Project Information

Bid Title

MEDICAID MANAGED CARE RATE SETTING/PROGRAM ADMIN

Issuing Agency

State of West Virginia

Location

West Virginia

Published Date

Aug 16, 2026

Closing Date

Aug 25, 2026

Government Level

State & Local

Status

Closed

Ref. #

CRFP-0511-BMS2700000001-2

Original Source

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Bid Documents

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Project Description

General Information
Document ID	CRFP-0511-BMS2700000001-2
Status	Amended
Description	MEDICAID MANAGED CARE RATE SETTING/PROGRAM ADMIN
Department	DIVISION OF HUMAN SERVICES
Type	Centralized Request for Proposals (CRFP)
Issue Date	07/16/2026 12:00 AM EDT
Closing Date	08/25/2026 01:30 PM EDT
Bid Opening Date	08/25/2026 01:30 PM EDT
Last Amended	08/14/2026 12:00 AM EDT
Buyer Name	Crystal G Hustead
Buyer Email	crystal.g.hustead@wv.gov
Buyer Phone	(304) 558-2402 57504
Location	DEPARTMENT OF ADMINISTRATION, PURCHASING DIVISION, 2019 WASHINGTON ST E, CHARLESTON, WV, 25305, US

Commodity Codes
Code	Description	Extended Description
93151507	Administrative procedures or services	Lead Actuary Services $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Staff Actuary Services $_____Per Hour X 20,000 Hours Annually
93151507	Administrative procedures or services	Technical Support Staff (non-actuary) $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Clerical Support Staff $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Managed Care Program Oversight Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Managed Care Oversight Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Actuarial Services Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Financial Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Rate Setting Services (Optional) All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Lead Actuary Services $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Staff Actuary Services $_____Per Hour X 20,000 Hours Annually
93151507	Administrative procedures or services	Technical Support Staff (non-actuary) $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Clerical Support Staff $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Managed Care Program Oversight Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Managed Care Oversight Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Actuarial Services Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Financial Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Rate Setting Services (Optional) All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Lead Actuary Services $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Staff Actuary Services $_____Per Hour X 20,000 Hours Annually
93151507	Administrative procedures or services	Technical Support Staff (non-actuary) $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Clerical Support Staff $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Managed Care Program Oversight Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Managed Care Oversight Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Actuarial Services Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Financial Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Rate Setting Services (Optional) All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Lead Actuary Services $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Staff Actuary Services $_____Per Hour X 20,000 Hours Annually
93151507	Administrative procedures or services	Technical Support Staff (non-actuary) $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Clerical Support Staff $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Managed Care Program Oversight Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Managed Care Oversight Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Actuarial Services Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Financial Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Rate Setting Services (Optional) All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Lead Actuary Services $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Staff Actuary Services $_____Per Hour X 20,000 Hours Annually
93151507	Administrative procedures or services	Technical Support Staff (non-actuary) $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Clerical Support Staff $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Managed Care Program Oversight Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Managed Care Oversight Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Actuarial Services Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Financial Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Rate Setting Services (Optional) All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Lead Actuary Services $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Staff Actuary Services $_____Per Hour X 20,000 Hours Annually
93151507	Administrative procedures or services	Technical Support Staff (non-actuary) $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Clerical Support Staff $_____Per Hour X 5,000 Hours Annually
93151507	Administrative procedures or services	Managed Care Program Oversight Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Managed Care Oversight Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Actuarial Services Ad Hoc Services $____ per hour X 5,000 hours Annually
93151507	Administrative procedures or services	Financial Services Annual Cost All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)
93151507	Administrative procedures or services	Rate Setting Services (Optional) All-Inclusive Fixed Annual Amount (Inclusive of 12 Months)

Additional Information

THE STATE OF WEST VIRGINIA PURCHASING DIVISION FOR THE AGENCY, WEST VIRGINIA DEPARTMENT OF HUMAN SERVICES (DOHS), BUREAU FOR MEDICAL SERVICES (BMS), IS SOLICITING PROPOSALS TO ESTABLISH A CONTRACT FOR MEDICAID MANAGED CARE RATE SETTING, PROGRAM ADMINISTRATION, AND ACTUARIAL SERVICES PER THE ATTACHED DOCUMENTS.

***ONLINE RESPONSES ARE PROHIBITED FOR THIS SOLICITATION***

***QUESTIONS REGARDING THE SOLICITATION MUST BE SUBMITTED IN WRITING TO CRYSTAL.G.HUSTEAD@WV.GOV PRIOR TO THE QUESTION PERIOD DEADLINE CONTAINED IN THE INSTRUCTIONS TO VENDORS SUBMITTING BIDS***

Commodity Codes

• NAICS 541611Administrative Management and General Management Consulting Services

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