Network Adequacy and Provider Directory Validation

The contract involves assessing the network adequacy of Managed Care Organizations to ensure they meet state and federal standards for access to care, including validating the accuracy and timeliness of provider directories through systematic audits and on-site visits. The work requires evaluating whether managed care plans maintain sufficient provider networks to serve enrollees, identifying gaps or outdated information, and confirming compliance with regulatory requirements governing timely access to clinical services. The subcontract is issued by the Mississippi Division of Medicaid and falls under NAICS code 541612, indicating it relates to management consulting services, specifically focused on health care compliance and operational evaluation. Responses to this solicitation are due by September 18, 2026, with the opportunity posted on July 31, 2026. The place of performance is not specified beyond state-level jurisdiction, but work will be conducted within Mississippi to support the state’s oversight of Medicaid managed care entities. The contract does not include a set-aside designation, making it open to all qualified bidders, and the primary objective is to strengthen accountability and transparency in provider network management to safeguard beneficiary access to necessary health services.