HFS - Healthcare and Family ServicesIssuing agency·Springfield, IL·via the Illinois BidBuy open-bids boardThe Illinois Department of Healthcare and Family Services is seeking a Vendor to provide actuarial services, including assistance in the review, advisement, policy support, and development of actuarially sound rates for Managed Care Organizations (MCO) that participate in Illinois Medicaid or related Medical Programs.
Pre-Bid Conference: There will be an optional Webex Pre-Bid Conference on October 6, 2026, at 2:00 p.m. Please see the Request for Proposal attached for Webex details.
The Vendor will assist in developing actuarially sound capitation rates for multiple managed care programs (HealthChoice Illinois, YouthCare, MMAI, Health Benefits for Immigrant Adults/Seniors/Children), provide rate certifications and amendments, perform risk adjustment, support federal waiver programs (1115, 1915(c), etc.), conduct Medical Loss Ratio analysis, review MCO financial cost reports, provide expert testimony, develop and maintain reporting and file maintenance, attend on-site meetings in Chicago or Springfield, and provide on-call consulting during business hours. The Vendor must also submit a transition plan within one year of contract execution.
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Most Illinois work asks for the two below, and the solicitation documents are where it’s stated. One prequalification covers both — on this bid and the next.
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Source: BidBuy (Illinois) (bid 26-478HFS-MEDPR-B-52728), retrieved via the Illinois BidBuy open-bids board. View the official posting, and always confirm requirements and deadlines with the issuing agency.
