MEDICAID MANAGED CARE RATE SETTING/PROGRAM ADMIN

Agency: State of West Virginia
State: West Virginia
Type of Government: State & Local
NAICS Category:
  • 541611 - Administrative Management and General Management Consulting Services
Posted Date: Aug 20, 2026
Due Date: Sep 9, 2026
Solicitation No: CRFP-0511-BMS2700000001-3
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Description

General Information
Document ID CRFP-0511-BMS2700000001-3
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 09/09/2026 01:30 PM EDT
Bid Opening Date 09/09/2026 01:30 PM EDT
Last Amended 08/20/2026 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***

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