Hawaii eProcurement Portal #P26003353

Hawaii EOA Medicaid Administrative Claiming Support Services Solicitation

The Hawaii Department of Health, Executive Office on Aging (EOA), is seeking a qualified contractor to support its Medicaid Administrative Claiming (MAC) program. - Government Buyer: - Department of Health, Executive Office on Aging (EOA), Program and System Management Supervisor - Services Requested: - Technical, administrative, and operational support for the Medicaid Administrative Claiming program - Operation and maintenance of a federally compliant Random Moment Sampling (RMS) system - Support for claim development and calculation - Training and technical assistance for participating agencies - Assistance with preparation of quarterly Medicaid Administrative Claims - Provision of a secure, web-based solution for RMS administration, reporting, claim calculation, documentation, and ongoing program management - Unique or Notable Requirements: - Compliance with all relevant federal and state regulations - Vendor must be able to provide all necessary documentation and support for Medicaid administrative claiming activities - No specific OEMs or part numbers are named; this is a service-focused procurement - Period of Performance: - Initial two-year contract term, with up to four optional one-year extensions (maximum six years total)

Description

The Department of Health, Executive Office on Aging (EOA) seeks a qualified contractor to provide technical, administrative, and operational support for Hawaiʻi's Medicaid Administrative Claiming program. The contractor will operate and maintain a federally compliant Random Moment Sampling (RMS) system, support claim development and calculation activities, provide training and technical assistance to participating agencies, and assist EOA in preparing quarterly Medicaid Administrative Claims. The contractor must provide a secure, web-based solution that supports RMS administration, reporting, claim calculation, documentation, and ongoing program management. The contract term is for two years from August 1, 2026, to July 31, 2028.

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