Medicaid Eligibility Follow-Up & Appeals Management

The contract requires proactive coordination with state Medicaid offices, VA staff, patients, and caregivers to secure Medicaid eligibility determinations and manage the appeals process until approval is finalized. This includes continuous follow-up, documentation management, and advocacy to resolve barriers to eligibility, ensuring timely access to benefits for eligible individuals. The work demands strong interpersonal skills, familiarity with Medicaid regulations, and the ability to navigate complex bureaucratic systems across multiple agencies. The contract is classified as a subcontract under NAICS code 541618 and is issued by the Department of Veterans Affairs through the 247-NETWORK Contract Office 7. Performance is centered in Charleston, South Carolina, with a response deadline of July 6, 2026, at 6:00 PM. The solicitation was posted on June 29, 2026, and no set-aside type has been designated. The role is critical in bridging gaps between veterans and care providers by securing necessary health benefits through persistent and precise administrative efforts.