This Government Contract opportunity from West Virginia was posted on August 20, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Actuarial and Financial Rate Setting Consultant

Closed

State & Local

Submission Closed09/09/2026, 05:30:00 PM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 541690

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Solicitation # 140A0926Q0030

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Solicitation # N0001426RFI7005

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POSTED

about 20 hours ago

DEADLINE

in 14 days

AI Contract Overview

The Actuarial and Financial Rate Setting Consultant subcontract involves providing specialized actuarial analysis and financial modeling for prime contractors supporting State of West Virginia Medicaid projects. The primary objective is the development of capitation rates for Medicaid and CHIP, including the calculation of payment parameters and the preparation of rate and waiver materials for annual CMS submission by the March 31 deadline. This work requires the use of actuarial modeling software and Medicaid financial datasets, with a strict requirement for consultants to hold FSA or ASA certifications and maintain compliance with CMS guidelines. This opportunity is based in Charleston, West Virginia, under NAICS code 541690. The solicitation was posted on August 20, 2026, with a response deadline of September 9, 2026. The successful contractor will be responsible for delivering finalized capitation rates and complete CMS submission packages to the agency.

General Info

Actuarial consultant to develop Medicaid capitation rates and CMS submissions for West Virginia.

Agency

West VirginiaView Agency

NAICS

541690 - Other Scientific and Technical Consulting ServicesView NAICS

Place of Performance

Charleston, WV, USA

Set-Aside

NONE

Documents

This scope was carved out of CRFP 0511 BMS270000001.

The full solicitation package (18 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

CRFP-0511-BMS2700000001-3 | MEDICAID MANAGED CARE RATE SETTING/PROGRAM ADMIN

AI Contract Breakdown

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Timeline

PhaseClosed

PostedAug 20

subcontract

Response DeadlineSep 9

Deadline has passed

Submission Closed

09/09/2026, 05:30:00 PM UTC

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Organization & Contact Information

AgencyWest Virginia

ContactsNo contacts available

OfficeN/A

Organization / Agency

West Virginia

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

Performs actuarial analysis and financial modeling for prime contractors on State of West Virginia Medicaid projects. Develops capitation rates for Medicaid and CHIP, calculates payment parameters, and prepares rate and waiver materials for annual CMS submission by March 31. Utilizes actuarial modeling software and Medicaid financial datasets. Requires actuarial certifications (FSA, ASA) and CMS guideline compliance. Delivers finalized capitation rates and CMS submission packages.