Modernized Medicaid Management Information System and Claims Processing

Overview

Healthcare Services, Wellness & Biotech

Montgomery, Alabama, United StatesPosted 15 days agoDeadline: September 22nd, 2026

Fit Score

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SUMMARY

Alabama Medicaid Agency requests proposals for a cloud-based MMIS and claims processing solution, including workflow automation, enhanced reporting, and improved self-service portals.

KEY REQUIREMENTS

Must be registered with the Alabama Secretary of State
Must enroll in the E-Verify Program
Must comply with the Beason-Hammon Alabama Taxpayer and Citizen Protection Act
Must certify compliance with Alabama sales, use, and lease tax laws
Must provide a Disclosure Statement as required by Code Section 41-16-82
Must not engage in economic boycotts
Must be an independent supplier

BUDGET

Estimate

$5,000,000 – $15,000,000

TIMELINE

Bids will be accepted from April 22nd, 2026 to September 22nd, 2026.

Issuing Agency

State Of Alabama

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DESCRIPTION

The Alabama Medicaid Agency is seeking a vendor to deliver a modernized Medicaid Management Information System (MMIS) along with an improved Claims Processing and Management System (CPMS). This initiative involves re-platforming the current AMMIS onto a secure, scalable, and cost-effective cloud computing solution. The scope also includes providing a Service Desk in alignment with ITIL standards to ensure robust support for the agency.

Additionally, the project requires enhancement of the Benefit Plan Administration (BPA) system, including restructuring for better program policy hierarchy and support for exporting rules in a readable human format. Increasing business process automation through a workflow solution, along with enhancing the CPMS user interface, is crucial to improving end-user productivity. Vendors are expected to develop advanced dashboards and reporting tools covering Service Level Agreements, workflow metrics, call center metrics, and requirements for Streamlined Modular Certification.

The existing web-based, self-service portals for Medicaid members and providers must also be upgraded to promote efficient utilization of Alabama Medicaid services. The contract period is set for four years.

Source attribution

This Settle analysis is based on the issuing organization’s public RFP listing.