SAM #269998

RFI: Consumer-Reported Verification Data Services for Medicaid Eligibility (EMMY Platform)

CMS is conducting market research to support the development of the EMMY (Eligibility Made Easy) platform for state Medicaid eligibility verification: - Government Buyer: - Department of Health and Human Services (HHS) - Centers for Medicare & Medicaid Services (CMS) - Center for Medicaid and CHIP Services (CMCS) - Office of Acquisition and Grants Management - OEMs and Vendors: - No specific OEMs or vendors are named; CMS seeks information from all capable industry sources - Products/Services Requested: - Authoritative payroll and employment verification data services (to comply with the Working Families Tax Cut Act) - Educational enrollment verification data services (FERPA-compliant) - Asset and financial verification data services (GLBA-compliant) - Identity verification and proofing services (including SSN, address, DOB, and fraud detection) - Multi-source integrated verification platforms with unified API access, consent management, and reporting - Unique/Notable Requirements: - EMMY platform will provide standardized, API-based access to trusted third-party data sources for up to 50+ state Medicaid agencies - Focus on consumer-reported data and compliance with federal privacy laws (FERPA, GLBA) - Phased rollout beginning with pilot states, expanding nationally - No specific products, part numbers, or quantities are listed; this is a Request for Information (RFI) for market research only

Description

This is a Request for Information (RFI) only. This is NOT a solicitation for proposals, proposed abstracts, or quotations, and it does not commit the Centers for Medicare and Medicaid Services (CMS) to award a contract now or in the future. Likewise, responding to this RFI does not guarantee participation in or award under any future procurement.

CMS seeks information regarding consumer-reported verification data sources and services to support state Medicaid agencies in meeting federal eligibility determination requirements. CMS is developing the EMMY (Eligibility Made Easy) platform, a centralized, API-based data exchange infrastructure designed to provide participating state Medicaid agencies with standardized access to trusted third-party data sources for eligibility verification. CMS has an operational need for authoritative payroll and employment  verification data to support Medicaid eligibility determinations and to prepare for community engagement verification requirements established under the Working Families Tax Cut Act (WFTCA), subject to implementing guidance. CMS is also gathering market intelligence on industry capabilities across other verification data domains relevant to Medicaid eligibility and benefits program compliance, including but not limited to educational enrollment verification, asset and financial verification, and identity verification.  This RFI does not signal a single consolidated procurement across all data domains described. Vendors are encouraged to respond to the areas most relevant to their capabilities.

Please see Attachment.

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