41NHA-S3848-Request-for-Proposals - Updated 5-21.docx

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Non-Emergency Transportation (NET)
Solicitation number
41NHA-S3848
Issued by
Nevada

About this file

This Request for Proposals (RFP 41NHA-S3848) is issued by the Nevada State Purchasing Division on behalf of the Nevada Health Authority to procure Non-Emergency Transportation (NET) brokerage services statewide. The solicitation seeks a single qualified contractor to broker NET services for eligible Medicaid recipients across all Nevada counties, coordinating and managing both non-emergency medical transportation and non-emergency secure behavioral health transportation. The eligible population includes approximately 650,917 Medicaid recipients across urban and rural areas, including TANF/CHAP, SSI/ABD, Adult Expansion, Child Welfare, and CHIP recipients. Proposals must be submitted through nevadaepro.com no later than June 29, 2026, or July 6, 2026, at 2:00 p.m. Pacific Time. The evaluation period is estimated for June 29 through July 13, 2026, with vendor presentations scheduled for July 27–28, 2026. Notice of intent to award is estimated for July 28, 2026, with final notice of award estimated for September 4, 2026, subject to Board of Examiners approval on October 13, 2026. The contract term is January 1, 2027, through December 31, 2030, with the possibility of two optional one-year extensions if mutually agreed upon. The contractor must facilitate all transition activities at no cost prior to the effective date.

The State will award a firm, fixed monthly capitation rate based on actuarially sound methodology to be developed by the Division's contracted actuary; all administrative and service costs are included within this rate. Vendors must provide responses addressing technical qualifications (weighted 85 points), administrative costs (15 points), and presentations demonstrating scheduling software capabilities, provider recruitment processes, rural transportation solutions, and community engagement structures (each weighted 25 points). Mandatory minimum requirements include Nevada business license registration, sam.gov entity registration, data encryption and stateside data maintenance per State IT requirements, and compliance with Nevada law regarding indemnification and liability limitations. Vendors must disclose financial information (two years of profit and loss and balance statements), Dun and Bradstreet numbers, any contract failures or litigation, conflicts of interest, and provide at least three client references from similar projects within the past five years. The State reserves the right to limit cost scoring participation based on natural breaks in relative scores and may conduct best and final offer rounds or forego presentations entirely at its discretion.

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Nevada State Purchasing Division Department of Administration 515 E Musser St Ste 300 Carson City, NV 89701 purchasing.nv.gov nevadaepro.com

Request for Proposals 41NHA-S3848

Release Date 05/01/2026

Solicitation number 41NHA-S3848

Single point of contact name Heather Moon

Single point of contact email hmoon@admin.nv.gov

Single point of contact phone 775-531-3309

Soliciting agency Nevada State Purchasing Division

Contracting agency Nevada Health Authority

Solicitation title Non-Emergency Transportation (NET) Brokerage Services

Deadline for submissions 06/29/2026 07/06/2026 @ 2:00 P.M. P.S.T.

For deaf and hard of hearing, call 711 and ask the relay agency to dial the single point of contact phone number above.

This request for proposals is available at nevadaepro.com as a bid solicitation.

Table of Contents

1.Applicable regulations governing procurement2
2.Project overview2
3.Scope of work2
4.Attachments2
5.Timeline2
6.Evaluation3
7.Mandatory minimum requirements4
8.Critical items5
9.Submission checklist7

Applicable regulations governing procurement

Statute and code. All applicable Nevada Revised Statutes (NRS) and Nevada Administrative Code (NAC) documentation can be found at: www.leg.state.nv.us/law1.cfm.

Single point of contact. Vendors and their representatives shall only contact the single point of contract or use the electronic procurement system regarding this solicitation until after a notice of award (NOA) has been issued. Failure to observe this restriction may result in disqualification of a response per NAC 333.155(3).

Ethics. Prospective vendors are advised to review Nevada’s ethical standards requirements, including but not limited to NRS 281A, NRS 333.800, and NAC 333.155.

Project overview

The Nevada State Purchasing Division on behalf of the Nevada Health Authority (NVHA), is seeking qualified Vendors to broker Non-Emergency Transportation (NET) services throughout the State of Nevada. The selected Contractor shall ensure eligible Medicaid recipients have access to non-emergency transportation services delivered by Medicaid-enrolled providers in an appropriate and cost-effective manner.

Brokerage of NET services shall include the coordination, management, and reimbursement of NET services, inclusive of both non-emergency medical transportation and non-emergency secure behavioral health transportation. The Contractor shall provide tiered levels of transport to meet the recipient’s medical or behavioral health needs, including individuals placed on a legal hold. Emergency transportation, including air and ground ambulance services, is excluded from the scope of work.

