When is the submission deadline?

Submissions are due November 13, 2026.

What is the budget for this RFP?

Settle estimates the budget at $100,000 – $500,000. The issuer has not published an official figure.

It was issued by Pennsylvania Department of Human Services. The work is located in Pennsylvania, United States.

Who is a good fit for this opportunity?

Healthcare data analytics firms with Medicaid and managed care expertise. Vendors experienced in transparency, oversight, utilization, and expenditure analysis. Companies capable of supporting evidence-based healthcare rate-setting. Providers with enterprise-scale data platform and targeted analytics solution experience.

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Medicaid Data Analytics and Oversight Solution

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Overview

Data Analytics, AI & Cloud Hosting

Pennsylvania, United StatesPosted: October 6, 2026Deadline: November 13, 2026

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SUMMARY

The Pennsylvania Department is seeking innovative Medicaid data analytics and oversight solutions to improve managed care transparency and support evidence-based rate-setting decisions. Solutions may be enterprise-wide or focused on high-growth service categories.

KEY REQUIREMENTS

Must provide an overview of organizational experience in state Medicaid operations, monitoring, oversight, medical economics, and data analytics.
Must describe innovative analytical approaches, oversight strategies, or business practices for financial transparency and managed care oversight.
Must describe methodologies, technologies, or data sources for actionable insights beyond traditional reporting.
Must provide recommendations for translating analytical findings into actionable policy, oversight, procurement, or rate-setting decisions.
Must provide a cover letter including organizational background, contact information, and a description of organizational structure and potential conflicts of interest.
Must submit responses electronically in 12 point font, limited to 10 pages.

BUDGET

Estimate

$100,000 – $500,000

TIMELINE

Release RFI: October 5th, 2026

Vendor RFI Responses Due: November 13th, 2026

CONTACTS

Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

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Issuing Agency

Pennsylvania Department of Human Services

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

The Pennsylvania Department seeks information from vendors regarding innovative Medicaid data analytics and oversight solutions. The solutions should leverage Medicaid data to improve transparency within the Medicaid managed care delivery system and strengthen the department’s ability to make evidence-based rate-setting decisions.

The department is interested in enterprise-wide and targeted solutions applicable across the Medicaid managed care delivery system. It will also consider approaches focused on service categories experiencing significant utilization or expenditure growth, including applied behavior analysis, pharmacy services, long-term care, and home and community-based services.

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Frequently asked questions

When is the submission deadline?: Submissions are due November 13, 2026.
What is the budget for this RFP?: Settle estimates the budget at $100,000 – $500,000. The issuer has not published an official figure.
Who issued this RFP?: It was issued by Pennsylvania Department of Human Services. The work is located in Pennsylvania, United States.
Who is a good fit for this opportunity?: Healthcare data analytics firms with Medicaid and managed care expertise
Vendors experienced in transparency, oversight, utilization, and expenditure analysis
Companies capable of supporting evidence-based healthcare rate-setting
Providers with enterprise-scale data platform and targeted analytics solution experience

Analysis generated by Settle AI from the source RFP.

RFP Hunter shows what is open. Settle shows what is forming.

Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.

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