State Medicaid Data Analytics & Oversight Solution

The Pennsylvania Department of Human Services, Bureau of Procurement and Contract Management, issued Request for Information 26-RFI-21377 on October 5, 2026, to identify innovative solutions and analytical methodologies that leverage Medicaid data. The primary objective is to enhance transparency within Pennsylvania's Medicaid managed care delivery system and improve the Department's capacity to make evidence-based rate-setting decisions. The agency is specifically seeking insights into organizational structures, financial and reimbursement flows, and utilization patterns, with a particular focus on high-growth service categories such as Pharmacy Services, Long-Term Care, Home Health Care, and Applied Behavior Analysis. This RFI is intended for information and planning purposes only and does not constitute a formal solicitation or offer for procurement. Consequently, there are no contractual deliverables, pricing structures, or evaluation factors for award. Interested respondents must submit electronic responses by November 13, 2026, limited to 10 pages, detailing their organizational experience in medical economics and data analytics. All submissions are considered public information, and the Department maintains exclusive ownership of all materials provided during this process. Respondents are also required to disclose any potential conflicts of interest regarding relationships with Managed Care Organizations or other Medicaid-related entities.