South Carolina MMIS RFI #5B

The South Carolina Department of Health and Human Services (SCDHHS) is seeking sources for performing adminstrative services for its Medicaid fee-for-service population. These services may include activities such as provider screening, enrollment, and recertification; provider servicing and education; provider call center; grievance and appeals processes for providers; claims adjudication and payment; prior approval of certain services; program integrity and fraud prevention; and pharmacy benefit management.

Interested vendors can find the RFI at the following URL:

http://www.scdhhs.gov/site-page/contract-library

and select the link "Replacement MMIS RFI #5B."

Note that there is a sister RFI (#5A) also posted that addresses a technology framework for building an information management solution for managed care operations and other analytical functions. Vendors may respond to either or both RFIs.

Instructions for responses are contained in the RFI.

Thank you for your interest in the State of South Carolina!