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Section 1115 Budget Neutrality & Financial Analysis

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State & Local

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This subcontract with the New Mexico Human Services Department focuses on Section 1115 Budget Neutrality and Financial Analysis. The selected provider will perform critical financial modeling to ensure that Medicaid waiver amendments remain budget-neutral for prime contractors working on New Mexico Health Care Authority projects. Key responsibilities include managing managed care expenditure analysis, creating per member per month projections, and delivering detailed fiscal impact analyses and budget neutrality tracking reports. The role requires specialized expertise in CMS Section 1115 waiver regulations to maintain compliance and financial stability. This opportunity is categorized under NAICS code 541611 and is available through the New Mexico Human Services Department, with a response deadline of October 12, 2026.

General Info

Provider performs financial modeling and budget neutrality analysis for New Mexico Medicaid waivers.

Documents

This scope was carved out of 27-630-8000-0009.

The full solicitation package (11 documents), including the RFP, is on the prime solicitation, not on this scope.

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Professional Services for Medicaid Financial and Actuarial Support

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Organization & Contact Information

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AgencyNew Mexico Human Services Department
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs financial modeling to ensure Medicaid waiver amendments remain budget-neutral for prime contractors on New Mexico Health Care Authority (HCA) projects. Conducts Section 1115 budget neutrality modeling, manages managed care expenditure analysis, and creates PMPM projections. Requires expertise in CMS Section 1115 waiver regulations. Delivers budget neutrality tracking reports and fiscal impact analysis.

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Professional Services for Medicaid Financial and Actuarial Support
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