Specialized Services and Advisors

The Missouri Department of Mental Health, Division of Developmental Disabilities, is procuring specialized services and advisory support for Fast Healthcare Interoperability Resources (FHIR) implementation through a single feasible source purchase, with proposals due September 30, 2026. EMI Advisors, LLC has been identified as the sole feasible source under RSMo 34.044.

The scope encompasses eLTSS (electronic Long-Term Services and Supports) production maintenance and operations, Person-Centered Service Plan (PCSP) Application sustainment and release management, data transparency and dashboard development, PCSP digitization and provider expansion, IT modernization alignment, and project governance and stakeholder engagement. Missouri operates the nation's first statewide production implementation of the HL7 eLTSS FHIR Implementation Guide, comprising a State FHIR server hosted by OA-ITSD, the PCSP Application used by State Support Coordinators, and live production interfaces with four Health Information Networks in Missouri. EMI designed and built these specialized systems and possesses the only statewide production implementation experience with the governing standard, making the services available exclusively from this vendor to ensure continuity and technical expertise in an emerging standard still maturing in real-world application.

The contract term runs through September 30, 2027, with three optional one-year renewal periods available. The requisition is RTMH2700005 (SFS No. STATE 0000000588SL). Questions and inquiries should be directed to Julie Kleffner at the Office of Administration (Julie.Kleffner@oa.mo.gov or purchmail@oa.mo.gov, 573-751-1689).