Description
The State of South Carolina seeks a single contractor to provide comprehensive coordination services for its Non‑Emergency Medical Transportation (NEMT) program, covering Medicaid‑eligible members statewide. The contractor will manage eligibility verification, member outreach, provider network development, scheduling, dispatch, payment processing, quality‑improvement, complaint handling, and related IT systems (web portal and mobile app) under a capitation‑based payment model. The award will be a firm‑fixed‑price contract with a three‑year base term and two optional one‑year renewals, and the solicitation includes a mandatory technical demonstration for up‑to‑three shortlisted firms.
• Core duties: member eligibility, call‑center operations, provider credentialing, network development, trip scheduling/dispatch, and data reporting.
• Required certifications: HIPAA BAA, debarment & conflict‑of‑interest disclosures, SPSAQ (if AI/ML is used), and a detailed experience table.
• Evaluation focuses on technical approach (1,000 points), demonstration (200 points), qualifications (250 points), and rate methodology (pass/fail).