NYSOH Request for Information (RFI) for Recommended Approaches to System Takeover, Enhancement and Operations

Request for Information

The purpose of this RFI is to obtain potential vendor input for a competitive procurement to assume operational responsibility (“takeover”) for the current New York State of Health (NYSOH) system and the integration of a solution to cover both Modified Adjusted Gross Income (MAGI) Medicaid and non-MAGI Medicaid populations, in accordance with the provisions of the Affordable Care Act (ACA) and New York State law. Herein after, “NYSOH” will be inclusive of both the MAGI and non-MAGI populations.

The New York State (State) Department of Health (DOH) is releasing this Request for Information (RFI) to:

  • Determine the level of interest of qualified and experienced firms to assume the current operations of the State’s Health Plan Marketplace, the New York State of Health (NYSOH), and work with DOH to define and implement agreed upon enhancements to NYSOH including the development and implementation of a solution for the non-MAGI population;
  • Develop a better understanding of vendor needs for the successful takeover, enhancement, maintenance and operation of NYSOH;
  • Develop a better understanding of Marketplace modules and software solutions that vendors have successfully implemented for other customers;
  • Gather relevant information on barriers to competition;
  • Obtain a more comprehensive understanding of emerging trends; and
  • Identify opportunities to mature NYSOH and its services

Input from all interested parties is welcome, but the State is especially interested in receiving feedback from those who have successfully implemented some or all the functionality required of a highly automated, tightly integrated eligibility and enrollment system that supports a variety of Medicaid programs - as well as Qualified Health Plan (QHP) programs - in one environment.

Schedule of Events

Release the RFI January 6, 2020
Final Day to Submit Questions January 21, 2020
Answers to Questions
(via addendum or revised RFI)
January 31, 2020
RFI Response Due Date February 14, 2020 by 12:00 p.m. ET

DOH Contact Information

  • Vendors must direct all questions and responses in writing to DOScontracts@health.ny.gov and include “NYSOH RFI” in the subject line.