RIAG - Medicaid Fraud Control Unit - Case Management System

The Rhode Island Attorney General's Office, specifically the Medicaid Fraud Control Unit, is seeking a vendor to implement a comprehensive web-based case management system through Request for Proposal (RFP) #25005099. The procurement is focused on acquiring a sophisticated system that will track and manage investigations, support automated workflows, enable integration capabilities, facilitate centralized reporting, and provide robust document management functionality. The RFP was posted on January 29, 2025, with proposal submissions due by March 19, 2025, at 2:00 PM EDT, and includes a vendor Q&A period from January 29 to February 10, 2025. Vendors must submit separate technical and cost proposals electronically through the Ocean State Procures system. The initial contract period will commence approximately June 1, 2025, for three years, with potential for two additional 12-month renewal periods contingent upon vendor performance and funding availability. Evaluation criteria will focus on technical merit, cost, and proposed utilization of Independently Owned Small Business Enterprises (ISBE), with proposals to be reviewed by a technical evaluation committee comprising state agency staff.

The state of Rhode Island encourages participation from minority business enterprises (MBEs), women business enterprises (WBEs), and disability business enterprises (DisBEs), offering evaluation points based on proposed ISBE utilization rates. Vendors must demonstrate specific insurance coverage requirements, including $1 million general liability, workers compensation, automobile liability, $5 million in technology errors and omissions coverage, and $10 million in cyber/data breach coverage. To be eligible, vendors must register in the Ocean State Procures system and comply with all procurement guidelines. While no specific budget range was disclosed, the comprehensive nature of the case management system suggests a significant technology investment. The procurement is geographically focused on Providence County and will serve the Rhode Island Attorney General's Medicaid Fraud Control Unit, indicating a state-level technological enhancement to support investigative and administrative functions. Vendors must be prepared to provide a robust, secure, and highly functional web-based system that can effectively support the unit's complex investigative workflows and reporting requirements.