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Medicaid Managed Care Actuarial Services

Active

State & Local

Response Deadline10/12/2026, 10:00:00 PM UTC

Contract Overview

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

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This subcontract for Medicaid Managed Care Actuarial Services supports the New Mexico Human Services Department by providing actuarial development, setting, and certification of capitation rates for prime contractors on New Mexico Health Care Authority projects. The scope of work includes developing risk-based capitation rates, analyzing utilization patterns for cost profiles, and calculating rate cells in accordance with CMS rules. The final deliverables consist of signed actuarial certification reports and detailed rate cell exhibits. To qualify for this engagement, the provider must be a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries. The opportunity was posted on September 11, 2026, with a response deadline of October 12, 2026. The project falls under NAICS code 541990 and is managed through the New Mexico Human Services Department.

General Info

Actuarial services for New Mexico Medicaid capitation rate development and certification.

Agency

New Mexico Human Services Department

NAICS

541990 - All Other Professional, Scientific, and Technical Services

Place of Performance

NM, USA

Set-Aside

NONE

Documents

This scope was carved out of 27-630-8000-0009.

The full solicitation package (11 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Professional Services for Medicaid Financial and Actuarial Support

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Timeline

PostedSep 11

subcontract

Response DeadlineOct 12

Submission deadline

Response Deadline

10/12/2026, 10:00:00 PM UTCin 7 days

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Organization & Contact Information

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AgencyNew Mexico Human Services Department

ContactsNo contacts available

OfficeN/A

Organization / AgencyNew Mexico Human Services Department

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs actuarial development, setting, and certification of capitation rates for prime contractors on New Mexico Health Care Authority (HCA) projects. Develops risk-based capitation rates, analyzes utilization patterns for cost profiles, and calculates rate cells per CMS rules. Requires a Fellow of the Society of Actuaries (FSA) and Member of the American Academy of Actuaries. Delivers signed actuarial certification reports and rate cell exhibits.

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