PHE Unwinding RFP

The Oklahoma Health Care Authority (OHCA) issued a competitive solicitation (RFP 8070001430) to unwind the public‑health‑emergency (PHE) status for roughly 250‑300 k Medicaid‑eligible members whose coverage would be lost when the emergency ends. The awardee, Unite USA Inc., is tasked with assessing high‑need members, coordinating their transition to alternative affordable coverage, and delivering a statewide closed‑loop referral system that links members with social‑service resources, charitable clinics, and other safety‑net providers. The contract is a cost‑reimbursement agreement with a maximum ceiling of $1 M for the base year and includes a single optional renewal for an additional year, also capped at $1 M. Key deliverables include monthly invoicing with detailed cost breakdowns, regular progress reports, and secure data exchange with OHCA’s Medicaid Management Information System (MMIS). • Assess and prioritize PHE‑protected members based on health risk and social‑determinant factors. • Facilitate enrollment in Medicaid, ACA marketplace, or other assistance programs and manage benefit coordination. • Provide statewide, closed‑loop care‑coordination and reporting under a cost‑reimbursement structure.