RFP360 SFP 2026-11 Department of Medical Assistance Services

The Virginia Office of the Attorney General is seeking qualified attorneys to provide comprehensive legal counsel and representation to the Department of Medical Assistance Services (DMAS) in its interactions with the Centers for Medicare and Medicaid Services (CMS). The work includes handling disputes over the State Plan and its amendments, preparing and submitting waiver applications, addressing any deferral, disallowance, or withholding of federal funds, and managing all required appeals before the Departmental Appeals Board and any subsequent higher‑level appeals. The contractor must be familiar with federal Medicaid regulations (45 C.F.R. Part 16) and able to deliver strategic advice, draft legal documents, and appear at hearings as needed. • Represent DMAS in CMS disputes, including State Plan and waiver matters. • Advise on and contest deferrals, disallowances, or withholding of federal Medicaid funds. • Prepare and pursue appeals before the Departmental Appeals Board and higher authorities. • Provide ongoing legal strategy and documentation throughout the contract period. • Must comply with federal appeals procedures outlined in 45 C.F.R. Part 16.