Based on the most recent data available as of January 2026, the following Nevada Medicaid recipients are eligible for NET services under this RFP:

Urban populations:

312,577 Temporary Assistance for Needy Families (TANF)/Child Health Assurance Program (CHAP) 50,393 Social Security Income (SSI)/Aged, Blind, Disabled (ABD) (including Waiver population) 240,959 Adult Expansion 10,281 Child Welfare Children 29,706 **Children’s Health Insurance Program (CHIP): Currently pending federal approval, therefore not included in December 2025 data. However, for the purpose of this RFP, this population is listed as potentially eligible due to the anticipated approval for an effective date of January 1, 2027.

Rural populations:

5,292 SSI/ABD

1,383 Child Welfare Children 2,709 **CHIP: Currently pending federal approval, see detail above

The awarded Contractor will provide non-emergency transportation services for eligible Medicaid recipients at an established risk-based monthly capitation rate. All administrative and service costs associated with providing the required services under this RFP shall be included in the firm, fixed monthly capitation rates which are under development at this time. By submitting a proposal in response to this RFP, the bidder agrees to accept the actuarially sound capitation rates for the 2027 Calendar Year as developed by the Division’s contracted actuary. The awarded Contractor will have an opportunity to review the actuarially sound capitation rates, including the methodology and assumptions, and provide feedback to the Division and its actuary.

The State intends to award one contract from this RFP although the State is under no obligation to award any contracts as a result of this RFP. The Nevada Health Authority, Medicaid Division (Nevada Medicaid) shall administer the contract resulting from this solicitation. Any contract resulting from this RFP will be effective from January 1, 2027, to December 31, 2030, subject to Board of Examiner’s approval with the possibility of up to two, one-year optional extensions if determined to be in the best interest of the State and mutually agreed upon by both parties. The awarded NET Contractor shall facilitate all necessary transition activities at no cost prior to the effective date of the contract in order for services to begin on January 1, 2027.

Contracting agency background

Nevada Health Authority (NVHA) is the single state agency (SSA) for the Medicaid and Children’s Health Insurance programs in Nevada. The Medicaid program is administered through the Medicaid Division, referred to as “Nevada Medicaid.” Nevada Medicaid provides comprehensive health coverage to eligible recipients.

Pursuant to 42 CFR 431.53, SSAs are required to assure necessary non-emergency transportation for Medicaid recipients when traveling to and from covered healthcare services.

Medicaid funds may not be used to pay for transportation services that are otherwise available at no cost to both Medicaid and non-Medicaid recipients. In addition, Medicaid is generally the payor of last resort, except for certain federally funded programs.

Goals and objectives

The objective of this RFP is to establish a contract for the provision of Non-Emergency Transportation (NET) services through a single Contractor for all counties in Nevada. The objective of the NET program is to improve access to covered healthcare services for eligible Medicaid recipients, and to ensure the transportation services made available through the program are:

Uniform in scope and duration throughout the state.

Aligned with the best interests of Medicaid beneficiaries; and Timely, cost-effective and efficient.

NET services are available to Medicaid eligible individuals who have demonstrated they have no other means of available transportation to access services covered by the Division and rendered by an enrolled Nevada Medicaid provider.

Scope of work

See Scope of Work located in ‘Attachments’ tab of NEVADAePro.

Attachments

Attachments incorporated by reference. To be read and not returned.

Terms and conditions for services

Attachments for review. To be read and not returned (unless redlining).

Standard form contract Insurance schedule Business Associate Addendum – no redlining of document Business Continuity Agreement – no redlining of document

Attachments for response. To be completed and returned.

Technical Proposal Questions – Attachment A Reference questionnaire Cost Schedule Certification regarding lobbying Vendor Information Response

Timeline

Questions. All questions regarding this solicitation shall be submitted using the bid Q&A feature at nevadaepro.com.

Timeline. The following represents the proposed timeline for this project.

All times stated are Pacific Time (PT).

These dates represent a tentative schedule of events.

The State reserves the right to modify these dates at any time.

The deadline for submissions is the nevadaepro.com bid opening date and time. Late quotes will not be accepted.

