RFP-491-260000002254-4 | NEMT Broker for Medicaid FFS Beneficiaries

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.