Rural Health-Medicaid Primary Accountable Care Transformation (PACT)
Closed State & local contract opportunity Posted
- Solicitation number
- 26RFP-27-09RHT-026
- State
- South Dakota
- Responses due
Opportunity facts
- Jurisdiction
- NIGP codes
- UNSPSC codes
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- 85101706 Traditional healthcare services
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Opportunity details come from postingboard.esmsolutions.com. Updated .
About this opportunity
The South Dakota Department of Social Services, Division of Medical Services, is requesting proposals for procurement and implementation of a Case Management Tool to support the Medicaid Primary Accountable Care Transformation (PACT) program under RFP #27-09RHT-026, with proposals due October 2, 2026 at 11:59 p.m. CST. Funding is contingent on South Dakota Legislature spending approval of Rural Health Transformation grant funds, with 100 percent funding from the Centers for Medicare and Medicaid Services.
The tool will support care coordinators, case managers, and clinical teams delivering coordinated, person-centered services for South Dakota Medicaid members and justice-involved youth eligible under section 5121, CAA 2023 for targeted case management referrals. The solution must integrate with care delivery workflows across primary care clinics, Rural Health Clinics, Federally Qualified Health Centers, and Tribal partners statewide.
The vendor must comply with mandatory functional, technical, and security requirements including HIPAA compliance, NIST SP 800-53 Rev. 5 Moderate baseline controls, and CMS Acceptable Risk Safeguards. The tool must support low-bandwidth environments, provide 99.9 percent monthly uptime excluding scheduled maintenance, and maintain full audit logging for a minimum of six years. The vendor questionnaire requires detailed responses covering system architecture, identity and access management via OIDC or OAuth, disaster recovery planning, patch management, Web Application Vulnerability Scanning permissions, and compliance with South Dakota data privacy law. Cyber liability insurance of $3 million is required and must be maintained for three years after project completion.
The contract will be issued for two years with options for up to two one-year renewals, with potential for additional option years. Proposals must organize costs by project phase reflecting Agile/SAFe methodology and include all third-party software licenses the State will pay. Written inquiries are due September 17, 2026. The State anticipates an award decision by October 30, 2026. A Letter of Intent was due September 17, 2026.
Opportunity text
1.1.1 Background: The State of South Dakota Department of Social Services (DSS), Division of Medical Services (DMS), is committed to transforming rural healthcare through the Rural Health Transformation (RHT) initiative - a statewide effort focused on strengthening rural, Tribal and frontier healthcare systems and improving access to quality care through digital health modernization and coordinated care delivery across South Dakota.
1.1.2 Goals and Objectives: Central to this initiative is the Medicaid Primary Accountable Care Transformation (PACT) program that promotes shared accountability for cost, quality and health outcomes among Medicaid enrolled primary care clinics, Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs) and Tribal partners and to build a more resilient, connected, and sustainable rural health system for communities across the state.
1.1.3 Description of Components or Phases: To operationalize the Medicaid Primary Accountable Care Transformation (PACT) model, The State of South Dakota is issuing this Request for Proposal (RFP) to solicit proposals from qualified vendor(s) or offeror(s) for the procurement and implementation of a Case Management Tool. This tool will provide a core technology capability that supports care coordinators, case managers, and clinical teams in delivering coordinated, person-centered services for applicable South Dakota Medicaid members. It will also be utilized for juveniles eligible under section 5121, CAA 2023 for up to 90 days of targeted case management and referrals to community-based care and services.
1.1.4 Scope of Components or Phases: See Section 3 - Scope of Work for more details.
Offerors may email inquiries concerning this RFP to obtain clarification of requirements. No inquiries will be accepted after the date and time indicated in the Schedule of Activities. Inquiries must be emailed to Kirsten Blachford at Kirsten.Blachford@state.sd.us with the subject line "RFP # 27-09RHT-026".
The State will to respond to offeror's inquiries (if required) via e-mail. In addition, all inquiries and the State's response will be posted on the state's e-procurement system. Offerors may not rely on any other statements, either of a written or oral nature, that alter any specification or other term or condition of this RFP. Offerors will be notified in the same manner as indicated above regarding any modifications to this RFP.
Respondents are encouraged to carefully review the RFP in its entirety before submitting questions. Questions should be limited to those necessary to clarify the requirements of the RFP or information needed to prepare a responsive proposal.
Respondents should avoid submitting duplicative, hypothetical, overly broad, or excessive questions. Questions that can be answered through a reasonable review of the RFP and its attachments should not be submitted.
The State also discourages the submission of bulk or automatically generated questions, including questions produced through artificial intelligence (AI) tools without meaningful respondent review. Respondents are expected to review, consolidate, and prioritize questions prior to submission to ensure each question is specific, relevant, and necessary to clarify the RFP requirements.
Files
| File | Type | Posted |
|---|---|---|
| Response to Offeror Questions document.pdf | ||
| Addendum 1-Update to Response to Offeror Questions document.pdf | ||
| Addendum 1.pdf | ||
| Attachment C BIT Security and Vendor Questions v3.3 Production.docx | DOCX document | |
| RFP Document.pdf |
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