Deadline for 1st round questionsNo later than 5:00 pm on 05/15/2026
1st round answers postedOn or about 05/22/2026 05/29/2026
Deadline for 2nd round questionsNo later than 5:00 pm on 05/26/2026 06/08/2026
2nd round answers postedOn or about 06/01/2026 06/17/2026
Deadline for referencesNo later than 5:00 pm on 06/26/2026 07/03/2026
Deadline submissions and openingNo later than 2:00 pm on 06/29/2026 07/06/2026
Evaluation period (estimated)06/29/2026-07/13/2026 07/06/2026-07/14/2026
Vendor presentations (estimated)07/27/2026 – 07/28/2026
Notice of intent (estimated)On or about 07/28/2026
Notice of award (estimated)On or about 09/04/2026
BOE approval (estimated)10/13/2026
Contract start date (estimated)01/01/2027

Evaluation

Evaluation and scoring are conducted in accordance with NRS 333.335 and NAC 333.160-333.165.

Responses shall be kept confidential until a contract is awarded.

In the event the solicitation is withdrawn prior to award, responses remain confidential.

The evaluation committee is an independent committee established to evaluate and score qualitative evaluation factors for the solicitation.

The State, at its option, may limit participation in cost scoring, presentations, or both to vendors above a natural break in relative scores.

Financial stability shall be scored on a pass or fail basis.

Responses shall be consistently evaluated and scored based upon the following factors and relative weights.

Technical factor #1 – Technical Proposal Response to Questions85
Technical factor #2 – Administrative Costs15
Presentation factor #1 – Demonstration of scheduling software/system for broker, providers and recipients including mobile and online options25

Presentation factor #2 – Recruitment process of subcontracted providers and modes of transportation utilized 25

Presentation factor #3 – Proposed transportation options for rural areas of State25
Presentation factor #4 - Demonstrated engagement and scheduling structure with community partners25

Cost factor. The cost factor score will be based on the following equations, unless the subject solicited requires alternative scoring. The highest proposed cost from any vendor and the lowest proposed cost from any vendor will be added together to generate a combined total. For each vendor, that proposed cost will be subtracted from the previously combined total. This number is then divided by the highest proposed cost. The resulting number is multiplied by the cost factor weight to generate a weighted cost score.

Presentations. The State may require vendors to make a presentation. The State reserves the right to add additional criteria for presentations. The State reserves the right to forego presentations and select vendor(s) based on written responses submitted.

Best and final offers. Pursuant to NAC 333.165, the State reserves the right to permit revised responses or add criteria to obtain the best offers.

Mandatory minimum requirements

Pursuant to NRS 333.311 a contract cannot be awarded to a response that does not comply with the requirements listed in this section. Response shall include confirmation of compliance with all mandatory minimum requirements.

Nevada Law and State indemnity. Pursuant to NRS 333.339, any contract that is entered into may not: (1) require the filing of any action or the arbitration of any dispute that arises from the contract to be instituted or heard in another state or nation; or (2) require the State to indemnify another party against liability for damages.

No Boycott of Israel. Pursuant to NRS 333.338, the State of Nevada cannot enter a contract with a company unless that company agrees for the duration of the contract not to engage in a boycott of Israel. By submitting a response, vendor agrees that if it is awarded a contract, it will not engage in a boycott of Israel as defined in NRS 333.338(3)(a).

nevadaepro.com vendor registration. Pursuant to NRS 333.313, vendor must be registered at nevadaepro.com to respond to the solicitation. Vendor information must match Nevada business license and sam.gov entity registration. Vendor information in nevadaepro.com will be used for contract formation. Email address(es) associated with general mailing address or default bid mailing address (if different from general mailing address) in nevadaepro.com will be used for formal notifications. If a vendor has a different contact name and email for negotiations, that should be indicated on the title page(s) of their response.

Nevada business license. Pursuant to NRS 353.007, prior to contract execution awarded vendor must hold a state business license pursuant to NRS chapter 76 unless exempted by NRS 76.100(7)(b). Business license must match nevadaepro.com vendor registration.

System for Award Management (sam.gov) Prior to contract award vendor must hold an active entity registration in sam.gov. Entity registration must match nevadaepro.com vendor registration.

Contract responsibility. Awarded vendor shall be the sole point of contract responsibility. The State shall look solely to the awarded vendor for the performance of all contractual obligations which may result from an award based on this solicitation, and the awarded vendor shall not be relieved for the non-performance of any or all subcontractors.

Data encryption and stateside data. State IT requires that data be encrypted in transit and in rest. State IT requires that State data assets must be maintained in the United States and data will not be held offshore.

Confidentiality and certification of indemnification

Submitted responses, which are marked confidential in their entirety, or those in which a significant portion of the submitted response is marked confidential shall not be accepted. Pursuant to NRS 333.333, only proprietary information may be labeled a trade secret as defined in NRS 600A.030(5). All proposals are confidential until the contract is awarded; at which time, both successful and unsuccessful vendor proposals become public information.

