MEDICAID MANAGED CARE RATE SETTING/PROGRAM ADMIN

Location:	West Virginia
Posted:	Aug 20, 2026
Due:	Sep 9, 2026
Agency:	State of West Virginia
Type of Government:	State & Local
Category:	D - Automatic Data Processing and Telecommunication Services
Solicitation No:	CRFP-0511-BMS2700000001-3
Publication URL:	To access bid details, please log in.

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***