Opportunity
New York State Contract Reporter #C043776
New York State Health Eligibility, Enrollment, and Appeals System Services
Posted
October 30, 2026
Respond By
February 19, 2027
Identifier
C043776
NAICS
541511, 541512, 541519
New York State is seeking a contractor to modernize and operate its health insurance eligibility, enrollment, and appeals systems. - Government buyer: New York State Department of Health, Office of Health Insurance Programs (OHIP). - Requested services: Create, maintain, and operate a Converged Eligibility and Enrollment (E&E) System for state health insurance programs, incorporating New York State of Health (NYSOH) functionality into the Medicaid Eligibility and Client Management (MECM) System. The solicitation also identifies an Appeals Management System (AMS). - OEMs and vendors: No OEMs, vendors, or specific commercial products are named. NYSOH and MECM are existing state systems. - Quantities and part numbers: No standalone products, quantities, or part numbers are specified. - Notable requirement: A 30% Minority- and Women-Owned Business Enterprise (MWBE) contracting goal applies. - Performance period: Seven years.
Description
The New York State Department of Health, Office of Health Insurance Programs, seeks proposals to create, maintain, and operate a Converged Eligibility and Enrollment (E&E) System for its health insurance programs. The contractor will incorporate functionality from the current New York State of Health (NYSOH) System into the Medicaid Eligibility and Client Management (MECM) System to create a converged system and provide consumers with a seamless E&E experience. The contract term is July 1, 2028, through June 30, 2035, and proposals are due February 19, 2027, at 4:00 p.m. ET.