Medicaid Rate Analysis and Reimbursement Services

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.