Medicaid Coverage and Application Services

Monroe County is seeking proposals for Medicaid coverage and application services for residents of its 566-bed Monroe Community Hospital, including eligibility assistance, application processing, recertification support, and agency coordination.

Monroe County


General
Open
RFP#0048-26
Nov 06, 2026 03:00 PM
Oct 09, 2026 10:47 AM
1 year base + 4 × 1 year options
Minority-Owned BusinessWoman-Owned BusinessService-Disabled Veteran-Owned Business
Request for Proposal (RFP)
Local
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Original Solicitation Links
Contact
wwebert@monroecounty.gov
+15857531104
39 West Main Street, Rochester, NY, USA
Submission Instructions
Mail
Walter Webert, Monroe County Office of Purchasing & Central Services, 200 County Office Building, 39 West Main Street, Rochester, NY 14614
Description

Monroe County is seeking a contractor to provide Medicaid coverage and application services for residents of Monroe Community Hospital, a 566-bed skilled nursing facility. The selected contractor will assist residents and families with nursing home Medicaid applications, eligibility assessment, document collection, application submission, agency follow-up, retroactive coverage coordination, and conversion from Community Medicaid to Chronic Care Medicaid when applicable. The scope also includes monitoring recertification timelines, notifying families and nursing home staff of upcoming requirements, assisting with recertification forms and documentation, maintaining secure HIPAA-compliant records, tracking applications and outcomes, and providing regular progress reports to the nursing home Finance Officer. The agreement is expected to have a one-year base term with four additional one-year renewal options. Proposals must include organizational information, relevant experience, key personnel resumes, a project narrative and work plan, cost proposal, certifications, insurance documentation, exceptions, and MWBE/SDVOB utilization materials.

Classification Codes
NAICS624120Services for the Elderly and Persons with Disabilities
PSCG008Other Government Insurance Programs
Smart Codes
medicaid application assistancemedicaid recertification servicesmedicaid eligibility consulting
Specifications
Service Only
Timeline
Oct 9, 2026-RFP Release Date
Oct 16, 2026 07:00 PM-Questions Due Date
Oct 23, 2026-Addendum Responses Posted
Nov 06, 2026 08:00 PM-Proposal Due Date
Requirements
Required
  • Workers' Compensation
  • Disability Insurance
  • Liability and Property Damage Insurance — $1,000,000.00
  • Contractor's Protective Liability Insurance
  • Professional Liability Insurance — $1,000,000.00
  • Motor Vehicle Insurance — $1,000,000.00
Scored
  • Client point of contact required for each reference
Documents
TitleDate Posted
rfp100926rOct 09, 2026 10:47 AM
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