Justification and Approval - Limited Sources - Medicaid CER Redacted Copy_Redacted.pdf

This is a Federal Supply Schedule Limited-Sources Justification document for a GSA task order award to Skylight Inc. for Medicaid Community Engagement Requirements State Technical Assistance Support.

The acquisition is a new requirement under the Centers for Medicare and Medicaid Services (CMS), Office of the Administrator, funded through One Big Beautiful Bill Act (OBBBA) funding. The contract is structured as a Time and Materials engagement with a base period from February 1, 2026 through January 31, 2027, followed by a one-year option period extending through January 31, 2028. The work will be performed under GSA Schedule Contract Number 47QTCA18D00D0, Special Item Number 54151S and Order Level Materials (OLMs). The justification supports a sole-source award to Skylight Inc., located in Sarasota, Florida (UEI: F1QZXZNLZJF2), citing unusual and compelling urgency and program criticality.

The scope involves providing targeted, outcome-driven Technical Assistance and product development services to support CMS and state partners in implementing community engagement requirements for adult Medicaid enrollees as mandated by the Working Families Tax Cut legislation, with a December 31, 2026 compliance deadline. The base period focuses on discovery and targeted state support, with Phase 2 scaling state support, while the option period provides ongoing support for states with approved waivers. The justification emphasizes that Skylight's rare combination of capabilities—including proven rapid deployment experience (Telehealth.HHS.gov development), specialized CMS/Medicaid expertise with MACBIS and CMCS portfolio management, and existing partnerships with pilot states (Louisiana, Pennsylvania, District of Columbia, Massachusetts)—makes them uniquely qualified. The document indicates this effort impacts over 70 million Medicaid enrollees and identifies significant risk if the compliance deadline is missed, including loss of federal funding and inability to serve eligible beneficiaries.