ELECTRONIC VISIT VERIFICATION DATA AGGREGATION, VALIDATION, COMPLIANCE, & OVERSIGHT SVCS

In response to the EVV requirements outlined in the Cures Act, DMMA previously implemented an Open Vendor / Open Choice EVV model, under which the State offered an optional EVV visit capture system while also allowing providers to use their own EVV solutions. Over time, providers statewide transitioned to using independently selected EVV systems that best met their operational needs, resulting in minimal utilization of the State-provided EVV capture solution.
Based on this experience, and to align policy with current provider practice, DMMA is transitioning to a Provider Choice EVV model. Under this model, providers will continue to select, contract with, and operate their own EVV visit capture systems, while the State will centrally manage EVV data aggregation, validation, compliance monitoring, reporting, and integration with Medicaid systems.
Accordingly, DMMA is seeking a Contractor to implement and operate a statewide EVV aggregation and oversight platform. The selected Contractor will not provide a provider-facing EVV visit capture solution. Instead, the Contractor will support the receipt of EVV data from multiple third-party EVV systems, normalize and validate that data in accordance with DMMA-defined standards, and support program integrity, compliance, reporting, and claims-related business processes, including sending pertinent data to the state to facilitate federal T-MSIS reporting.
The solution must be flexible, scalable, and interoperable, capable of supporting multiple EVV vendors, service delivery models (including member-directed services), Medicaid populations, and delivery settings, while ensuring compliance with the Cures Act and minimizing administrative burden on providers and members
Full SOW found in Appendix B.

Bid #: US.240501 · RFP · FY 2026