Solicitation Details

Solicitation Number

Department

Status Reason

Pending Selection

Opening Date

Posted Date

Commodity Code

Mandatory Conference/Site Visit

Special Instructions

Description

The North Carolina Department of Health and Human Services (NCDHHS or Department), Division of Health Benefits (DHB), seeks to procure an experienced qualified partner to provide services for the preparation of a model to perform quarterly supplemental payment calculations using an Average Commercial Rate (ACR) to establish the maximum Medicaid payment amount. The selected Vendor will facilitate the preparation and development of (i) an annual Average Commercial Rate (ACR) calculation, (ii) a model to calculate supplemental and state-directed payments for the prescribed time periods, and (iii) annual demonstration reports. In addition, the Vendor will support the development and continued execution of the Department’s physician supplemental payment program, ensuring its ongoing compliance with evolving federal methodological guidelines, the North Carolina State Plan, and other eligibility rules.

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