Actuarial Services

The State of Idaho’s Department of Health and Welfare is seeking a single actuarial consulting firm to provide comprehensive actuarial services for its Medicaid‑Managed‑Care programs, including sound‑ness testing, capitation‑rate development, budget‑impact modeling, policy‑support, training, and ongoing reporting. The effort will span a one‑year initial term with the possibility of renewal up to five years, and the contractor will be responsible for delivering monthly tracking reports, quarterly dashboards, annual rate certifications, and a suite of stakeholder‑training sessions. • Core deliverables: actuarial soundness testing, development and certification of capitation rates for MMCP and IMPlus, mid‑year adjustments, state‑directed payment design, quarterly analytics dashboards, and annual budget‑impact models. • Required outputs: monthly deliverable/decision‑tracking reports, quarterly dashboards (first due within six months), annual draft and final rate certifications (90 days before certification year), and up to 24 virtual CMS meetings, 5 legislative briefings, and 2 in‑person training days per year. • Contract value: $2.2 million annual appropriation; pricing is hourly, fully‑burdened rates submitted in an Excel schedule, with the IPRO cost entry set to $0.01.