Div of Medical Services Health Home Recipient Monthly Attribution

This contract involves selecting a vendor to perform a monthly review of Medicaid claims to determine recipients' eligibility for the Health Home Program. The vendor will utilize the CDPS system to assign the appropriate Tier and Continuity of Care provider for each recipient. The vendor is responsible for providing a monthly file to the Department of Social Services (DSS) containing the review results, along with additional reports as specified in the scope outlined in section 3.0 of the RFP. The solicitation emphasizes the importance of timely inquiries, with all questions to be submitted via email by March 20, 2024, and responses to be posted on the DSS website by March 27, 2024. No further inquiries will be accepted after the deadline, and offerors are advised that any modifications to the RFP will also be communicated through the same platform. The solicitation, titled "Division of Medical Services Health Home Recipient Monthly Attribution," was posted on March 7, 2024, with a response deadline of April 3, 2024. It is issued by the South Dakota Department of Social Services, which is seeking proposals from vendors under NAICS code 441110. The primary point of contact for questions is Kirsten Blachford, a government official at DSS, and interested parties can find additional details on the DSS posting board website. The contract aims to streamline Medicaid recipient management and ensure accurate, timely eligibility assessments for participation in the Health Home Program.