When is the submission deadline?

Submissions are due August 10, 2026. Questions must be submitted by July 24, 2026.

What is the budget for this RFP?

The published budget is $350,000.

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

Who is a good fit for this opportunity?

Healthcare technology firm with Medicaid administrative claiming expertise. Experience operating federally compliant Random Moment Sampling systems. Provider of secure, browser-based SaaS platforms for public sector agencies. Knowledge of Medicaid cost allocation and quarterly claims calculation methodologies. Ability to deliver training, technical assistance, and ongoing program administration. Experience supporting state or county health and human services programs. Strong data security, user access management, and records retention capabilities.

Secure Web-Based Medicaid Administrative Claiming Support Solution (Due August 10, 2026)

Overview

Management Consulting & Admin Support

Honolulu, Hawaii, United StatesPosted: July 10th, 2026Deadline: August 10th, 2026

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SUMMARY

Hawaii is seeking a contractor to deliver a secure web-based Medicaid Administrative Claiming support solution with Random Moment Sampling administration, claims calculation, reporting, and program support. The work also includes training, technical assistance, and preparation of quarterly Medicaid Administrative Claims over a two-year term.

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 stratified Random Moment Sampling, cost allocation methodologies, and 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 Offeror has provided Medicaid Administrative Claiming services.
Must be registered on the Hawaii Electronic Procurement System (HIEPRO).
Must have a tax clearance from the Hawaii State Department of Taxation and the Internal Revenue Service.
Must be registered and in good standing with the Department of Commerce and Consumer Affairs, Business Registration Division.
Must be registered with Hawaii Compliance Express.

BUDGET

Verified

$350,000

CONTRACT DURATION

24 months

TIMELINE

Solicitation Release: July 9th, 2026

Pre-Proposal Orientation: July 20th, 2026

Question Submittal Deadline: July 24th, 2026

Answers to Questions: July 28th, 2026

Proposal Due Date and Time: August 10th, 2026

Evaluations: August 11th–14th, 2026

Anticipated Award Date: August 19th, 2026

Contract Start Date: September 1st, 2026

QUESTION DEADLINE

July 24th, 2026

CONTACTS

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

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Issuing Agency

Department Of Health, Executive Office On Aging

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DESCRIPTION

The issuing agency in Hawaii is seeking a contractor to provide a secure, web-based Medicaid Administrative Claiming support solution. The solution must support Random Moment Sampling (RMS) administration, reporting, claim calculation, documentation, and ongoing program management. The contractor will be responsible for operating and maintaining a federally compliant RMS system and providing training and technical assistance to participating agencies.

Scope of work includes administering a statistically valid twice-daily stratified RMS process in compliance with federal Medicaid requirements and cost allocation principles; maintaining a browser-accessible web application that does not require software installation on state-owned devices; configuring participant pools, activity codes, schedules, and sampling methodologies; distributing random moments to participating staff; monitoring response rates; and providing administrative tools for oversight of participation and sampling results. The contractor must also maintain appropriate system security, user management, and data retention practices.

In addition, the contractor will support the development and calculation of quarterly Medicaid Administrative Claims. This includes reviewing and documenting claim development methodology, compiling RMS results and expenditure information, calculating claims using approved methodologies and cost allocation procedures, and preparing workpapers and supporting documentation for state and federal review.

The contract term is two years. A pre-proposal orientation is scheduled for July 20, 2026, and questions must be submitted by July 24, 2026.

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Frequently asked questions

When is the submission deadline?: Submissions are due August 10, 2026. Questions must be submitted by July 24, 2026.
What is the budget for this RFP?: The published budget is $350,000.
Who issued this RFP?: It was issued by Department Of Health, Executive Office On Aging. The work is located in Honolulu, Hawaii, United States.
Who is a good fit for this opportunity?: Healthcare technology firm with Medicaid administrative claiming expertise
Experience operating federally compliant Random Moment Sampling systems
Provider of secure, browser-based SaaS platforms for public sector agencies
Knowledge of Medicaid cost allocation and quarterly claims calculation methodologies
Ability to deliver training, technical assistance, and ongoing program administration
Experience supporting state or county health and human services programs
Strong data security, user access management, and records retention capabilities

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