Vendors shall submit proprietary information and confidential business information in separate files, flagged as confidential in nevadaepro.com. The State shall not be responsible for any information contained within a response; responses shall be released as submitted.

By submitting a response vendor acknowledges its responsibility to act in protection of labeled information and agrees to defend and indemnify the State of Nevada for honoring such designation. Failure to so act shall constitute a complete waiver, and all submitted information shall become public information; additionally, failure to label any information that is released by the State shall constitute a complete waiver of any and all claims for damages caused by the release of the information.

Vendor certifications

Vendor understands and acknowledges that the representations within their response are material and important and shall be relied on by the State in evaluation of the response. Any vendor misrepresentations shall be treated as fraudulent concealment from the State of the true facts relating to the response.

Any and all prices that may be charged under the terms of the contract do not and shall not violate any existing federal, State, or municipal laws or regulations concerning discrimination or price fixing. Vendor agrees to indemnify, defend, and hold the State harmless from liability for any such violation.

All response terms, including prices, shall remain in effect for a minimum of 180 days after the response due date. In the case of the awarded vendor, all response terms, including prices, shall remain in effect throughout the contract term.

The price(s) and amount of this response have been arrived at independently and without consultation, communication, agreement or disclosure with or to any other contractor, vendor, or potential vendor. No attempt has been made at any time to induce any firm or person to refrain from proposing or to submit a response higher than this response, or to submit any intentionally high or noncompetitive response. All responses shall be made in good faith and without collusion.

The information included in this response has been arrived at independently and without non-public information obtained from State officials, staff, or their agents.

All employees and contractors assigned to the project are authorized to work in this country.

Vendor has a written equal opportunity policy that does not discriminate in employment practices with regard to race, color, national origin, physical condition, creed, religion, age, sex, marital status, sexual orientation, developmental disability or disability of another nature.

Vendor has a written policy regarding compliance for maintaining a drug-free workplace.

Critical items

In addition to the scope of work and attachments, the items listed in this section are critical to the success of the project. These items will be used in evaluating and scoring responses. Vendor response should address items in this section in enough detail to provide evaluators an accurate understanding of vendor capabilities. Responses that fail to sufficiently respond to these items may be considered non-responsive.

Standard form contract. The State strongly prefers vendors agree to the terms of the attached standard form contract as is. Ability to agree to contract terms is a high priority to the State. Vendors who cannot agree to the contract as is must include a redlined Word version of the attached standard form contract with their response, with comments justifying the benefit to the State for each requested change. To the extent a vendor has prior contractual dealings with the State, no assumption should be made that terms outside those provided herein have any influence on this project.

Indemnification. Required contract terms on Indemnification: "To the fullest extent permitted by law, Contractor shall indemnify, hold harmless and defend, not excluding the State’s right to participate, the State from and against all liability, claims, actions, damages, losses, and expenses, including, without limitation, reasonable attorneys’ fees and costs, arising out of any breach of the obligations of Contractor under this contract, or any alleged negligent or willful acts or omissions of Contractor, its officers, employees and agents. Contractor’s obligation to indemnify the State shall apply in all cases except for claims arising solely from the State’s own negligence or willful misconduct. Contractor waives any rights of subrogation against the State. Contractor’s duty to defend begins when the State requests defense of any claim arising from this Contract."

Limited liability. Required contract terms on Limited Liability: "The State will not waive and intends to assert available NRS Chapter 41 liability limitations in all cases. Contract liability of both parties shall not be subject to punitive damages. Damages for any State breach shall never exceed the amount of funds appropriated for payment under this Contract, but not yet paid to Contractor, for the Fiscal Year budget in existence at the time of the breach. Contractor’s tort liability shall not be limited."

Insurance schedule. The State strongly prefers vendors agree to the terms of the attached insurance schedule as is. Vendors who cannot agree must explain which areas are causing non-compliance and attach a redline if necessary. Awarded vendor shall maintain, for the duration of the contract, insurance coverages as set forth in the fully executed contract. Work on the contract shall not begin until after the awarded vendor has submitted acceptable evidence of required insurance. Failure to maintain any required insurance coverage or acceptable alternative method of insurance shall be deemed a breach of contract.

Vendor background

Provide a background, history, and why vendor is qualified to provide the services described in this solicitation. Background should include, at a minimum, the location(s) of the office(s) that would perform the work and the number of employees locally and in total. History should include, at a minimum, the number of years in business and company headquarters location. Provide a brief description of the length of time vendor has been providing services described in this solicitation to the public or private sector. If your company has worked with the State previously, include information about those engagements.

