Opportunity
Illinois BidBuy #26-478HFS-MEDPR-B-52728
Illinois Seeks Actuarial Consulting Services for Medicaid Managed Care Programs
Posted
September 24, 2026
Respond By
October 22, 2026
Identifier
26-478HFS-MEDPR-B-52728
NAICS
541690
The Illinois Department of Healthcare and Family Services (HFS) is seeking actuarial analysis and consulting services to support its Medicaid Managed Care programs. - Government Buyer: - Illinois Department of Healthcare and Family Services (HFS), Medical Programs division - Scope of Services: - Actuarial analysis and consulting for Medicaid Managed Care Organizations (MCOs) - Annual and as-needed rate development, amendments, and certifications - Policy advice on Medicaid and Medicare trends - Risk adjustment, waiver reporting, data validation, and compliance with federal CMS regulations - Support for future agency initiatives and expert testimony as needed - Labor Categories & Quantities: - Principal: 14,000 hours - Consultant: 14,000 hours - Associate Analyst: 70,000 hours - Analyst: 35,000 hours - Administrative Support: 7,000 hours - Notable Requirements: - 10-year contract term, with two pricing periods (Years 1-5 fixed, Years 6-10 may increase up to 4%) - Compliance with HIPAA and state security requirements - 4% Business Enterprise Program (BEP) participation goal - Strong emphasis on diversity, equity, and inclusion in staffing and subcontracting - Electronic submission via BidBuy portal - Open to all qualified vendors (not set aside for small businesses) - No specific OEMs or named vendors; open to all qualified actuarial consulting firms.
Description
The Illinois Department of Healthcare and Family Services is seeking a vendor to provide actuarial analysis and consulting services. The scope includes assistance in the review, advisement, policy support, and development of actuarially sound rates for Managed Care Organizations participating in Illinois Medicaid or related Medical Programs. The contract term is ten years, and the procurement includes multiple labor categories with specified hourly quantities. An optional Webex pre-bid conference is scheduled, and the response deadline is October 22, 2026.