Medicaid Financial and Actuarial Support Professional Services

The buyer requires Medicaid financial and actuarial support professional services for a one-year contract period. The selected offerors will develop, set, and certify actuarially sound risk-based capitation rates for all Medicaid managed care organization cohorts in compliance with federal regulations. The requested scope includes providing actuarial modeling, budget neutrality modeling, and financial monitoring; supporting risk mitigation mechanisms; reviewing financial statements; and maintaining a multi-year financial forecast model. Additionally, the contractor will project enrollment and expenditure trends, analyze fiscal impacts of proposed changes, apply regulatory adjustments, and assist the buyer with stakeholder inquiries. The buyer limits eligibility to onshore vendors located in the United States, and the contractor must perform the work onsite. Offerors may submit responses digitally via email or online, and the buyer requests proposal pricing to establish the budget. Key dates include a mandatory or scheduled pre-bid conference on September 17, 2026, and a deadline to submit all questions by September 18, 2026.