Medicaid Eligibility and Enrolment System Maintain and Operate Services

The issuing agency is seeking a vendor to provide maintenance and operations services for its Medicaid Eligibility and Enrollment system. The current platform is undergoing an upgrade to Cúram Social Program Management version, and the agency requires expertise in developing, enhancing, and operating benefit eligibility systems built on this software platform. The agency needs to solve efficiency challenges by establishing a user-friendly, mobile-responsive, and dynamic application experience alongside streamlined, paperless processes. The scope of work covers enterprise program management, governance, business operations support, and continuous system improvement. The selected partner must validate all Centers for Medicare and Medicaid Services and territory-based eligibility and enrollment outcomes specified in the Outcome Traceability Matrix workbook to maintain compliance. Additionally, the project requires automating the thirty-day Modified Adjusted Gross Income reconsideration period and establishing batch or real-time compliant interfaces with local systems to improve Ex-Parte renewal rates. Bidders must be onshore organizations based in the United States to be eligible for this opportunity. The performance of all requested work will take place offsite. Bidders must submit their responses digitally via email or through the online portal, and the agency is looking for proposals to determine the budget. The contract period will span five years. The agency requires all questions regarding this procurement to be submitted no later than July 6, 2026. Evaluation will focus on the vendor's ability to enhance productivity for agency staff through automated processes, approval workflows, reporting, and applicant communication.