Medicaid Medical Frailty Determination Services

Posted on 8/6/2026. Inquiry Deadline: 8/13/2026. Responses deadline: 8/20/2026. The Department is conducting market research to better understand the capabilities of organizations that may be able to provide independent medical frailty determination services for Medicaid members requesting a specified exclusion based on medical frailty from the Medicaid Community Engagement requirements that are necessary to comply with the newly enacted federal requirements introduced under H.R.1. Vendors responding to this RFI should be familiar with applicable provisions of Public Law 119-21, CMS-2454-IFC, and 42 CFR Part 435 governing community engagement requirements, specified exclusions, verification requirements, program integrity expectations, and medical frailty determinations. ONLINE INQUIRIES AND RESPONSES THROUGH THE VSS SYSTEM WILL NOT BE ACCEPTED OR RESPONDED TO BY THE DEPARTMENT.