RFP Sourcing Event - Asset Verification Services - AVS

The North Carolina Department of Health and Human Services (NCDHHS), Division of Health Benefits (DHB) is seeking a comprehensive cloud-based Asset Verification System (AVS) through a Request for Proposal (RFP) to support Medicaid eligibility determinations. The procurement aims to electronically obtain and verify financial assets for Aged, Blind, and Disabled (ABD) Medicaid applicants and beneficiaries, with an anticipated volume of approximately 500,000 asset verification requests annually. The selected vendor will be responsible for implementing a system that can integrate with North Carolina's Families Accessing Services through Technology (NC FAST) system, establish and manage a network of financial institutions, and provide monthly reporting. The RFP requires a fixed-price solution that includes implementation costs, operational and maintenance fees, and search request pricing. Proposals are due on June 20, 2025, at 2:00 p.m. EST, with an estimated contract award date of October 17, 2025. The initial contract term is three years, with options to extend for two additional one-year periods. Evaluation criteria will assess the vendor's ability to meet technical requirements, compliance with federal and state privacy and security standards, and alignment with Medicaid enterprise architecture specifications.

The RFP does not explicitly mention set-aside designations or restrictions for specific types of enterprises. The system must comply with Centers for Medicare & Medicaid Services (CMS) certification requirements and may be eligible for enhanced federal funding participation. Funding for the project is subject to state and federal appropriations, and the state reserves the right to negotiate with vendors and potentially make partial or multiple awards. While specific budget ranges are not detailed in the provided documentation, the scope suggests a significant investment in a comprehensive asset verification solution. The system must handle sensitive financial data and integrate with existing technological infrastructure, indicating a need for vendors with robust technical capabilities and experience in government healthcare technology solutions. The procurement represents a strategic initiative to promote eligibility integrity and reduce fraud, waste, and abuse in the Medicaid program by implementing a sophisticated asset verification mechanism.