PICM Intent to award Final.docx

This document is a Solicitation Notice of Intent to Award from the State of Nebraska, specifically for the Department of Health and Human Services (DHHS), relating to the Program Integrity Case Management (PICM) and Fraud Abuse Analysis and Detection (FAD) System. The solicitation (RFP 122125) was originally opened on July 10, 2025, with an intent to award posting date of August 19, 2025. The state intends to award the contract to Alivia Analytics, seeking a comprehensive cloud-based, modular software solution to replace the current Medicaid program case management system. The procurement aims to support fraud detection, case management, advanced analytics, and predictive modeling for approximately 340,000 Medicaid recipients, with an expected implementation date no later than October 31, 2026.

The contract will have an initial five-year term with options to renew for two additional two-year periods. While the specific total contract value is not disclosed, the state will allocate up to 500 vendor hours annually for system modifications at no additional cost. The solution must integrate with existing state systems like the Medicaid Management Information System (MMIS) and Nebraska Family Online Client User System (N-FOCUS), and meet rigorous security requirements including TLS encryption, AES-256 data protection, role-based access control, and HIPAA compliance. The project is eligible for enhanced federal financial participation (FFP), and the vendor will be responsible for supporting CMS certification, data migration, training, and ongoing maintenance and support. Evaluation criteria included Corporate Overview (25 points), Technical Response (60 points), and Cost Sheet (15 points), with a potential total of 100-120 points.