# Illinois BidBuy #27-478HFS-MEDPR-B-54110

Contract Amendment for Long-Distance Medicaid Transportation Services in Illinois

**Posted:** September 16, 2026
**Respond By:** September 30, 2026
**Identifier:** 27-478HFS-MEDPR-B-54110
**NAICS:** 485991, 485999

The Illinois Department of Healthcare and Family Services (HFS) is amending its contract with First Transit, Inc. to expand Medicaid transportation services.
- Government Buyer:
  - Illinois Department of Healthcare and Family Services (HFS)
  - Bureau of Professional and Ancillary Services
- Vendor:
  - First Transit, Inc. (current provider)
- Products/Services Requested:
  - Expansion of Non-Emergency Transportation Services Prior Approval Program (NETSPAP)
    - Long-distance non-emergency medical transportation for Medicaid beneficiaries
    - Lodging, meals, and mileage reimbursement
    - Escort costs for eligible trips
    - Administration and prior approval of trips, including trip validation and customer support
- OEMs:
  - No OEMs referenced; First Transit, Inc. is the sole vendor
- Notable Requirements:
  - Amendment required to comply with updated federal regulations (42 CFR 440.170) and Illinois State Plan Amendment
  - Estimated additional funding: $36,536,076
    - Lodging: $11,460,420
    - Meals: $6,022,836
    - Mileage: $19,052,820
  - Services must be delivered without disruption, leveraging existing infrastructure
  - Amendment is fully germane to the current contract, expanding the fiduciary account without introducing new scope
  - Prior approval required for all reimbursed services
- Period of Performance:
  - Amendment covers the remainder of the contract term, with renewals extending through 2031

### Description

This is a sole source change order notice for the Non-Emergency Transportation Services Prior Approval Program (NETSPAP) administered by First Transit, Inc. for the Illinois Medicaid Program. The amendment seeks to add long distance non-emergency transportation services to comply with updated federal regulations (42 CFR 440.170). The contract amendment includes an estimated additional funding of $36,536,076 to cover lodging, meals, and mileage costs for Medicaid transportation services. The procurement is managed by the Illinois Department of Healthcare and Family Services and aims to ensure continued access to medically necessary transportation for Medicaid beneficiaries.

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