RFP 30-2025-003-DHB North Carolina Physician Upper Payment Limit
| Location: | North Carolina |
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| Posted: | Apr 11, 2025 |
| Due: | May 29, 2025 |
| Agency: | State Government of North Carolina |
| Type of Government: | State & Local |
| Category: |
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| Solicitation No: | Doc1534270485 |
| Publication URL: | To access bid details, please log in. |
| Solicitation Number: | Doc1534270485 |
| Project Title: | RFP 30-2025-003-DHB North Carolina Physician Upper Payment Limit |
| Description: | The North Carolina Department of Health and Human Services (NCDHHS or Department), Division of Health Benefits (DHB), seeks to procure an experienced qualified partner to provide services for the preparation of a model to perform quarterly supplemental payment calculations using an Average Commercial Rate (ACR) to establish the maximum Medicaid payment amount. The selected Vendor will facilitate the preparation and development of (i) an annual Average Commercial Rate (ACR) calculation, (ii) a model to calculate supplemental and state-directed payments for the prescribed time periods, and (iii) annual demonstration reports. In addition, the Vendor will support the development and continued execution of the Department’s physician supplemental payment program, ensuring its ongoing compliance with evolving federal methodological guidelines, the North Carolina State Plan, and other eligibility rules. |
| Opening Date: | 5/29/2025 3:00 PM |
| Posted Date: | 4/12/2025 |
| Status: | Open |
| Department: | DEPARTMENT OF HEALTH AND HUMAN SERVICES - DHHS |
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Solicitation Number
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Doc1534270485
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Department
DEPARTMENT OF HEALTH AND HUMAN SERVICES - DHHS
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Status Reason
Open
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Opening Date
2025-05-29T15:00:00.0000000
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Posted Date
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2025-04-11T16:03:27.0000000Z
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Commodity Code
Comprehensive health services
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Mandatory Conference/Site Visit
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Special Instructions
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Description
The North Carolina Department of Health and Human Services (NCDHHS or Department), Division of Health Benefits (DHB), seeks to procure an experienced qualified partner to provide services for the preparation of a model to perform quarterly supplemental payment calculations using an Average Commercial Rate (ACR) to establish the maximum Medicaid payment amount. The selected Vendor will facilitate the preparation and development of (i) an annual Average Commercial Rate (ACR) calculation, (ii) a model to calculate supplemental and state-directed payments for the prescribed time periods, and (iii) annual demonstration reports. In addition, the Vendor will support the development and continued execution of the Department’s physician supplemental payment program, ensuring its ongoing compliance with evolving federal methodological guidelines, the North Carolina State Plan, and other eligibility rules.
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* Disclaimer: Information regarding bids, requests for proposals (RFPs), or requests for qualifications (RFQs) is provided on this website only for convenience and does not constitute official public notice. Persons wishing to respond to or inquire about bids, RFPs, or RFQs should contact the appropriate government department.