G008--402-26-2-7290-0007 VA Maine Medicaid Application Service Contract to Include option years (VA-26-00025267)

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1 is soliciting quotations for comprehensive Medicaid application assistance services for eligible veterans and their caregivers across the New England region. The contractor must provide Medicaid application completion services for long-term care and community-based programs, including PACE programs, Frail Elder Services, Adult Day Healthcare, and Group Foster Homes, with service delivery requirements including meeting patients at bedside or virtually within 48 hours for inpatient referrals and 7 days for outpatient referrals, submitting completed applications within 72 hours of receiving signed referrals, and proactively following up with Medicaid offices until eligibility determination. Contractor qualifications must include significant knowledge of Medicaid processes across New England states, demonstrated ability to work with vulnerable populations, capacity to manage multiple concurrent cases, and availability 7 a.m. to 8 p.m. daily, seven days per week, excluding federal holidays, with responsibility for all required transportation between VA sites, Medicaid offices, and community locations. Quotations will be evaluated on three primary criteria: technical capability and quality (including corporate experience, quality control plans, and subcontractor information), past performance (three references of similar scope and size with detailed contract information), and price. The revised deadline for quote submission is April 13, 2026 at 1:00 p.m. Eastern Time, with questions due by April 3, 2026 at 3:00 p.m. Eastern Time, as extended by Amendment 0001 from the original April 3, 2026 deadline.

This procurement is designated as a 100% Total Small Business set-aside under NAICS code 524298 (All Other Insurance Related Activities) with a $31 million small business size standard, with no identified incumbent contractor. The contract will be structured as firm-fixed price with a one-year base period and four optional one-year periods, effective from award through September 2026. The primary place of performance is the VA Maine Healthcare System's Togus Campus in Augusta, Maine, with additional service delivery occurring virtually and at community locations throughout the New England region serving Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, and Connecticut. All prospective vendors must be registered in SAM.gov and VetCert databases prior to award, and vendors claiming small business status under the Veteran's First Contracting Program must be verified and certified by the Small Business Administration as a Small Business, Veteran Owned Small Business, or Service Disabled Veteran Owned Small Business. The Contract Specialist for this procurement is Jessica Martin, reachable at Jessica.Martin11@va.gov or 210-857-5688, and quotations should be submitted to her email address with all required supporting documentation including pricing on the provided Price/Cost Schedule.