based solutions.

The Centers for Medicare and Medicaid Services (CMS) Rural Health Transformation (RHT) Program was authorized by Public Law 119-21 on July 4, 2025. The RHT Program is a $50 billion federal initiative planned to establish funding to strengthen rural hospitals and modernize the healthcare ecosystem for all 50 states. The RHT Program is designed to transform the rural healthcare ecosystem along five strategic axes: supporting rural health innovations, improving provider sustainability, developing the local healthcare workforce, expanding care delivery models, and testing technology-based solutions.

The Georgia Department of Community Health (DCH) has issued a Request for Proposal titled "Claims Processing and Management Services Module" to procure Medicaid claims processing and management services. The solicitation opened on 2026-07-16 and is scheduled to close on 2026-08-17, with a pre-bid meeting listed for 2026-07-28; the listed procurement contact is Tracey Woods (Tracey.Woods1@doas.ga.gov). The official posting and supporting documents are hosted on the Georgia Procurement Registry (DOAS) event page above — visit that buyer-managed page for attachments and submission instructions.

The State of Idaho, through its Department of Health and Welfare (DHW), is soliciting proposals from qualified firms to provide and manage an Electronic Visit Verification (EVV) system that electronically tracks Medicaid Personal Care Services (PCS) and Home Health Care Services. The RFP seeks a vendor solution compatible with the state's aggregator system that captures the six CMS-required data elements (type of service, individual receiving service, individual providing service, date, location, and time in/time out). The resulting contract is for four (4) years and may be extended or amended upon mutual written agreement.

This SAM.gov posting is a Limited Source Justification (LSJ) issued by the Centers for Medicare & Medicaid Services (CMS) for ClaimsCore Program Management Office (PMO) support services, titled ClaimsCore Transformation Enablement (CCTE). The procurement is being conducted under the GSA Multiple Award Schedule (MAS)/Federal Supply Schedule and authorizes award without providing fair opportunity, covering the ClaimsCore proof-of-concept phase and implementation. The notice lists place of performance as Windsor Mill, MD, the contracting office as CMS Office of Acquisition and Grants Management, and includes an attachment named 'ClaimsCore PMO FSS LSJ Redacted.pdf'.

The University of Illinois at Chicago (UIC) is seeking proposals from qualified vendors to provide an integrated community resource database and referral delivery system. This system will help UIC address Social Determinants of Health (SDOH) needs for its patient population, approximately 75% of whom have Medicaid or Medicare insurance and a fixed income, by closing care gaps and connecting patients to community resources. Proposals must be submitted electronically or by sealed envelope to the UIC Purchasing Division at 809 South Marshfield Avenue, Chicago, IL 60612 by 2:00 PM CDT on Monday, July 27, 2026.

The State of Delaware, through its Department of Health and Social Services (HSS), seeks qualified professional service providers to deliver a statewide Electronic Visit Verification (EVV) data aggregation, validation, compliance, and oversight platform under solicitation HSS27005-EVV. The procurement is being issued to satisfy the federal 21st Century Cures Act requirement that mandates EVV for in-home personal care and home health services delivered under Delaware's Medicaid program. Bids were advertised on June 24, 2026 and must be submitted through Delaware's procurement portal by 1:00 PM Eastern Time on September 15, 2026.

The State of South Dakota (through its Department of Health) is soliciting proposals from qualified long-term care providers to provide additional nursing‑facility capacity by reallocating up to 991 nursing‑facility beds across the state. The procurement prioritizes serving special‑care populations (bariatric, behavioral health, tracheostomy, extended‑stay, and other high‑risk patients) and expects facilities to be Medicare/Medicaid certified and operational within two years. Proposals are accepted on a rolling basis and will be evaluated on technical capability, timeline, and alignment with state priorities, with submissions accepted until June 30, 2027 or until beds are allocated.

The State of South Dakota (through its Department of Health) is soliciting proposals from qualified long-term care providers to provide additional nursing‑facility capacity by reallocating up to 991 nursing‑facility beds across the state. The procurement prioritizes serving special‑care populations (bariatric, behavioral health, tracheostomy, extended‑stay, and other high‑risk patients) and expects facilities to be Medicare/Medicaid certified and operational within two years. Proposals are accepted on a rolling basis and will be evaluated on technical capability, timeline, and alignment with state priorities, with submissions accepted until June 30, 2027 or until beds are allocated.

The Centers for Medicare & Medicaid Services has approved funding for Nebraska to provide grants totaling approximately $8,344,000.00 to support local food production, processing, aggregation, and distribution infrastructure in order to expand availability of kitchen-ready products and reduce preparation burden on school kitchens. Funding must be used to purchase food production, aggregation, processing, and distribution equipment that supports access to local foods, including proteins, that promote healthy eating. This funding is also intended to support farm-to-school procurement capacity, coordination between local producers and schools, and participation in related technical assistance activities.Performance period: 06/01/26 - 06/30/2027

Wayne County, NY is soliciting proposals for an EMS Billing Software Solution to replace its existing billing service with an in-house SaaS solution that integrates with the county's ImageTrend Elite electronic patient care record and ensures HIPAA compliance. The required solution must support automated remittance posting, UB-04/CMS-1500 form generation, insurance discovery/eligibility verification, Medicaid billing for New York State, customizable dashboards, reporting, and integration with clearinghouses (Inovalon preferred). The contract term is three years with two optional one-year renewals, the place of performance is Wayne County, NY, the posting date is June 18, 2026, and the response deadline is August 13, 2026.

Provide financial management services (fms) for the participant-directed service (pds) model of the following five (5) 1915(c) medicaid waiver programs in the commonwealth: (1) acquired brain injury (abi), (2) acquired brain injury - long term care (abi-ltc), (3) home and community based waiver (hcb), (4) michelle p. Waiver (mpw), (5) supports for community living (scl). Fms's include, but are not limited to, electronic visit verification, processing claims/goods and services invoices, processing background checks for pds employees, issuing paychecks to pds employees, assisting participants, representatives, or employees with tax forms, documentation, and reports needed by state or federal agencies, and financial reports for the participant and case manager.

The Centers for Medicare & Medicaid Services (CMS) solicits firm-fixed-price data analysis and reporting services to support quality, safety, and oversight of End-Stage Renal Disease (ESRD) dialysis facilities, Transplant Programs, and Organ Procurement Organizations (OPOs). The contractor must produce facility-specific Dialysis Facility Reports, Transplant Program Reports, OPO reports, and state/regional/national comparative statistics, post reports to a secure website, and distribute them to CMS surveyors and oversight stakeholders. CMS intends to award on a sole-source basis (FAR citations provided) with a base period of 12 months and four 12-month options; solicitation attachments (including the primary solicitation PDF and SOW) are posted on the official SAM.gov opportunity workspace.

The Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) to gather market research on an AI-based Intelligent Coding Assistance Tool that integrates with Salesforce to consolidate discrete medical chart/record values for diagnosis abstraction to support the HHS-Operated Risk Adjustment Data Validation (HHS-RADV) program. The RFI requests capability descriptions, an architectural/implementation roadmap, FEDRAMP/security certifications, operations & maintenance plans, and ROI/cost projections; the tool should be deployable within 6 months and comply with regulatory requirements (45 CFR § 153.630) for RADV processes. This is a sources-sought / RFI opportunity (ID 270196) issued by CMS with a stated response deadline of August 20, 2026 at 10:00 a.m. EDT.