The Request for Proposal includes three components to support the Medicaid Eligibility Process, as briefly outlined below:

  • Services that enable States to comply with electronic asset verification requirements – The statutory (Supplemental Appropriations Act, 2008, Pub. L. No. 110-252; Section 1940 of the Social Security Act) asset verification program (AVP) provision requires states to have a mechanism in place to verify assets for purposes of determining or re-determining Medicaid eligibility for aged, blind and disabled or long-term care Medicaid applicants or recipients. The Affordable Care Act required AVP systems to be electronic (e-AVP).
  • Services that strengthen States’ discovery of real property assets of applicants for and beneficiaries of Medicaid benefits – This tool/service will provide further automation of the business processes and improve the operational effectiveness of determining eligibility assets.
  • Services that facilitate and streamline States’ review of financial documents as part of the process to determine of Medicaid eligibility – This tool/service will provide further automation of the business processes and improve the operational effectiveness by use of data analytics and services. This service will enhance the State’s ability to make more accurate financial eligibility determinations

The link below provide details and instructions.

NESCSO RFP0 12017 Final 061917

Responses are due July 31, 2017 by 5:00 PM EDT.