RFP-746-2500000254-4 | Financial Mgmt. for PDS in 1915(c)HCBS Waiver Programs C5684

The Commonwealth of Kentucky Cabinet for Health and Family Services, Department for Medicaid Services, is soliciting proposals for Financial Management Services (FMS) to support Participant-Directed Services (PDS) across five 1915(c) Medicaid waiver programs: Acquired Brain Injury, ABI Long Term Care, Home and Community Based, Michelle P. Waiver, and Supports for Community Living. Serving approximately 15,640 participants, the selected vendor will be responsible for critical operational tasks including electronic visit verification, claims processing, payroll, tax assistance, and financial reporting. The contract requires a seamless transition from the current vendor and mandates adherence to PMI standards for project management. Technical requirements include integration with the Kentucky Online Gateway for identity and access management using SAML 2.0, OIDC/OAuth 2.0, and WS-Fed protocols. Vendors must comply with Commonwealth Office of Technology standards, ensuring all data remains within the contiguous United States and adheres to HIPAA, HITECH, and GDPR regulations where applicable. Performance is strictly monitored through pre-operational and operational report cards, with monetary penalties ranging from 100 to 10,000 dollars for non-compliance in areas such as call center support, billing accuracy, and disaster recovery. Additionally, the vendor must maintain cyber insurance or a performance bond and notify the agency of any suspected data breaches within 30 minutes of discovery. Proposals are evaluated based on technical and cost criteria, with a 15 percent preference given to qualified bidders. The final deadline for submission via the Kentucky Vendor Self Service site is December 9, 2026, with an anticipated contract start date of April 1, 2027. Awardees must certify they are not debarred from federal or state contracts and agree to maintain staffing levels at 90 percent or more of the agreed-upon Project Staffing Plan.