When is the submission deadline?

Submissions are due June 23, 2026. Questions must be submitted by June 17, 2026.

It was issued by Wisconsin Department of Health Services. The work is located in Madison, Wisconsin, United States.

Who is a good fit for this opportunity?

Experience in healthcare rate setting and reimbursement methodologies. Strong knowledge of Medicaid programs and regulations. Proficiency in handling, analyzing, and securing large-scale healthcare data. Prior collaborations with government health agencies. Familiarity with SFTP-based data transmissions and multi-stakeholder engagement.

Hospital Rate Setting Services (Due June 23, 2026)

Overview

Healthcare Services, Wellness & Biotech

Madison, Wisconsin, United StatesPosted: June 5th, 2026Deadline: June 23rd, 2026

Fit Score

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SUMMARY

Wisconsin seeks a vendor for annual hospital rate calculations and related analysis, including secure data handling and stakeholder collaboration.

KEY REQUIREMENTS

Must have at least two years of experience in setting hospital rates for a state Medicaid program or similar healthcare payer
Must include at least one qualified and certified actuary compliant with U.S. Qualification Standards
Must perform all services within the boundaries of the United States
Must be registered on the State of Wisconsin eSupplier System
Must provide independently audited financial statements for the last three completed fiscal years
Must provide a Bidder Reference Form listing at least four names or companies with whom the vendor has done business in the last two years
Must comply with State Information Technology policy and standards
Must have the ability to receive, load, and analyze data provided by DHS and hospitals using SFTP

CONTRACT DURATION

60 months

TIMELINE

June 3rd, 2026: Date of issue of the solicitation

June 8th, 2026: Intent to Respond

June 17th, 2026: Written Questions Due

June 30th, 2026: Responses to Questions Posted on eSupplier Portal (Estimated)

August 6th, 2026: Proposals Due

November 6th, 2026: Notification of Intent to Award (Estimated)

February 3rd, 2027: Contract Start Date (Estimated)

QUESTION DEADLINE

June 17th, 2026

Issuing Agency

Wisconsin Department of Health Services

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DESCRIPTION

The government authority in Wisconsin seeks a vendor to provide comprehensive hospital rate setting services. The selected firm will be responsible for receiving, loading, and analyzing all data provided by both the agency and hospitals in electronic formats, utilizing the SFTP (SSH File Transfer Protocol) transmission method as specified by the agency. Strict data protection measures are required to safeguard information at rest, in transit, and in use.

The vendor must possess the ability to work collaboratively and respectfully with diverse stakeholders, including agency management, Medicaid fiscal agents, hospital fiscal staff, and other Medicaid vendors. Active participation in periodic meetings with state and hospital staff is expected throughout each rate cycle to discuss methodologies, parameters, priorities, and results of the rate development process. Responsibilities include the annual calculation of inpatient rates and the ability to set rates using both fee-for-service hospital claims data and HMO encounter data. The contract period will last for two years.

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Frequently asked questions

When is the submission deadline?: Submissions are due June 23, 2026. Questions must be submitted by June 17, 2026.
Who issued this RFP?: It was issued by Wisconsin Department of Health Services. The work is located in Madison, Wisconsin, United States.
Who is a good fit for this opportunity?: Experience in healthcare rate setting and reimbursement methodologies
Strong knowledge of Medicaid programs and regulations
Proficiency in handling, analyzing, and securing large-scale healthcare data
Prior collaborations with government health agencies
Familiarity with SFTP-based data transmissions and multi-stakeholder engagement

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