Eligibility and Case Management System

The Vendor is required to provide technology platform for determining eligibility and managing cases across multiple human services programs
- Solutions that are focused on achieving the following outcomes:
•    Improved resident access and experience: a seamless, single point of entry for all social services, reducing barriers, improving satisfaction, and empowering residents on their journey toward independence. 
•    Multimodal communication tools, including text messaging and secure chat.
•    Enhanced operational efficiency: streamlined workflows, reduced manual effort, and improved data accuracy for department staff, leading to increased productivity and reduced administrative burden.
•    Better data-driven decisions: access to timely and accurate data for policy decisions, program effectiveness and accuracy, and resource allocation, enabling proactive management and forecasting.
•    Maximized federal reimbursement: accurate time tracking and reporting to optimize federal funding opportunities.
•    Future-proof technology: a flexible and adaptable platform that can evolve with changing program needs and technological advancements. 
•    Use of artificial intelligence to improve staff and resident efficiency, detect fraud, waste, and abuse, and identify trends.
•    Cost-effective ownership: solutions that are inexpensive to modify and maintain over their lifecycle, with a focus on configuration over customization.
•    Specific snap reporting: capability for robust tracking and reporting on snap error rates, including identification of common error causes and trends to support federal compliance and reduction efforts.
•    Proactive fraud, waste, and abuse prevention: robust tools and analytics to proactively detect, mitigate, and prevent fraud, waste, and abuse, improving program integrity and ensuring optimal use of resources.
- The desired solution may manage eligibility determination, and, where applicable, case management and fraud, waste and abuse for the following programs and others as determined by the department.
- The solution may be unified or component-based.
•    Children's health insurance program (chip) eligibility and  case management
•    Disaster supplemental nutrition assistance program (DSNAP) eligibility and case management
•    Family independence temporary assistance program (FITAP) eligibility
•    Home and community-based services (HCBS) waivers eligibility and case management
•    Kinship care subsidy program (KCSP) eligibility
•    Long-term care (LTC) eligibility and  case management (including nursing home vendor assignments)
•    Magi-based medicaid eligibility and case management
•    Non-magi-based medicaid eligibility and case management
•    SNAP employment and training (snap ENT) eligibility
•    SNAP Sun bucks eligibility and case management
•    SSI-related medicaid eligibility and case management
•    Supplemental nutrition assistance program (snap) eligibility and case management
•    Supportive training and employment Program (STEP) Eligibility.

- Contract Period/Term: 1 year
- Questions/Inquires Deadline: August 20, 2025