Wisconsin eSupplier #S-1869 DMS-26

Wisconsin DHS Hospital Rate Setting Services Solicitation

The Wisconsin Department of Health Services (DHS), Division of Medicaid Services (DMS), Bureau of Rate Setting, is seeking proposals for comprehensive Hospital Rate Setting Services. - Government Buyer: - Wisconsin Department of Health Services (DHS) - Division of Medicaid Services (DMS) - Bureau of Rate Setting - No specific Original Equipment Manufacturers (OEMs) or named vendors are referenced in the solicitation. - Services Requested: - Annual calculation of inpatient and outpatient hospital rates for various hospital types (acute care, critical access, rehabilitation, long-term acute care, psychiatric, and border-status hospitals) - Hospital reimbursement analysis and trend development - Modeling of hospital supplements, including Disproportionate Share Hospital (DSH) payments - Data analysis, dashboarding, and claim/encounter analysis - Certification of compliance with federal and state regulations - Audits, annual work plan submission, and policy/procedure recommendations for the Hospital Handbook - Hospital pay-for-performance and quality analysis - Assessments including tax rates, access payments, and certified public expenditures - Quality control processes and communication with CMS and hospitals - Presentation of rates and methodologies, and transition services - Unique/Notable Requirements: - Demonstrated experience in hospital rate setting and actuarial services - Compliance with federal and state regulations, data security, and quality control - Ability to perform all services within the United States - Continuous improvement, customer service, and stakeholder communication - Contract Structure: - Initial term of two years, with three optional one-year renewals (up to five years total) - Classified under NIGP codes 94612 (Actuarial Services and Retirement Planning) and 96258 (Professional Services, Not Otherwise Classified)

Description

The Wisconsin Department of Health Services (DHS), Division of Medicaid Services (DMS), is seeking proposals for Hospital Rate Setting services. The procurement aims to award a single contract based on the results of this process. The solicitation includes requirements related to actuarial services, professional services, and hospital rate setting experience. Proposals are due by August 6, 2026, at 2:00 PM CDT.

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