Hawaii eProcurement Portal #P27000041

Hawaii EOA Seeks Medicaid Administrative Claiming Support Services

The Hawaii Department of Health, Executive Office on Aging (EOA), is seeking a contractor to support its Medicaid Administrative Claiming (MAC) program. - Government Buyer: - Department of Health, Executive Office on Aging (EOA), Program and Systems 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, calculation, and reporting - Training and technical assistance for participating agencies - Secure, web-based platform for RMS administration, documentation, and program management - Notable Requirements: - Solution must comply with federal standards for RMS and Medicaid claiming - Contractor must provide ongoing technical training and support - Platform must be secure and web-based, supporting all aspects of RMS and claim management - No specific OEMs or commercial vendors are named in the solicitation - Estimated contract value is up to $350,000 over two years, with possible extensions

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 shall 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 shall provide a secure, web-based solution that supports RMS administration, reporting, claim calculation, documentation, and ongoing program management. The anticipated contract term is two years, from September 1, 2026 through August 31, 2028.

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