Hospital-Determined Presumptive Eligibility RFA

The State of Massachusetts has issued a Request for Applications (RFA) for a "Hospital-Determined Presumptive Eligibility" program. This program is seeking qualified organizations to assist hospitals in determining temporary Medicaid eligibility for patients based on presumed financial and medical information. The key objectives are to expand access to Medicaid services, streamline the enrollment process, and improve health outcomes. Eligible applicants must demonstrate expertise in Medicaid eligibility determinations, have existing relationships with hospitals, and the ability to provide training and technical assistance to hospital staff. Evaluation criteria will focus on the applicant's approach, capacity, and ability to meet program goals. The RFA was posted on May 22, 2014 and responses are due by June 30, 2099.

This RFA does not appear to have any set-aside designations or restrictions on the types of organizations that can respond. The State has provided several supporting documents, including an amended version of the RFA, training instructions, and questions and answers. No information was provided about incumbent vendors or existing infrastructure requirements. The total award value or budget range was also not specified in the materials.