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Actuarial Services

The State of Idaho Division of Purchasing, on behalf of the Department of Health and Welfare, is soliciting proposals from qualified actuarial firms to provide comprehensive actuarial and consulting services supporting Idaho Medicaid managed care programs. The selected contractor will develop, certify, and support actuarially sound capitation rates for new and existing managed care organization programs, including implementation of comprehensive managed care as directed by Idaho House Bill 345 (2025). Services include rate development and certification in compliance with federal regulations (42 Code of Federal Regulations Part 438), actuarial soundness testing, state-directed payment program design, forecasting, Medicaid budget modeling, financial and risk analysis, waiver and state plan amendment support, and policy advisory services. The contractor will also provide dashboard reporting, quarterly and annual certifications, stakeholder and legislative support, training, quality assurance reporting, and transition planning. The contract will play a critical role in supporting Idaho Medicaid’s financial sustainability, regulatory compliance, and managed care transformation efforts.

Government Entity

State of Idaho

State

Idaho

RFP Number

1181

Budget

$2,200,000 per State Fiscal Year

Published Date

Due Date

March 20, 2026, 4:00 pm PDT

Days remaining

14

Proposal Submission

Proposals must be submitted electronically through IPRO Powered by LUMA. Email, fax, and hardcopy submissions are not accepted.

North American Industry Classification System (NAICS)

541211

541611

541618

541690

541990

Natural Language Tags

Data Analytics and Research Services

Data Analytics and Research Services

Financial and Tax Advisory Services

Financial and Tax Advisory Services

Impact Assessment and Performance Management

Impact Assessment and Performance Management

Policy Analysis

Policy Analysis

Program Evaluation Services

Program Evaluation Services

NAICS

541211

541211

# of RFPs: 2

# of RFPs: 2

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541611

541611

# of RFPs: 166

# of RFPs: 166

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See RFPs

541618

541618

# of RFPs: 123

# of RFPs: 123

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See RFPs

541690

541690

# of RFPs: 100

# of RFPs: 100

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See RFPs

541990

541990

# of RFPs: 27

# of RFPs: 27

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See RFPs

Natural Language Tags

Data Analytics and Research Services

# of RFPs: 70

See RFPs

See RFPs

Financial and Tax Advisory Services

# of RFPs: 21

See RFPs

See RFPs

Impact Assessment and Performance Management

# of RFPs: 18

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See RFPs

Policy Analysis

# of RFPs: 13

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See RFPs

Program Evaluation Services

# of RFPs: 30

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See RFPs

Public Finance Legal Services

# of RFPs: 6

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