Medicaid Administrative Claiming Support

The Department of Health, Executive Office on Aging, is seeking a qualified contractor to provide technical, administrative, and operational support for Hawaii's Medicaid Administrative Claiming program. The contractor will operate and maintain a federally compliant Random Moment Sampling system, support claim development and calculation activities, provide training and technical assistance to participating agencies, and assist the Executive Office on Aging in preparing quarterly Medicaid Administrative Claims. The contract term will be for two years, from August 1, 2026, to July 31, 2028. • The contractor must provide a secure, web-based solution that supports RMS administration, reporting, claim calculation, documentation, and ongoing program management. • The contractor must have experience in Medicaid administrative claiming and be familiar with federal and state regulations. • The contractor must be able to provide training and technical assistance to participating agencies. • The contractor must be able to assist the Executive Office on Aging in preparing quarterly Medicaid Administrative Claims.