T3099 Electronic Visit Verification Management System (EVVMS) - Department of Human Services

The State of New Jersey Department of Human Services, in conjunction with the participating jurisdictions of Mercer County and Trenton City, is procuring an Electronic Visit Verification Management System (EVVMS) to track and verify visits for Medicaid beneficiaries receiving personal care services and home health care services. The EVVMS solution must utilize multiple technologies to verify service delivery, provide confirmation of authorized services, interface with the state's Medicaid Management Information System and Managed Care Systems, and comply with federal requirements. Key objectives include preventing inappropriate billing, safeguarding against fraud, improving program oversight, and enhancing the quality of services. Vendors must provide pricing on a per-transaction basis, with a pre-billing claims engine to validate claims prior to submission. Proposals are due on June 20, 2019, and the initial contract term is five years, with two one-year extension options.

This contract opportunity is not designated as a small business set-aside, but there are small business subcontracting goals of 25% of the total contract value, including at least 10% to small businesses with gross revenues not exceeding $500,000 and at least 15% to small businesses with gross revenues not exceeding $12 million. Vendors must submit a subcontractor utilization plan demonstrating their efforts to meet these goals. The state cannot provide an estimated budget for this procurement, as it will be a new Blanket Purchase Order with no incumbent vendor.