SW-116359 - USA (Hawaii) - Secure and Web-Based Medicaid Administrative Claiming Support Solution - Deadline August 10,2026

(1) Vendor needs to provide secure and web–based medicaid administrative claiming support solution.– Provide a secure, web–based solution that supports RMS (Random Moment Sampling system) administration, reporting, claim calculation, documentation, and ongoing program management• Contractor shall operate and maintain a federally compliant Random Moment Sampling system, support claim development and calculation activities, provide training and technical assistance to participating agencies, and assist agency in preparing quarterly Medicaid AdministrativeClaims.• The Contractor shall:1. Operate and administer a statistically valid twice–daily stratified RMS process thatcomplies with applicable federal Medicaid requirements and cost allocation principles.2. Maintain a web–based RMS application accessible through standard internet browserswithout requiring installation of software on State–owned devices.3. Configure and maintain RMS participant pools, activity codes, schedules, and samplingmethodologies necessary to support the agency program.4. Generate and distribute random moments to participating staff.5. Monitor participant response rates and conduct follow–up activities as necessary tomaximize compliance.6. Provide administrative tools that allow agency to monitor participation and reviewsampling results.7. Maintain appropriate system security, user management, and data retention practices.• Medicaid Administrative Claim Development and CalculationThe Contractor shall support the preparation and calculation of Medicaid Administrative Claims.The Contractor shall:1. Review and document the methodology used to develop quarterly MedicaidAdministrative Claims.2. Collect and compile RMS results and expenditure information provided by agency andparticipating agencies.3. Calculate quarterly Medicaid Administrative Claims using approved methodologies andcost allocation procedures.4. Prepare claim calculation workpapers and supporting documentation sufficient for Stateand federal review(2) The contract period will be for two years.(3) All the questions must be submitted no later than July 24, 2026(4) Pre–Proposal Orientation will be held on July 20, 2026