Home Health Care Medicare Maximization Services
- Client
- Albany, NY.
- RFP Number
- MEDI-8189
- Posted
- 10/16/2026
- Category
- Medical Services
- Budget
- Looking for Proposals
- NAICS
- —
- Set-aside
- —
- Contact
- —
Description
AI GeneratedThe New York State government authority in Albany requires a vendor to provide home health care Medicare maximization services to support its agency program. The selected vendor must handle all operational, medical, legal, audit, reporting, recovery, provider-relations, and administrative activities, which includes managing Medicare appeals processes, auditing non-compliant providers, recovering inappropriately paid Medicaid funds, and maintaining technology systems and record retention. Only onshore USA organizations are eligible to bid, and the vendor will perform the work offsite. Interested applicants must submit all questions no later than October 23, 2026, and submit proposals addressing their organizational capability, experience, and proposed program enhancements.
Key solicitation details
AI-extracted from RFP# OMIG 26-23 (HHC MMX) - (final) .docx. Confirm against the original documents before bidding.
The New York State Office of the Medicaid Inspector General is soliciting proposals for Home Health Care Medicare Maximization Services. The contractor will manage Medicare appeal processes, provider audit activities, recovery operations, and technology reporting to maximize Medicare coverage for dual-eligible recipients receiving home health services paid by Medicaid. Eligible offerors are USA-based onshore organizations.
- Issued by
- New York State Office of the Medicaid Inspector General
- Release of RFP
- 10/16/26
- Written questions due from Offeror(s)
- 10/23/26 2:30 pm EST
- Official response to Offeror’s questions due (estimated)
- 10/30/26
- Proposals Due
- 11/06/26 2:30 pm EST
- Selection of Prospective Contractor(s) (estimated)
- 12/30/26
- Contract approved by Office of Attorney General (estimated)
- 03/12/27
- Contract approved by Office of State Comptroller (estimated)
- 06/10/27
- Contract Commencement
- 07/01/27
- How to submit
- Submission details
- Proposals must be sent to [email protected] only. The Cost Proposal Form must be submitted as a separate electronic attachment marked RFP# OMIG 26-23 Financial Proposal.
- Place of performance
- Offsite / United States
- Insurance and bonding
- Worker's Compensation and Disability Benefits insurance certificates are required prior to contract approval.
- Funding
- New York State Medicaid program
Scope of work
- Manage and implement Medicare administrative appeals processes for home health services
- Conduct audit and recovery activities for provider non-compliance with demand billing requirements
- Perform comprehensive recovery and reconciliation of funds inappropriately paid by Medicaid
- Maintain reporting, information-system, and technology capabilities to support all program activities
- Provide provider education and guidance regarding program directives
- Fulfill record retention requirements
- Implement proposed program enhancements and improvements
Minimum qualifications
- Must be an onshore USA organization
- Must maintain domestic operations where no work or data access occurs outside the United States
Documents to include with the bid
- Intent to Offer or Not to Offer Form
- Cost Proposal Form (Attachment 1)
- Current Contract Work & Attestation (Attachment 2)
- Subcontractor Forms (Attachment 3)
- Conflict of Interest Statement (Attachment 4)
- Statement of Competing Commitments (Attachment 5)
- Attestation of Domestic Operations (Attachment 6)
- References Form (Attachment 7)
- Attestation of Gender-Based Violence & the Workplace Certification (Attachment 8)
- Affidavit of Non-Collusion (Appendix G)
Verify important details
Document checkConfirm submission instructions and amendments with the issuing agency before responding.
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