MyCare Consulting Services

The Ohio Department of Medicaid (ODM) is soliciting consulting services through a Quick Quote to support the expansion of the Next Generation MyCare Ohio program statewide. The procurement seeks vendors capable of providing consultant services, program management, and technical assistance, with a specific focus on design, planning, transition activities, and implementation support. Key deliverables include federal waiver negotiations, managed care program development for Dual Eligible Special Needs Plans (D-SNP), conducting readiness reviews for new managed care plans, developing project management tools, and providing technical assistance for children and youth with complex behavioral health needs. The statement of work requires vendors to support ODM's innovative managed care delivery system, particularly emphasizing the OhioRISE program for children with multi-system challenges. Critical procurement dates include a solicitation release on March 7, 2025, a Q&A period closing March 21, 2025, and a proposal submission deadline of March 28, 2025, at 4:00 PM local time in Columbus. Vendor compensation will be based on a rate card determined by project personnel role and experience level, with invoicing permitted upon completion of specific deliverables.

The procurement includes a significant Minority Business Enterprise (MBE) participation requirement, with a 15% MBE holdback mandating that contractors demonstrate 15% of invoice amounts are paid to certified MBE subcontractors. The contract is structured for an initial term from July 1, 2025, through June 30, 2026, with options to renew for three additional one-year terms. While specific budget ranges are not explicitly detailed, the contract is contingent upon state funding appropriations and may be terminated if funding ceases. The procurement targets improving healthcare coverage for Ohio's 3.3 million Medicaid recipients and appears open to consulting firms with expertise in healthcare program management, federal waiver negotiations, and specialized support for youth with complex behavioral health needs. Potential vendors must demonstrate compliance with various state and federal regulations, including civil rights laws, ethics requirements, and confidentiality provisions, particularly regarding protected health information. The contract template suggests a comprehensive evaluation process that will assess vendor qualifications, technical expertise, and ability to meet the complex programmatic objectives of the Next Generation MyCare Ohio initiative.