INDEPENDENT VERIFICATION & VALIDATION
- The South Carolina Department of Health and Human Services (SCDHHS) is soliciting Third Party Consulting Services through a fixed-price bid for the Replacement-MMIS (RMMIS) Program. The procurement seeks qualified consultants to assess financial management, operational management, and knowledge management of SCDHHS projects, with services to be defined through individual Statements of Work (SOW). Contractors must provide management reports with recommendations to improve project performance,...
- The South Carolina Department of Health and Human Services (SCDHHS) is seeking Medicaid Data Consulting Services through a fixed-price bid solicitation to establish a pool of qualified consultants for data analysis and research. The procurement aims to support Medicaid program goals by identifying and analyzing Medicaid trends, developing algorithms, and presenting data to enhance program usability. Two labor categories are defined: Data Science Consultant and Policy Research Consultant, each...
- The South Carolina Department of Health and Human Services (SCDHHS) is conducting a Fixed Price Bid (FPB) solicitation for Agile Team Support services related to the Medicaid Enterprise System (MES) development within Richland County. The procurement seeks to contract with one or more vendors to provide comprehensive agile development teams consisting of specialized roles including Scrum Masters, Product Owners, Lead Developers, Developers, Quality Assurance Analysts/Testers, Solutions...
- The South Carolina Department of Health and Human Services (SCDHHS) is seeking one or more vendors to provide agile development team support for the Medicaid Enterprise System (MES) Development and Replacement Medicaid Management Information System (RMMIS) initiative. The procurement seeks a minimum of two and up to fourteen complete agile development teams, with each team consisting of five team members plus a shared Scrum Master. Required team roles include Product Owner, Lead Developer,...
- The South Carolina Department of Health and Human Services (SCDHHS) is soliciting proposals for Medicaid Eligibility Operations Services through Request for Proposal (RFP) #5400021745. The procurement seeks a contractor to provide comprehensive data entry and outbound call center services for Medicaid applications and reviews, with core services including account management, implementation, information security, data entry, and call center operations. Contractors must key documents within five...
- The South Carolina Department of Health and Human Services (SCDHHS) is procuring an Electronic Visit Verification (EVV) system through a Request for Proposal (RFP) solicitation issued by the State Fiscal Accountability Authority. The procurement seeks a qualified vendor to provide a comprehensive EVV system and data aggregator to manage and track home and community-based services for Medicaid beneficiaries. The contract will support eight HCBS waivers, two State Plan children's programs, and the...
- The South Carolina Department of Health and Human Services (SCDHHS) is seeking a comprehensive hosting, infrastructure, and operations and enhancements (O&E) contract for the Medicaid Member Management System (MMS), which serves approximately 1.2 million Medicaid beneficiaries. The solicitation requires vendors with demonstrated expertise in IBM Curam software framework to provide end-to-end services including data center hosting, daily system operations, maintenance, disaster recovery...
- The State of South Carolina Department of Health and Human Services (SCDHHS) is seeking a contractor to provide a comprehensive Asset Verification System (AVS) for Medicaid eligibility verification, specifically targeting Aged, Blind, and Disabled aid categories. The solicitation requires a secure, internet-based portal capable of processing approximately 14,000 monthly transactions across a network of over 35,000 financial institutions nationwide, in compliance with Section 1940 of the Social...
- The South Carolina Department of Health and Human Services (SCDHHS) is seeking a qualified External Quality Review Organization (EQRO) to conduct comprehensive quality reviews for Medicaid Managed Care Organizations (MCOs), Integrated Managed Care Plans, and the Medically Complex Children (MCC) Waiver entity in Richland County. The primary responsibilities include performing readiness reviews for new health plans, conducting annual comprehensive reviews of existing MCOs, validating Performance...
- The South Carolina Department of Health and Human Services (SCDHHS) is procuring comprehensive Financial Management Services (FMS) for in-home Medicaid providers participating in home and community-based waiver programs. The primary objectives include processing payments to providers, managing employer identification numbers, withholding and disbursing taxes, coordinating with the Phoenix case management system, and operating a customer support help desk. Key deliverables include bi-weekly...
The South Carolina Department of Health and Human Services (SCDHHS) is procuring Independent Verification and Validation (IV&V) services for its Medicaid Management Information System (MMIS), Medicaid Eligibility and Enrollment (E&E), and Medicaid Enterprise System (MES) programs. The solicitation seeks a full-service IV&V team composed of five labor categories: IV&V Manager, Senior Business Analyst, Business Analyst, Technical Analyst, and support staff, with team composition varying based on SCDHHS needs. Qualified offerors must demonstrate five years of MMIS IV&V experience, including successful management of at least one full-phase IV&V assessment in a state within the past five years. Key deliverables include comprehensive verification and validation services to support system implementations, with services required to comply fully with 45 CFR 95.626. The procurement timeline included a non-mandatory pre-bid conference on September 28, 2022, with written questions due by 5:00 PM EST that same day. Offers were due online by October 14, 2022, at 11:00 AM EST, with an initial contract award anticipated for November 1, 2022, and a contract start date of November 15, 2022. The initial contract term is one year, with four additional one-year renewal options available, creating a potential maximum contract period of five years. The solicitation does not specify explicit set-aside designations for disadvantaged enterprises, though minority participation information is required as part of the submission. Offerors must submit comprehensive documentation including a signed Cover Page, certificate of insurance, organizational conflict of interest disclosure, HIPAA Business Associate Agreement, debarment certification, and Service Provider Security Assessment Questionnaire. Insurance requirements are substantial, including Commercial General Liability of at least $1,000,000 per occurrence, Errors and Omissions insurance of $5,000,000 per claim with $10,000,000 aggregate, Worker's Compensation coverage, and Auto Liability coverage of $1,000,000 per accident. The procurement allows for multiple contract awards, with maximum computed allowable hourly rates established for each labor category: IV&V Manager at $208.00, Senior Business Analyst at $189.00, Business Analyst at $171.00, and Technical Analyst at $171.00. While specific total contract value is not explicitly stated, the comprehensive requirements and multi-year potential suggest a significant investment in modernizing South Carolina's Medicaid information systems.
Name | Description | Size | Type | Posted |
|---|---|---|---|---|
ATTM 005 ORGANIZATION COI.docx | 26KB | Document | 11/20/25 | |
ATTM 001.pdf | 143KB | 11/20/25 | ||
ATTM 008 SPSAQ.docx | 26KB | Document | 11/20/25 | |
ATTM 006.pdf | 134KB | 11/20/25 | ||
ATTM 003 CERTIFICATION.docx | 30KB | Document | 11/20/25 |