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Washington Seeks a Contractor for their Medicaid Transformation Grant

A majority of the 2006 Medicaid Transformation Grant projects are underway, but there are still some states with contracting opportunities coming down the pipeline.

Washington was awarded federal seed money to support Medicaid program integrity efforts and recently released a Request for Proposals (RFP), on October 24, 2008, seeking vendor assistance. Prior a Request for Information (RFI) was released in February 2008. Additional details on the current RFP are as follows:

Purpose- The state of Washington, Department of Social and Health Services (DSHS) has a requirement for an enhanced Medicaid Fraud and Abuse Detection System (FADS) and program integrity efforts.

Scope of Work- Requirements include implementing a second generation fraud and abuse detection system; develop and support new ways of detecting and preventing fraud; algorithms; audit subsystem; model capabilities; predicative modeling capabilities; provide subject matter expertise; geo-mapping capabilities; intuitive reporting tools; and a case tracking system. Please refer to the RFP for additional details.

Timeline- An optional letter of intent and vendor questions are due by October 31, 2008. Proposals are due by November 25, 2008. Contract execution is tentatively anticipated for January 16, 2009.

Estimated Value- DSHS was awarded a $5.9 million Centers for Medicare and Medicaid Services (CMS) Medicaid Transformation Grant. The specific percentage of the grant that will be utilized for a contract award is unknown at this time.

For additional information on this project please see GovWin Opportunity # 46726.

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