PICM Intent to award Final.docx

The document is a Solicitation Notice of Intent to Award from the State of Nebraska, specifically for the Department of Health and Human Services (DHHS), concerning the Program Integrity Case Management (PICM) and Fraud Abuse Analysis and Detection (FAD) System. The State intends to award the contract to Alivia Analytics through Solicitation Number RFP 122125, with the opening date set for July 10, 2025, and the intent to award posting date of August 19, 2025. The procurement seeks a cloud-based, modular software solution to replace the current Medicaid program case management system, supporting fraud detection, case management, advanced analytics, and predictive modeling for approximately 340,000 Medicaid recipients.

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