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Ohio Department of Medicaid (ODM)·Ohio

OMDR 2627-0002 Request for Information: Community Engagement Compliance Verification

Closes 10/28/2025$500k – $5MRequest for Information
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Description

The Ohio Department of Medicaid (ODM) is seeking information on potential systems and processes to increase efficiency in Medicaid eligibility determinations and processing for Group VIII individuals. The goal is to improve the management, efficiency, frequency, and accuracy of Medicaid eligibility determinations and processing for community engagement requirements. Respondents should address topics such as verification compliance, electronic databases, workflow, staffing resources, data privacy, and security. The ideal solution should be able to be integrated into or with the existing Ohio Benefits solution and workflows without resulting in additional work activities for ODM staff. Key features to consider include user authentication, document upload, notifications, language accessibility, audit trail, fraud detection, cloud hosting, automated data exchange, and reporting analytics. • The RFI is for information and planning purposes only and does not constitute a solicitation. • The deadline for submissions is October 29, 2025. • Responses must be submitted electronically through OhioBuys. • The ODM is seeking a solution that can be integrated with the existing Ohio Benefits system. • The solution should include features such as user authentication, document upload, and notifications. • The ODM is looking for a solution that can improve the efficiency and accuracy of Medicaid eligibility determinations and processing.

Attached files

Contact

[email protected]

877-644-6771

Key dates

Opened
9/29/2025
Questions due
10/13/2025
Closes
10/28/2025

Last updated

Details

Type
Request for Information
Industry
Healthcare and Medical Services
NAICS
541512
Solicitation №
SRC0000034268

Budget estimate

$500,000 – $5,000,000

The budget for this opportunity is difficult to estimate as it is a Request for Information (RFI) and not a formal solicitation. However, based on the scope of the project, which involves designing and implementing systems and processes to increase efficiency in Medicaid eligibility determinations and processing for approximately 172,000 members, the budget could be substantial. A rough estimate could be in the range of $500,000 to $5,000,000, considering the complexity of the project and the potential cost of software, hardware, and consulting services. Factors that may influence the likely payment range include the scope of the project, the complexity of the systems and processes to be designed and implemented, and the experience and expertise of the respondent.

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