State Medicaid Data Analytics & Oversight Solution

The Pennsylvania Department of Human Services, Bureau of Procurement & Contract Management is issuing a Request for Information on Medicaid data analytics and oversight solutions, with responses due November 13, 2026 at 12:00 p.m. This is an RFI for planning and information-gathering purposes only and does not constitute a solicitation, procurement action, or guarantee of payment; the Department will not award agreements based on responses, will not notify respondents of results, and will not return submissions.

The Department seeks input on analytical methodologies, technologies, and strategies to transform existing Medicaid data into actionable insights that improve transparency within Pennsylvania's Medicaid managed care delivery system and strengthen evidence-based rate-setting decisions. The scope encompasses examination of relationships among Managed Care Organizations, county Primary Contractors, affiliated entities, subcontractors, providers, vendors, service brokers, and other participants in the Medicaid managed care delivery system, with particular focus on Applied Behavior Analysis, Pharmacy Services, Long-Term Care, and Home and Community-Based Services.

Respondents may address all or any specific questions or topics. Responses are limited to 10 pages (excluding cover letter and attachments), prepared in 12-point font using straightforward and concise language. Respondents must not include confidential or proprietary information and must disclose any actual or potential conflicts of interest arising from relationships with Medicaid entities. The Department retains ownership of all data, materials, and documentation submitted, and responses will become public information. The Department may use gathered information to develop future procurement documents but provides no guarantee of doing so.

Responses must be submitted electronically to RA-PWRFICOMMENTS@PA.GOV. Administrative questions may be submitted during the response period, with answers posted on the Pennsylvania eMarketplace at http://www.emarketplace.state.pa.us.