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Medicaid Rate Analysis and Reimbursement Services

Cheyenne, WyomingWyoming, USADue Monday, October 5, 2026
Client
Cheyenne, Wyoming
RFP Number
DRA-11329
Posted
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Category
Data Research and Analytics
Budget
Looking for Proposal
NAICS
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Set-aside
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Contact
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Description

AI Generated

The government authority in Cheyenne, Wyoming requires a contractor to provide Medicaid rate setting, rate analysis, research, analysis, and policy compliance services for healthcare facilities. The buyer expects the selected contractor to deliver comprehensive rate setting and analysis across multiple areas, including ambulance, care management PMPM, disproportionate share hospitals, durable medical equipment, federally qualified health centers, home and community-based services waivers, ICD-10-CM, and inpatient reimbursement for hospitals and psychiatric residential treatment facilities. Additionally, the contractor must develop and deploy predictive models to forecast utilization, cost trends, and the budgetary impact of demographic or policy changes. The buyer restricts eligibility to onshore USA vendors only, and the contractor will perform the work offsite. The contract period spans one year, and the buyer seeks proposals for the budget. Bidders must submit all questions no later than September 14, 2026.

Key solicitation details

AI-extracted from DRA 11329 2026 08 18 11 22 17 75PAj n4x0i vA855.docx. Confirm against the original documents before bidding.

The Wyoming Department of Health is seeking proposals for Medicaid rate setting, rate analysis, reimbursement assistance, and audit support services. Work will be performed offsite, and vendors based in the USA are eligible to bid. The contract covers a base period with extension options.

Issued by
State of Wyoming, Wyoming Department of Health, Division of Healthcare Financing
Questions due
September 14, 2026
Proposals due
OCTOBER 5, 2026 – 2:00:00 P.M. MOUNTAIN TIME
How to submit
Electronic via the Public Purchase online bidding system
Submission details
Technical proposal and cost proposal should be uploaded as separate documents through the Public Purchase online bidding system along with the signed Proposal Price Sheet.
Contract term
Initial contract period of 1 year, extendable 1 year at a time for a total contract period not to exceed 5 years.
Place of performance
Offsite / Cheyenne, Wyoming
Insurance and bonding
Cyber liability insurance with minimum limits of $2,000,000.00 each occurrence and $2,000,000.00 general aggregate, including waiver of subrogation for Agency and State.

How proposals are evaluated

Proposer Background and Experience200 Points
Staffing and Project Organization175 Points
Proposer's Project Work Plan175 Points
Approach to Contract Performance150 Points
Value Added50 Points
Oral Presentations, if applicable100 Points
Cost Analysis150 Points

Scope of work

  • Medicaid Rate Development for all programs
  • Home and Community Based Services (HCBS) and other rate studies or rebasing
  • Predictive modeling and cost driver analysis
  • Health equity rate impact analysis and ICD-10 rate methodology impact analysis
  • HEDIS rate validation study as requested
  • Provider rate files and public-facing rate schedules
  • Biennial comparative rate analysis and annual EQR and IA reports
  • Cost report and Disproportionate Share Hospitals (DSH) audits

Minimum qualifications

  • At least 5 years of experience performing rate analysis and rate setting services
  • At least 5 years of experience providing auditing services
  • Certificate of good standing from the Wyoming Secretary of State or proof of authorization to conduct business in Wyoming

Documents to include with the bid

  • Technical Proposal
  • Cost Proposal / Proposal Price Sheet (Pricing Schedules 1A-E and 2)
  • Table of Contents
  • Executive Summary
  • Proposer Background and Experience statement and financial statements
  • Resumes for proposed project personnel
  • Three corporate references and two staff references per proposed staff member
  • Proposer's Project Work Plan and Project Management Plan
  • Staffing organization chart
  • Proposer Checklist

Verify important details

Document check

Confirm submission instructions and amendments with the issuing agency before responding.

1 available fileDocuments checked

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