Medicaid data analytics, reporting, and processing options for State consideration

The State of Nebraska, Department of Health and Human Services, Division of Medicaid and Long-Term Care (MLTC), is issuing a Request for Information (RFI) to identify potential vendors for a comprehensive Medicaid data analytics, reporting, and processing solution. The RFI seeks to replace the current Data Management and Analytics (DMA) system, with a focus on modular Commercial off-the-Shelf (COTS) solutions that can support key functions including Program Integrity Case Management (PICM), Enterprise Data Warehouse (EDW), encounter claims processing, and advanced data analytics capabilities. The state expects approximately 15 PICM users and processes 1-1.5 million encounter claims monthly. Vendors are required to demonstrate capabilities in areas such as T-MSIS reporting, integration with existing systems, operational support, and organizational change management. The RFI specifically requests detailed information about vendors' solutions, including pricing structures, service capabilities, and experience with government healthcare data systems. The response deadline is June 6, 2024, at 1:59 p.m. Central Time, with 25 companies having submitted responses, including notable firms like Alivia Analytics, Conduent, Databricks, and Deloitte Consulting.

The RFI does not specify any specific set-aside designations or restrictions on respondent types, and the current contract for these services is identified as number 78047 O4. The existing system does not currently utilize external analytics solutions or integrate with the State's Health Information Exchange or other external data sources, presenting an opportunity for vendor innovation. The state is open to both standalone and bundled capability proposals, with a particular interest in advanced analytics and artificial intelligence capabilities. While specific budget information is not disclosed, the RFI requests vendors to provide detailed pricing information including service fees, licensing, maintenance, and implementation costs. The current procurement is an informational request and does not commit the state to issuing a solicitation or awarding a contract. Vendors are expected to provide comprehensive organizational overviews, demonstrate experience with similar government healthcare projects, and outline their technical approach to meeting the state's data management and analytics requirements.