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Claims Processing and Management Services Module

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41900-eRFP-001835-2027State & Local

Contract Overview

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

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The State of Georgia’s Department of Community Health intends to leverage the NASPO ValuePoint Medicaid Management Information System (MMIS) Claims contract originally awarded to Montana to acquire a comprehensive SaaS-based solution for processing and managing Medicaid claims. This solution will deliver the Core Service, which includes adjudication, editing, pricing, and reimbursement determination for healthcare claims, and will be supplemented with all three available optional modules: Financial Management and Financial Reporting, a Member and Provider Call Center, and Federal Reporting. By selecting a single supplier under this cooperative purchasing agreement, Georgia aims to streamline its claims processing and financial oversight while ensuring compliance and operational efficiency. The solicitation, identified as 41900-eRFP-001835-2027, was posted on July 16, 2026, with responses due by August 17, 2026, and is being coordinated through the Department of Community Health under the oversight of Tracey Woods, the primary point of contact.

General Info

Georgia to adopt NASPO MMIS SaaS solution for Medicaid claims, financial reporting, call center, and federal compliance.

Agency

Georgia → Department of Community HealthView Agency

NAICS

518210 - Computing Infrastructure Providers, Data Processing, Web Hosting, and Related ServicesView NAICS

Place of Performance

GA, USA

Set-Aside

NONE

Documents

(1)

41900-eRFP-001835-2027 Claims Processing and Management Services RFP

PDF•rfp

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Timeline

PhaseSolicitation
Posted

Solicitation

Response Deadline

Submission deadline

Response Deadline

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Organization & Contact Information

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AgencyGeorgia → Department of Community Health
Contacts1 person available
OfficeN/A
Organization / Agency
Georgia → Department of Community Health
View Agency Profile
Office AddressN/A
Contacts
Tracey Woods
contact@example.gov
+1 (555) 000-0000

Full Description

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The State of Georgia has published a Notice of Intent to Utilize Cooperative Purchasing Agreement (Notice), identifying its intent to utilize the NASPO ValuePoint Medicaid Management Information System (MMIS) Claims contract. The Department of Community Health (DCH or State Entity) desires to enter into a Participating Addendum with a NASPO ValuePoint awarded supplier for Claims Processing and Management Services Module as per the MMIS Claims Processing and Management Services Module, RFP No. DPHHS-RFP-2020-0254T, executed by the State of Montana on January 4, 2021. The Master Agreement provides the Core Service which is a SaaS solution that will adjudicate, edit, price, and determine reimbursement amounts for Medicaid healthcare claims. In addition to the Core Service, the Master Agreement also offers the following additional options: 
¿ Option A ¿ Financial Management and Financial Reporting 
¿ Option B ¿ Call Center (Member and Provider Call Center) 
¿ Option C ¿ Federal Reporting 
DCH is interested in procuring all three (3) options (Financial Management, Call Center, and Federal Reporting) in addition to the Core Service for a Claims Processing and Financial Management solution from a single supplier.

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