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RFP-491-260000002254-1 | NEMT Broker for Medicaid FFS Beneficiaries

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RFP-491-260000002254-1State & Local

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The State of Michigan Department of Health and Human Services is soliciting proposals for a Non-Emergency Medical Transportation (NEMT) Broker to manage services for Medicaid Fee for Service beneficiaries. The contract focuses on providing transportation administration and brokerage services primarily within Wayne, Oakland, and Macomb Counties, as well as statewide. The selected broker will be responsible for coordinating various transportation modes, including ambulatory, wheelchair, Medivan, Medivac, mass transit, and commercial air, along with ancillary services such as lodging and meals. The performance period is scheduled from August 1, 2027, through July 31, 2030, with potential for renewal. The broker must adhere to strict operational and compliance standards, including the Michigan Medicaid Provider Manual, HIPAA regulations for handling protected health information, and comprehensive data security requirements. Key deliverables include maintaining a disaster recovery plan, meeting specific service level agreements for uptime and availability, and providing a dedicated management team consisting of a Director, Quality Manager, Compliance Officer, and Customer Service Manager. Bidders are required to submit monthly capitated PMPM pricing and provide detailed evidence of past performance in Medicaid NEMT environments. The contract also mandates rigorous insurance coverage and compliance with federal provisions regarding equal employment and anti-lobbying certifications.

General Info

Michigan DHHS seeks a Medicaid NEMT broker for transportation services from 2027 to 2030.

Place of Performance

MI, USA

Set-Aside

NONE

Documents

20

Hybrid Contract Terms - Standard Contract with Bidder Instructions

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RFP 260000002254 - Appendix C FFS Medicaid NEMT Eligibility Plan

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RFP 260000002254 - Medicaid Provider Manual Appendix A

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RFP 260000002254 - NEMT Broker Data Appendix B

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RFP 260000002254 - Non-Emergency Medical Transportation (NEMT) Broker

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RFP 260000002254 Schedule B Pricing

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RFP 260000002254 Schedule C - Insurance Requirements

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RFP 260000002254 Schedule I – Definitions/Explanation of Terms

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RFP No. 260000002254 - NEMT Broker Proposal Instructions

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Schedule A – Attachment 1 – Key Personnel

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Schedule A Statement of Work - RFP 260000002254

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Schedule D – Service Level Agreement for Hybrid Purchases

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Schedule E – Data Security Requirements for Hybrid Purchases

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Schedule F - Federal Provisions Addendum

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Vendor Questions Worksheet - RFP Response Form

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Confidential Treatment Form – RFP No. 260000002254

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RFP 260000002254 - Disaster Recovery Plan

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RFP 260000002254 Schedule H – Licensing Agreement

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Schedule A - Attachment 2 - Disclosure of Subcontractors

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Schedule J - HIPAA Business Associates Addendum

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Organization & Contact Information

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AgencyMichigan → Lansing
Contacts2 people available
OfficeMI, USA
Organization / AgencyMichigan → Lansing
Office AddressMI, USA

Full Description

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NEMT Broker for Medicaid FFS Beneficiaries

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RFP-491-260000002254-4 | NEMT Broker for Medicaid FFS Beneficiaries
Solicitation # 260000002254
The State of Michigan is seeking a Non-Emergency Medical Transportation (NEMT) broker to serve as the authorizing party for eligible fee-for-service Medicaid beneficiaries, including those in the Healthy Michigan Plan, MIChild, and dually-enrolled Children’s Special HealthCare Services. The selected contractor will be responsible for fielding beneficiary calls, verifying eligibility, and scheduling the most cost-effective transportation modes while maintaining a comprehensive network of providers. Services may be administered either statewide or specifically within the Tri-County region of Wayne, Oakland, and Macomb Counties. The contract is scheduled to run from August 1, 2027, through July 31, 2030, with the possibility of five additional one-year renewals at the State's discretion. Award selection is based on best value, requiring a minimum of 400 technical evaluation points across specific Statement of Work sections and vendor questionnaires. Pricing is based on a capitated rate for approximately 227,479 eligible members per year. Key compliance requirements include strict adherence to HIPAA, ADA standards for applications, and Michigan Medicaid Policy. The contractor must ensure all provider vehicles are inspected prior to operation and at least twice yearly, and must maintain a 98 percent acceptance rate for encounter data transmissions into CHAMPS. Federal provisions apply if the contract is funded by federal grants, including the Byrd Anti-Lobbying Certification for purchases exceeding 100,000 dollars and specific socioeconomic steps to ensure the inclusion of small and minority-owned businesses.
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RFP-491-260000002254-3 | NEMT Broker for Medicaid FFS Beneficiaries
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The Michigan Department of Health and Human Services is seeking a Non-Emergency Medical Transportation (NEMT) broker to serve as the authorizing party for eligible fee-for-service Medicaid beneficiaries. The contractor will manage transportation and related services, including mileage, meals, and lodging, for beneficiaries in the FFS Medicaid, FFS Healthy Michigan Plan, MIChild, and dually-enrolled FFS Medicaid/Children’s Special HealthCare Services programs. Services must be provided either statewide or specifically within Wayne, Oakland, and Macomb Counties. The scope of work involves fielding beneficiary calls, verifying eligibility via CHAMPS, and scheduling the most cost-effective transportation mode that meets the medical and functional needs of the member. The contract is scheduled to run from August 1, 2027, through July 31, 2030, with the possibility of five additional one-year renewals. Pricing is based on an all-inclusive capitated per-member per-month rate for an estimated 227,479 eligible members. Award selection is based on best value, requiring a minimum of 400 technical evaluation points for pricing to be considered. Key performance standards include a 98% acceptance rate for encounter files loaded into CHAMPS, 100% compliance for eligibility and provider verification, and a 90% monthly on-time rate for trip pick-ups and appointment arrivals. The contractor must adhere to strict regulatory requirements, including HIPAA compliance, ADA accessibility for all applications, and Michigan Medicaid Policy. Safety is prioritized through mandatory vehicle inspections prior to operation and at least twice yearly thereafter. Federal compliance is required via the Federal Provisions Addendum, including the Byrd Anti-Lobbying Certification for awards exceeding 100,000 dollars and adherence to debarment and suspension regulations. The state also considers Geographically Disadvantaged Business Enterprises and Qualified Disabled Veteran/Service-Disabled Veteran-Owned Businesses during the evaluation process.
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