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

The Commonwealth of Kentucky is seeking a vendor to provide financial management services for the Participant-Directed Service (PDS) model of the 1915(c) Medicaid waiver programs. The vendor will be responsible for providing financial management services, including electronic visit verification, processing claims and invoices, issuing paychecks to PDS employees, and providing financial reports. The vendor will work with the Department for Medicaid Services (DMS) to deliver services to approximately 15,640 individuals using the PDS service delivery model across the five waiver programs. The contract is expected to start on August 1, 2026, and the vendor will be required to demonstrate the capacity to serve PDS participants and future PDS participants across Kentucky. Some key responsibilities of the vendor include: • Demonstrating the financial capability to perform the services required for all current and future PDS participants across Kentucky • Using a payroll system that addresses and fulfills all related tax obligations and provides payment to PDS employees at least on a semi-monthly basis • Processing payments for goods, services, home adaptations/environmental modifications, and other participant-directed benefits • Implementing a user-friendly electronic system that connects with the State’s EVV system for payroll and payment processes • Providing technical assistance to Case Managers enrolling employers and assisting with follow-up when necessary • Being available to participants and Cabinet staff through a communication method proposed by the Vendor and approved by DMS or its designee(s)