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Commonwealth of Kentucky, Cabinet for Health and Family Services (CHFS)·Kentucky

Financial Mgmt. for PDS in 1915(c)HCBS Waiver Programs C5684

Closes 12/9/2026$50M – $200MRequest for Proposal
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Description

The Commonwealth of Kentucky, through its Cabinet for Health and Family Services, is seeking a single vendor to provide comprehensive Financial Management Services (FMS) for participants who self‑direct services under five 1915(c) HCBS waiver programs. The vendor will handle payroll, electronic visit verification integration, background‑check processing, tax reporting, benefits administration, and regular reporting to participants, case managers, and the Department for Medicaid Services. Services must be statewide, support current and future participants, and meet strict compliance, security, and performance standards. The contract is expected to begin on August 1 2026 (subject to delay) and will run for an unspecified term with ongoing obligations for data transition, training, and quality assurance. • Scope covers five waiver programs: Acquired Brain Injury (ABI), ABI‑LTC, Home & Community‑Based (HCB), Michelle P. Waiver (MPW) and Supports for Community Living (SCL). • Required functions include payroll processing (minimum semi‑monthly), EVV system integration, background/drug/TB screening, tax form assistance, and monthly usage reporting. • Vendor must maintain a secure, user‑friendly online portal, provide 8 am‑6 pm ET support, and develop a service‑level agreement within 15 days of award. • Transition plan required to migrate existing data from local CMHCs and ADDs to the new statewide system. • Mandatory compliance with HIPAA, state Medicaid regulations, and a Business Associate Agreement.

Attached files

Contact

Arta Halili(Buyer)

[email protected]

(502) 564-3498

Key dates

Opened
10/29/2026
Closes
12/9/2026

Last updated

Details

Type
Request for Proposal
Industry
Consulting Services
NAICS
541213
Solicitation №
RFP-746-2500000254-4

Budget estimate

$50,000,000 – $200,000,000

The solicitation does not disclose a contract value. The vendor will serve approximately 15,640 current participants, each with payroll, benefits, and service‑related payments. Assuming an average annual spend of $8,000‑$12,000 per participant (covering payroll processing fees, EVV integration, reporting, and administrative overhead), the total contract value could range from roughly $125 million to $190 million. Considering typical vendor profit margins of 8‑12 % for large‑scale public‑sector contracts, the vendor’s expected revenue (i.e., budget) would likely fall between $50 million (conservative) and $200 million (optimistic) over the contract term. Factors influencing the final amount include the exact contract length, any optional expansion to additional waiver programs, and the chosen pricing model (fixed‑price vs. cost‑plus).

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