RFP - Medicaid Coverage Services

This solicitation seeks a qualified vendor to provide Medicaid coverage services for Monroe County. The work likely involves administering Medicaid eligibility, enrollment, claims processing, and possibly coordination of benefits with state Medicaid agencies. The contractor must demonstrate experience in health‑care program management, compliance with federal and state regulations, and the ability to deliver services efficiently and cost‑effectively. • Administer Medicaid eligibility determinations and enrollment processing. • Manage claims adjudication, payment processing, and reporting. • Ensure regulatory compliance and liaise with state Medicaid authorities. • Provide data analytics, performance reporting, and continuous improvement recommendations. • Offer customer service support to beneficiaries and providers.