State of South DakotaIssuing agency·South Dakota·via the State of South Dakota posting board (ESM Solutions)1.1.1 Background: The State of South Dakota Department of Social Services (DSS), Division of Medical Services (DMS), is committed to transforming rural healthcare through the Rural Health Transformation (RHT) initiative - a statewide effort focused on strengthening rural, Tribal and frontier healthcare systems and improving access to quality care through digital health modernization and coordinated care delivery across South Dakota.
1.1.2 Goals and Objectives: Central to this initiative is the Medicaid Primary Accountable Care Transformation (PACT) program that promotes shared accountability for cost, quality and health outcomes among Medicaid enrolled primary care clinics, Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs) and Tribal partners and to build a more resilient, connected, and sustainable rural health system for communities across the state.
1.1.3 Description of Components or Phases: To operationalize the Medicaid Primary Accountable Care Transformation (PACT) model, The State of South Dakota is issuing this Request for Proposal (RFP) to solicit proposals from qualified vendor(s) or offeror(s) for the procurement and implementation of a Case Management Tool. This tool will provide a core technology capability that supports care coordinators, case managers, and clinical teams in delivering coordinated, person-centered services for applicable South Dakota Medicaid members. It will also be utilized for juveniles eligible under section 5121, CAA 2023 for up to 90 days of targeted case management and referrals to community-based care and services.
1.1.4 Scope of Components or Phases: See Section 3 - Scope of Work for more details.
Offerors may email inquiries concerning this RFP to obtain clarification of requirements. No inquiries will be accepted after the date and time indicated in the Schedule of Activities. Inquiries must be emailed to Kirsten Blachford at Kirsten.Blachford@state.sd.us with the subject line “RFP # 27-09RHT-026”.
The State will to respond to offeror’s inquiries (if required) via e-mail. In addition, all inquiries and the State’s response will be posted on the state’s e-procurement system. Offerors may not rely on any other statements, either of a written or oral nature, that alter any specification or other term or condition of this RFP. Offerors will be notified in the same manner as indicated above regarding any modifications to this RFP.
Respondents are encouraged to carefully review the RFP in its entirety before submitting questions. Questions should be limited to those necessary to clarify the requirements of the RFP or information needed to prepare a responsive proposal.
Respondents should avoid submitting duplicative, hypothetical, overly broad, or excessive questions. Questions that can be answered through a reasonable review of the RFP and its attachments should not be submitted.
The State also discourages the submission of bulk or automatically generated questions, including questions produced through artificial intelligence (AI) tools without meaningful respondent review. Respondents are expected to review, consolidate, and prioritize questions prior to submission to ensure each question is specific, relevant, and necessary to clarify the RFP requirements.
Invitation Only · Ready for Responses
Documents (2):
• Attachment C BIT Security and Vendor Questions v3.3 Production.docx (84 KB)
• RFP Document.pdf (1478 KB)
View the full solicitation and download documents on South Dakota's posting board.
The selected vendor will design, configure, implement, and support an integrated suite of tools to administer the Medicaid PACT model. The Case Management Tool must support member alignment, case management documentation, care gap identification, inpatient hospital stay notifications, messaging between providers and users, searchable fields, member data history for up to 10 years, centralized referral intake, case manager assignment and caseload balancing, configurable care plans, bi-directional behavioral health and primary care referral management, closed-loop community resource referral tracking, configurable automated alerts, structured reporting, and report generation. The system must support tracking and secure data exchange with Medicaid enterprise systems, participating providers, Tribal health partners, Health Information Exchanges, and other state systems, using real-time APIs and batch processing, and be HL7 FHIR compliant. It must comply with HIPAA, NIST SP 800-53 Rev. 5 Moderate baseline controls, CMS Acceptable Risk Safeguards, and 42 CFR Part 2 protections, with data encrypted in transit and at rest, full audit logging for a minimum of six years, role-based access control, and single sign-on. The system must support low-bandwidth environments, mobile-responsive workflows, community health worker workflows, telehealth documentation, and SMS communication. The vendor must provide architecture diagrams, Interface Control Documents, configuration management documentation, and documentation for Advance Planning Document submissions. Implementation includes a project management plan, stakeholder readiness assessments, phased configuration and deployment, data migration, role-based training, knowledge transfer, go-live stabilization, ongoing maintenance, and operational runbooks. The system must meet 99.9% monthly uptime, average page response time under three seconds, RTO not exceeding four hours, and RPO not exceeding one hour.
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Most South Dakota work asks for the two below, and the solicitation documents are where it’s stated. Here’s what each costs through Light RFP if you need one.
Source: South Dakota Procurement (event 19965), retrieved via the State of South Dakota posting board (ESM Solutions). View the official posting, and always confirm requirements and deadlines with the issuing agency.
