ODMR 2627-0006 Request for Information: Verification Eligibility

The Ohio Department of Medicaid (ODM) has issued a Request for Information (RFI) aimed at exploring opportunities to enhance Medicaid eligibility determinations and processing. This initiative seeks input on current methodologies and best practices for leveraging systems and data to improve the management, efficiency, accuracy, and frequency of eligibility verification for Medicaid recipients. The information gathered through this RFI will inform a report to the Ohio General Assembly, as required by state law, and will serve as a foundation for potentially launching a future procurement process focused on eligibility verification improvements. Submissions from vendors and providers with relevant expertise will help ODM understand emerging technologies and innovative solutions that can streamline Medicaid eligibility operations and ensure timely, precise determinations. The solicitation, identified by number SRC0000035882, was posted on December 15, 2025, with responses due by January 16, 2026. The request falls under the NAICS code 541611, which corresponds to administrative management and general management consulting services, indicating a focus on system analysis, process improvement, and data-driven decision-making. Performance is centered in Columbus, Ohio, with the Ohio Department of Medicaid as the contracting agency. It is important to note that this RFI serves strictly as an information-gathering and planning tool rather than a direct solicitation for contracts. This effort aligns with the department's goal to engage the vendor and provider community in shaping a more efficient and effective Medicaid eligibility system.