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Waiver Management System Modernization Services

Overview


Software, Web & Mobile Development
Richmond, Virginia, United StatesPosted: August 20, 2026Deadline: October 9, 2026

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SUMMARY


Virginia is seeking vendor information for modernization of its Medicaid Waiver Management System. The initiative emphasizes integrated workflows, secure data exchange, billing connectivity, reporting, accessibility, scalability, and compliance.

KEY REQUIREMENTS


TIMELINE


Issue Date: August 19th, 2026

Questions Due: September 11th, 2026

Due Date/Time: October 9th, 2026

QUESTION DEADLINE


September 11, 2026

CONTACTS


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

Additional decision-makers and their departments

Issuing Agency


Virginia Department Of Behavioral Health And Developmental Services

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DESCRIPTION


The issuing organization is seeking vendor information for modernization of its Waiver Management System (WaMS), creating a more efficient, integrated, and user-centered platform to support administration of Medicaid waivers. The modernized system is expected to streamline intake and eligibility determination through automated validation and real-time data exchange, while improving workflows for service plan creation, approval, and tracking.

The solution should support integrated provider enrollment, credentialing, and performance tracking with secure data sharing across systems. It should also integrate with Medicaid billing and payment systems to facilitate accurate claims processing and reconciliation, and provide advanced reporting tools and dashboards for program oversight, compliance monitoring, and outcome measurement.

The modernized platform should include role-based access controls, identity management, and compliance with applicable state and federal data security standards. It should integrate with local, state, and federal systems, including Medicaid enterprise components and case management platforms, while offering flexible configuration, accessible interfaces for all users, and a scalable architecture capable of adapting to future program requirements, technology changes, and service demand. Vendor questions must be submitted by September 11, 2026.

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Frequently asked questions


When is the submission deadline?
Submissions are due October 9, 2026. Questions must be submitted by September 11, 2026.
Who issued this RFP?
It was issued by Virginia Department Of Behavioral Health And Developmental Services. The work is located in Richmond, Virginia, United States.
Who is a good fit for this opportunity?
  • Experienced healthcare IT and Medicaid systems modernization firm
  • Proven expertise with waiver management, eligibility, case management, and provider administration platforms
  • Strong capabilities in systems integration, data exchange, billing connectivity, and reporting
  • Demonstrated experience implementing role-based security and state and federal compliance controls
  • Scalable software architecture and user-centered design capabilities
  • Experience delivering solutions for state government or other large public-sector healthcare programs

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