Medicaid Administrative Claim Consulting Services

The New Mexico Department of Health is seeking a consultant to provide Medicaid Administrative Claiming, cost allocation plan, and indirect cost rate proposal services from April 2027 through March 2031.

New Mexico > Department of Health


General
Open
Nov 03, 2026 08:00 PM
Oct 08, 2026 02:08 PM
4 years
Request for Proposal (RFP)
State
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Original Solicitation Links
Contact
dion.barbero@doh.nm.gov
+15054903988
Submission Instructions
Description

The New Mexico Department of Health, in partnership with the New Mexico Health Care Authority, is seeking a single contractor for expert consulting services related to Medicaid Administrative Claiming (MAC), cost allocation plan (CAP) maintenance, and indirect cost rate proposal (ICRP) development. The scope includes preparing quarterly MAC invoice data, updating and submitting CAP materials, preparing and negotiating annual ICRPs, identifying additional Medicaid matching and federal reimbursement opportunities, supporting compliance and documentation, and assisting with related questions, revisions, and audits. The contractor must also provide training, written guidance, tools, and knowledge transfer to agency staff; participate in meetings with agency, state, federal, and other stakeholders; and provide ongoing technical assistance and process-improvement recommendations. Proposals must address organizational experience, at least three recent organizational references, mandatory technical specifications, financial stability, cost, and applicable New Mexico or Native American resident preferences. The contract is a single-award, four-year agreement limited to the two contracting parties.

Classification Codes
NAICS541618Other Management Consulting Services
PSCR499Other Professional Services
Smart Codes
medicaid claims consultingcost allocation planningindirect cost consulting
Specifications
Service Only
Timeline
Oct 8, 2026-RFP Release Date
Oct 14, 2026-Acknowledgment of Receipt Form Due
Oct 14, 2026 04:00 PM-Pre-Proposal Conference (optional)
Oct 16, 2026 06:00 PM-Written Questions Due
Oct 20, 2026-Responses to Written Questions
Nov 03, 2026 09:00 PM-Proposal Submission Deadline
Nov 4, 2026-Proposal Evaluation
Nov 20, 2026-Proposal Evaluation Ends
Dec 8, 2026-Finalize Contractual Agreements
Dec 18, 2026-Contract Awards
Nov 24, 2027-Selection of Finalists
Requirements
Required
  • Professional Liability
  • General Liability
Scored
  • Minimum 3 references
  • Within the last 3 years
  • Client point of contact required for each reference
No
Location
Local Preference:Local Preference
Documents
TitleDate Posted
rfp10082613Oct 08, 2026 02:08 PM
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