Sole Source: Dental Program for Fee-For-Service Customers

Active Open Market Sole Source Procurements Illinois Awarded

Contract number
26-478HFS-DIREC-P-98341
Awardee
DentaQuest of IIllinois, LLC
Contracting organization
Director
Contract amount
$45,000,000

Award facts

Completion date
UNSPSC codes
Show all 45

Award details come from bidbuy.illinois.gov. Updated .

About this award

The Illinois Department of Healthcare and Family Services (HFS) awarded a sole source contract to DentaQuest of Illinois, LLC for dental program administration services under the Illinois Medical Assistance Program (MAP). The contract, effective July 1, 2026, through June 30, 2027, carries a total value of $45 million and encompasses comprehensive administrative and operational support for the Dental Program serving fee-for-service beneficiaries. The pricing structure includes a per member per month (PMPM) administrative rate of $0.70 (totaling $8.5 million) plus $36.5 million in claim reimbursement, representing a 6 percent increase from the prior PMPM rate of $0.66 established July 1, 2023.

DentaQuest's contracted services include provider network management, claims processing, prior authorization review, customer service operations, care coordination, and compliance with federal Early and Periodic Screening, Diagnosis and Treatment (EPSDT) requirements. The sole source justification was approved on April 22, 2026, based on system compatibility, operational process integration, and federal compliance requirements, with DentaQuest having continuously provided these services since December 2014 under prior contracts exceeding $330 million in cumulative value. The contract funding derives from both state appropriated funds and federal funds, and includes required 180-business-day transition and run-out periods for claims processing.

Line items

Item Total
Dental Administrator Services 1 Each × $45,000,000.00 $45,000,000.00

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Quick answers

Who was awarded contract 26-478HFS-DIREC-P-98341?

Contract 26-478HFS-DIREC-P-98341 was awarded to DentaQuest of IIllinois, LLC by Director in Illinois on July 1, 2026.

How much is contract 26-478HFS-DIREC-P-98341 worth?

Its contract amount is $45,000,000.

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