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Medication Risk Identification Technology & Algorithm Development

Active
State & Local

Contract Overview

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

Documents

This scope was carved out of RFP-2027-DMS-01-MEDIC.

The full solicitation package (10 documents), including the RFP, is on the prime solicitation, not on this scope.

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Medicaid Medication Risk Reduction Initiative

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Organization & Contact Information

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AgencyNew Hampshire → Dhhs-Department Of Health & Human Services
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Supplies and deploys risk-identification technology for prime contractors on New Hampshire DHHS Medicaid projects. Develops algorithms to detect polypharmacy, over-prescribing, and behavioral health medication risks. Integrates risk scoring into reporting software using HL7 or FHIR standards. Requires HIPAA compliance for PHI handling. Delivers validated risk-identification algorithms and a software interface for MSR outputs.

Similar Contracts

Same NAICS industry code

More opportunities from New Hampshire → Dhhs-Department Of Health & Human Services

Same awarding agency

NAICS: 524292
New
SLED
Medicaid Medication Risk Reduction Initiative
Solicitation # RFP-2027-DMS-01-MEDIC
The New Hampshire Department of Health and Human Services, Division of Medicaid Services, is soliciting proposals to establish a statewide Medicaid Medication Risk Reduction Initiative (MMRRI). This program, which will be led by New Hampshire licensed clinical pharmacists, aims to prevent and reduce medication-related problems, adverse drug events, polypharmacy, over-prescribing, and medication risks associated with opioids and behavioral health for Medicaid beneficiaries. Key deliverables include the implementation of a technology solution to analyze pharmacy claims data, the performance of comprehensive medication reviews for high-risk individuals, and the generation of actionable medication safety reports for patients and providers. The anticipated total contract value is 33,553,391 dollars, funded through the Rural Health Transformation Program (RHTP) using federal funds. The period of performance extends through October 30, 2030, with a structured schedule of annual progress reports. Award selection is based on a point system evaluating technical and cost responses, requiring a minimum technical score of 1,600 points to avoid disqualification. The contract includes strict compliance mandates, including 2 CFR Part 200, Title VI of the Civil Rights Act, and ADA requirements, as well as financial at-risk terms such as liquidated damages equivalent to 10 percent of the yearly contract value to enforce per member per month reduction guarantees. Qualified vendors must possess at least three years of experience in pharmacy data analysis and medication review. Proposals must be submitted as two separate electronic documents consisting of a technical response and a cost proposal by October 28, 2026. The selected contractor must maintain a robust Information Security Management System compliant with New Hampshire Department Information Technology policies to protect sensitive health data, with all information processing required to remain within the United States.
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

POSTED

1 day ago

DEADLINE

in 27 days
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NAICS: 541611
SLED
External Quality Review Organization
Solicitation # RFP-2027-DPQI-02-EQRO
The New Hampshire Department of Health and Human Services, Division of Program Quality and Integrity, is soliciting proposals for an External Quality Review Organization (EQRO) to evaluate healthcare services provided to Medicaid beneficiaries. The selected vendor will be responsible for analyzing aggregated data on quality, timeliness, and access to care for contracted Managed Care Organizations (MCO) and Dental Organizations (DO). Key deliverables include the validation of performance measures, Performance Improvement Projects (PIP), provider network adequacy, and encounter data reporting, culminating in detailed annual technical reports. The contract requires strict adherence to 42 CFR 438.354 and current CMS External Quality Review protocols. The period of performance extends through April 30, 2030, with potential four-year renewal options. All staff will work remotely, though quarterly meetings may occur virtually or in person. The award is based on a point system where technical responses are weighted at 700 points and cost at 300 points, noting that this is not a low-cost award. Vendors must meet rigorous federal and state requirements, including HIPAA and HITECH compliance, Title VI language assistance, and specific insurance coverage of at least 1 million dollars per occurrence. Payment is contingent upon the submission of monthly invoices for completed, Department-accepted deliverables.
Administrative Management and General Management Consulting Services

POSTED

16 days ago

DEADLINE

in 12 days
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