Medicaid RFPs

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.

Engage a Contractor to serve as the Contracted System Administrator (CSA) for DCF's CSOC service delivery model and to provide a Management Information System (MIS) for the CSOC. The CSA performs a wide range of administrative and clinical functions essential to the operations of DCF's system of care for Children and Young Adults (for this Bid solicitation, "Children and Young Adults" will be referred to as "Youth" unless specified) with behavioral health needs, including mental health, Substance Use, and/or Intellectual and Developmental Disabilities (I/DD). Key functions of the CSA include Care Coordination, Utilization Management (UM), Quality Management (QM), Outcomes Management (OM), community engagement, and the collection and maintenance of critical information on Youth needs, demographics, service Utilization, qualified service Providers, Medicaid and Third Party Liability (TPL) information, and claims data.

The Iowa Department of Health and Human Services (HHS) issued Request for Proposal (RFP) # PHTHOET27001, titled 'Healthy Hometowns: Mobile Integrated Health,' to select qualified applicants to initiate or expand Mobile Integrated Health (MIH) services within defined rural areas across Iowa. Eligible projects will deliver treat-in-place care, telehealth-enabled clinical assessments, chronic disease management, post-discharge follow-up, prenatal and postpartum home-based support, medication reconciliation, and other community-based clinical interventions for rural Iowans. Approximately seven MIH projects are expected to be funded, and the work is supported through the Centers for Medicare and Medicaid Services (CMS) Rural Health Transformation Program as part of a financial assistance award totaling approximately $209,040,063.71, with 100 percent of project funding provided by CMS/HHS.