When is the submission deadline?

Submissions are due July 9, 2026. Questions must be submitted by June 26, 2026.

It was issued by State Of Hawaii Department Of Health Executive Office On Aging. The work is located in Honolulu, Hawaii, United States.

Who is a good fit for this opportunity?

Proven expertise in Medicaid administrative claiming and RMS systems. Ability to deliver secure, web-based solutions for claim management. Experience supporting government healthcare programs. Capability to provide training and ongoing technical support. Familiarity with federally compliant documentation and reporting standards.

Medicaid Administrative Claiming Support Service (Due July 9, 2026)

Overview

Management Consulting & Admin Support

Honolulu, Hawaii, United StatesPosted: June 11th, 2026Deadline: July 9th, 2026

Fit Score

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SUMMARY

Hawaii seeks a vendor to provide technical, administrative, and operational support for its Medicaid administrative claiming program, including a web-based RMS system and quarterly claim assistance.

KEY REQUIREMENTS

Must have a minimum of three years of experience providing Medicaid Administrative Claiming consulting, implementation, administration, or related services for state government agencies.
Must demonstrate experience supporting the development, implementation, operation, or enhancement of Medicaid Administrative Claiming programs, including Random Moment Sampling, cost allocation methodologies, or claim calculation.
Must provide a description of at least two state government projects completed within the past five years that are similar in scope and complexity.
Must submit two letters of reference or support from state government agencies for which the applicant has provided Medicaid Administrative Claiming-related services.
Must be registered on the Hawaii State eProcurement System.
Must comply with all laws governing entities doing business in the State of Hawaii, including tax clearance and business registration requirements.

CONTRACT DURATION

24 months

TIMELINE

Public notice and distribution of RFP: June 10th, 2026

RFP orientation session: June 22nd, 2026

Closing date for submission of written questions: June 26th, 2026

State response to written questions: June 29th, 2026

Proposal submittal deadline: July 9th, 2026

Proposal evaluation period: July 10th, 2026 to July 16th, 2026

Provider selection and posted notice of award: July 17th, 2026

Contract start date: August 1st, 2026

QUESTION DEADLINE

June 26th, 2026

Issuing Agency

State Of Hawaii Department Of Health Executive Office On Aging

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DESCRIPTION

This solicitation is for the provision of Medicaid administrative claiming support services. The selected vendor will offer comprehensive technical, administrative, and operational support for the Medicaid administrative claiming program in Hawaii. Key responsibilities include operating and maintaining a federally compliant random moment sampling (RMS) system, supporting claim development and calculation activities, and providing training and technical assistance to participating agencies.

The contractor is also required to assist in preparing quarterly Medicaid administrative claims and deliver a secure, web-based solution for RMS administration, reporting, claim calculation, documentation, and ongoing program management. The RMS application must be accessible through standard internet browsers without the need for installation on state-owned devices. Additional duties include reviewing and documenting the methodology for quarterly claim development, performing calculations using approved methodologies and cost allocation procedures, and generating statewide and agency-specific reports summarizing participation, coding results, response rates, and outcomes. The anticipated contract period is two years.

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Frequently asked questions

When is the submission deadline?: Submissions are due July 9, 2026. Questions must be submitted by June 26, 2026.
Who issued this RFP?: It was issued by State Of Hawaii Department Of Health Executive Office On Aging. The work is located in Honolulu, Hawaii, United States.
Who is a good fit for this opportunity?: Proven expertise in Medicaid administrative claiming and RMS systems
Ability to deliver secure, web-based solutions for claim management
Experience supporting government healthcare programs
Capability to provide training and ongoing technical support
Familiarity with federally compliant documentation and reporting standards

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