Patient Centered Medical Home (PCMH) Recognition Program

The Tennessee Department of Finance and Administration, Division of TennCare, has issued a Request for Information (RFI) for the Patient Centered Medical Home (PCMH) Recognition Program, targeting vendors with expertise in assessing and recognizing primary care organizations. The procurement seeks a vendor to support the current PCMH program, which encompasses eighty-one organizations, four hundred and ninety-two sites, and approximately six hundred and fifty thousand attributed members representing 45% of TennCare members. Key deliverables include a comprehensive technical assessment process for recognizing primary care organizations under the PCMH model, with objectives of improving healthcare quality, enhancing patient experience, and reducing costs. The RFI requires potential vendors to demonstrate extensive experience in PCMH recognition, including details about their recognition process, reviewer credentials, previous work with Medicaid plans, and capability to support accreditation for at least 82 organizations and 500 sites. The solicitation was posted on April 11, 2025, with responses due by May 1, 2025, and specifically targets vendors who can provide a robust evaluation framework for primary care organizations.

The RFI does not explicitly outline set-aside designations or restrictions on respondent organizations. The document emphasizes that responding to the RFI does not create any contract rights and is not a prerequisite for future solicitations. Vendors will not be expected to incur costs associated with responding, and all responses will be kept confidential until the completion of any subsequent procurement evaluation process. While no specific budget range is mentioned, the current program's scale suggests a significant potential contract value. The procurement appears open to various types of healthcare consulting and assessment organizations with demonstrated expertise in PCMH recognition. The current program's infrastructure involves tracking and recognizing primary care organizations across Tennessee, with a particular focus on the TennCare Medicaid population. Potential vendors should be prepared to demonstrate comprehensive capabilities in healthcare organization assessment, quality improvement methodologies, and experience working with large-scale healthcare systems.