Key personnel. Provide a resume free of photos or overly stylized formatting for proposed key personnel, whether employed directly or through a subcontractor.

Current or former employees. If you employ (a) any person who is a current employee of an agency of the State of Nevada, or (b) any person who has been an employee of an agency of the State of Nevada within the past two (2) years, and if such person shall be performing or producing the services which you shall be contracted to provide under this contract, you shall disclose the identity of each such person in your response, and specify the services that each person shall be expected to perform.

Exclusions. All conditions and provisions of this solicitation are deemed to be accepted by the vendor and incorporated by reference in the response, except such conditions and provisions that the vendor expressly excludes in the response. Any exclusion shall be in writing and included in the response at the time of submission.

Subcontractors

Subcontractors are defined as a third party, not directly employed by the contractor, who shall provide services identified in this solicitation. This does not include third parties who provide support or incidental services to the contractor.

Vendor shall disclose all proposed subcontractors. Response should include a vendor information response form for each proposed subcontractor.

Vendor shall not allow any subcontractor to commence work until all insurance required of the subcontractor is provided to the vendor.

Vendor shall certify that subcontractors comply with mandatory minimum requirements except contract responsibility.

Vendor response shall identify specific requirements of the project for which each subcontractor shall perform services.

How the work of any subcontractor(s) shall be supervised How channels of communication shall be maintained How compliance with contracts terms and conditions will be assured Previous experience with subcontractor(s)

Confidential business information

The information requested in this section is designated as confidential business information by the Administrator pursuant to NRS 333.020(5)(b) and is not public information pursuant to NRS 333.333.

This information should be submitted as a separate attachment, flagged as confidential in nevadaepro.com.

Dun and Bradstreet number. Vendor shall provide their Dun and Bradstreet Number.

Financial information. Vendor shall provide the last two full years and current year interim (a) profit and loss statements and (b) balance statements.

Disclosure. Vendor shall provide complete disclosure of any alleged significant prior or ongoing contract failures, contract breaches, any civil or criminal litigation or investigations pending which involves the vendor or in which the vendor has been judged guilty or liable.

Conflict of interest. Vendor shall disclose any existing or potential conflict of interest relative to the performance of the contractual services resulting from this solicitation. Any such relationship that might be perceived or represented as a conflict shall be disclosed. By submitting a response in response to this solicitation, vendors affirm that they have not given, nor intend to give at any time hereafter, any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant or any employee or representative of same, in connection with this procurement. Any attempt to intentionally or unintentionally conceal or obfuscate a conflict of interest shall result in disqualification of a vendor response. An award shall not be made where a conflict of interest exists. The State shall determine whether a conflict of interest exists and whether it may reflect negatively on State vendor selection. The State reserves the right to disqualify any vendor on the grounds of actual or apparent conflict of interest.

Client references

Vendor shall provide reference questionnaire attachment to client references from similar projects performed for private or public sector clients within the last five years.

The single point of contact must receive at least three complete reference questionnaire documents directly from the client references via email.

The purpose of these references is to document relevant experience and aid in the evaluation process.

Reference questionnaire will not be accepted directly from proposing vendors.

Client references shall not be requested from the contracting agency.

The State will not disclose client references, but may confirm if a reference questionnaire has been received.

The State reserves the right to contact client references during evaluation or negotiations.

Submission checklist

This section identifies documents that vendors shall submit to be considered responsive. Vendors are encouraged to review all requirements to ensure all requested information is included in their response.

Responses must be submitted as a quote through nevadaepro.com.

Vendors are encouraged to submit a single file attachment per section where possible.

Technical proposal information and cost proposal information shall not be included in the same attachment.

Cost proposal attachment shall not be flagged as confidential in nevadaepro.com.

Additional attachments may be included, but are discouraged and should be kept to a minimum.

Technical proposal

Title page Table of contents Signed certification regarding lobbying Response to mandatory minimum requirements Response to critical items Response to scope of work Response to Attachment A – Technical Proposal Questions Other informational material

Proprietary information. If necessary. Attachment should be flagged confidential in nevadaepro.com.

Title page Table of contents Trade secret information, cross referenced to the technical proposal (alternatively, a redacted technical proposal and a full confidential technical proposal can be submitted)

Cost proposal

Confidential business information. Attachment should be flagged confidential in nevadaepro.com.

Other attachments. If necessary, not recommended.

Client references. Not submitted directly by vendor. To be submitted to sole point of contact on RFP.

Revised 2024-10 Page 2 of 6

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