Coordinating outcomes: member pathways, advocacy, support, and stability (c. O. M. P. A. S. S. )

The Wyoming Department of Health is requesting proposals for care coordination services using a high-fidelity wraparound model for Medicaid youth under the COMPASS program (RFP 0049-N), with proposals due September 30, 2026 at 2:00 p.m. Mountain Time and written questions due September 15, 2026. The A & I Procurement Office is procuring on behalf of the Wyoming Department of Health Division of Healthcare Financing.

The scope encompasses comprehensive care coordination and support services to eligible Medicaid youth across the State of Wyoming using evidence-based wraparound methodology. The selected contractor must establish a Care Management Entity structure with Family Care Coordinators, Family Support Partners, and Youth Support Partners; maintain a Family Support Partner–to-youth ratio of 1:25; and deliver services funded through the Children's Mental Health Waiver and 1915(c) and 1915(b) waivers. The contractor must execute a Business Associate Agreement compliant with HIPAA requirements and protected health information handling standards.

Performance requirements include 99.0 percent system uptime, 24/7 toll-free member access with maximum three-minute wait times, 85 percent satisfaction on provider training, zero compliance violations, zero security incidents affecting 500 or more clients annually, tier-one provider training completion for 95 percent of providers within 30 days, and grievance and appeal resolution within 90 calendar days. Liquidated damages range from $500 to $50,000 per occurrence, with monthly damages capped at 20 percent of monthly contract fees.

Deliverables span 39 distinct items including project and transition plans, provider handbooks, referral processes, solution architecture, data migration plans, training plans, quality management documentation, and monthly, quarterly, and annual reports, due within 10 business days to 5 months of contract execution. A readiness walkthrough with Agency approval is required by June 30, 2027. The contractor must maintain insurance including $1 million commercial general liability, $1 million professional liability, $2 million cyber liability, and $1 million commercial crime coverage. All work product and source code are owned by the Agency. Submissions must be uploaded completely through the Public Purchase online bidding system in PDF, Excel, or Microsoft Office format; incomplete uploads are deemed non-responsive.