Medicaid Population Data Review Solution

The Florida Agency for Health Care Administration (AHCA) has issued an Invitation to Negotiate (ITN) 007-24/25 for a Medicaid Population Data Review Solution, seeking a vendor to develop an advanced analytics platform for the Statewide Medicaid Managed Care (SMMC) program. The solution must provide a secure, cloud-based interactive dashboard capable of comprehensive population health analytics, including near real-time data visualization, medical and pharmacy claims analysis, emerging risk identification, provider assessment, and custom reporting capabilities. Respondents will be evaluated across ten Submission Requirement Components (SRCs), with a total possible score of 100 points using a standardized 0-5 point scale, focusing on organizational structure, dashboard development, system functionality, testing procedures, project management, operations and maintenance, and information security. The solicitation was posted on March 27, 2025, with responses due on April 24, 2025, at 2:00 p.m., and the Agency plans to select four top-ranked respondents for negotiations. The anticipated contract term is from June 16, 2025, through June 15, 2026, with potential renewals for up to three additional years, and a Notice of Intent to Award expected to be posted on June 2, 2025.

The procurement includes several important restrictions and certifications for potential vendors, specifically prohibiting managed care organizations or vendors contracted with such organizations from responding. Vendors must complete multiple certification forms, including a Vendor Certification Form demonstrating compliance with Florida state statutes, a Drug-Free Workplace Program certification, and comprehensive legal and ethical attestations. The contract will be structured as a fixed-price, unit-cost arrangement with payments made upon satisfactory completion and Agency approval of specified deliverables. Vendors must be registered with E-Verify, have not had previous contracts terminated for non-compliance, and will be subject to scrutiny regarding their commodities and labor practices. The contract is funded through Specific Appropriation 194 of the General Appropriations Act, with an estimated contract amount of $3,100,000.00 for the original term. Respondents must also provide detailed information about staff resources, implementation approach, training materials, system testing protocols, and proposed subcontractors, with a unique evaluation component involving a security rating score assessment that could impact their overall evaluation ranking.