Statewide Medicaid and CHIP Dental Services

The Texas Health and Human Services Commission is seeking multiple statewide dental contractors to administer comprehensive Medicaid and CHIP children's dental services, including provider-network management, member outreach, care coordination, utilization management, claims, reporting, and quality improvement.

State of Texas > Health and Human Services Commission > Procurement and Contracting Services


General
Open
HHS0017108
Dec 07, 2026 04:30 PM
Oct 08, 2026 12:21 PM
$1,519,814,333.00
6 years base + 3 × 2 years options
Request for Proposal (RFP)
State
Ask AI about this solicitation
Contact
iris.triana-zuniga@hhs.texas.gov
+15124062489
1100 West 49th Street, Austin, TX, USA
Submission Instructions
Mail
Health and Human Services Commission, ATTN: Response Coordinator, Tower Building Room 108, 1100 W. 49th St., MC 2020, Austin, Texas 78756
Original Proposal, Copy of Proposal, Public Information Act Copy, if applicable, Subcontracting Plan

or

Hand delivery
Original Proposal, Copy of Proposal, Public Information Act Copy, if applicable, Subcontracting Plan
Description

The Texas Health and Human Services Commission is soliciting proposals for two or more contractors to administer a single statewide Medicaid and Children's Health Insurance Program (CHIP) dental service area. Contractors will provide or arrange comprehensive children's dental services through networks of general dentists, pediatric dentists, and specialists, with emphasis on preventive care, health education, early intervention, access, and improved oral-health outcomes. The scope includes member education and outreach; coordination with managed care organizations and community resources; provider-network development, contracting, credentialing, support, and adequacy; teledentistry; utilization management; quality improvement; fraud, waste, and abuse controls; claims and encounter processing; information systems; data analysis; financial and operational reporting; and ongoing performance oversight. Proposals must include an executive summary, responses to 16 technical questions, required affirmations and certifications, a subcontracting plan, company and financial information, key personnel profiles, breach and security disclosures, and applicable supporting documentation. The initial contract term is six years, with up to three additional two-year extensions or renewals, for a maximum stated term of 12 years.

Classification Codes
NAICS524114Direct Health and Medical Insurance Carriers
PSCQ503Dentistry Services
Smart Codes
medicaid dental servicesdental provider networkshealthcare claims administration
Specifications
Service Only
Timeline
Oct 7, 2026-Solicitation Posting Date
Oct 27, 2026 07:30 PM-Pre-Proposal Conference (optional)
Attendance is optional. The conference is planned as an in-person meeting, with virtual participation available through Microsoft Teams. Phone conference ID: 463 731 667#.
Oct 30, 2026 10:00 PM-Questions and Requests for Clarification Due
Nov 19, 2026 11:00 PM-Tentative Responses to Questions Posted
Nov 20, 2026 11:00 PM-Subcontracting Plan Courtesy Review Deadline
Dec 1, 2026-Evaluation Period
Dec 07, 2026 04:30 PM-Proposal Submission Deadline
Aug 1, 2027-Anticipated Notice of Award
Sep 1, 2027-Anticipated Contract Start Date
Requirements
Required
Required
  • Performance Bond
  • TDI Fidelity Bond Bond
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