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ClosedAtlas Opportunity Score 42/100

Mississippi Medicaid External Quality Review Organization RFP 2026

Mississippi Medicaid's External Quality Review Organization procurement, RFP #20260731 / RFx #3160008164, reached its published September 18, 2026 at 2:00 PM Central Time deadline. Atlas now treats the opportunity as closed to new responses unless DOM formally extends, reopens, or replaces the solicitation.

FundingProfessional-services procurement; Mississippi Division of Medicaid does not publish a fixed grant ceiling or guaranteed contract value on the current procurement listing.
DeadlineSeptember 18, 2026 at 2:00 PM Central Time
Last verifiedSeptember 19, 2026
Required next actionThe published proposal deadline of September 18, 2026 at 2:00 PM Central Time has passed. As of September 19, 2026, the Mississippi DFA RFx detail still labels RFx 3160008164 Open and the Mississippi Division of Medicaid procurement page still lists the EQRO procurement under Active Procurements, but no posted amendment extends the September 18 deadline. Do not initiate or submit a new response unless Mississippi Medicaid formally extends or reopens the solicitation. Monitor the official DFA and DOM records for a status correction, formal reopening, or award notice.

Broad Eligibility

Specialized professional-services offerors capable of serving as an External Quality Review Organization for Mississippi Medicaid managed-care quality oversight. The controlling RFP requires, at minimum, three years of qualifying Medicaid/CHIP EQR or substantially similar governmental quality-oversight experience within the last five years, compliance with 42 CFR Part 438 Subpart E EQRO independence requirements, and capacity to fulfill all required components and deliverables. The current RFP, Business Associate Agreement, and Amendments 1-5 govern the response.

Atlas Analysis

Atlas Opportunity Score 42/100. N9+ Direct Vendor Fit 0/100. QC Healthcare Fit 0/100. The September 18, 2026 at 2:00 PM Central Time proposal deadline has passed. On September 19, the official DFA record still shows Open and the DOM page still lists the procurement as Active, but the posted deadline has not been extended. Treat the opportunity as closed to new responses unless DOM issues a formal extension or reopening. This remains a specialized Medicaid External Quality Review Organization procurement requiring recent qualifying Medicaid/CHIP EQR or similar governmental quality-oversight experience, EQRO independence under 42 CFR Part 438 Subpart E, and full-scope delivery capacity. No Dr. Miltie/QC direct submission should advance.

The Mississippi Division of Medicaid External Quality Review Organization (EQRO) procurement, RFP #20260731 / RFx #3160008164, reached its published proposal deadline of September 18, 2026 at 2:00 PM Central Time. Atlas therefore treats the procurement as Closed to new responses unless DOM formally extends, reopens, or replaces it. The Mississippi DFA record may continue to display Open until the state portal completes its status update. The RFP had also required each offeror to submit a signed SharePoint Access Request by September 9, 2026 at 2:00 PM CT, and proposals were not permitted from vendors that missed that access-request deadline.

The procurement is for an External Quality Review Organization supporting Mississippi Medicaid managed-care quality oversight. The state procurement record classifies it under non-IT personnel/professional services. The controlling solicitation package, Business Associate Agreement, and all five amendments must be reviewed before response. Minimum eligibility includes at least three years of relevant EQR or substantially similar Medicaid/CHIP managed-care quality-oversight experience within the last five years, compliance with the federal EQRO independence requirements in 42 CFR Part 438, Subpart E, and capacity to perform the full scope. The RFP also requires electronic submission through DOM’s secure SharePoint site and rejects proposals from vendors that did not timely submit the required access-request form.

Atlas Opportunity Score: 42/100. N9+ Direct Vendor Fit: 0/100. QC Healthcare Fit: 0/100. Dr. Miltie direct-bid readiness: 0/100 on currently verified facts. This is a specialized Medicaid external-quality-review services procurement rather than a connected physical-exam, telehealth, remote-monitoring, or clinical-coverage opportunity. Available Dr. Miltie records do not establish the solicitation’s mandatory recent Medicaid/CHIP EQR experience, and the September 9 SharePoint access-request deadline has already passed. Atlas therefore does not recommend N9+/QC outreach or a Dr. Miltie prime bid.

September 3 Amendments 2–5

The Mississippi Division of Medicaid has issued Amendments 2, 3, 4, and 5, all dated September 3, 2026. Amendment 2 answers vendor questions and makes clear that the awarded EQRO, not the incumbent, must complete the 2026 work required for the April 2027 CMS technical-report deadline, with first-year schedules to be mutually adjusted as needed. DOM expects most review activity to be virtual, with only limited in-person visits during the contract period. It also confirms that the offeror must be an NCQA-licensed organization or subcontract with an NCQA-licensed organization to conduct HEDIS audits.

Amendment 3 removes facsimile transmission from the contract notice provision and clarifies written-notice methods and addresses. Amendment 4 identifies additional required deliverables throughout the Scope of Services, including quality-of-care survey reporting, provider-data validation, Quality Rating System work products, readiness-review tools and reports, recurring tracking reports, and turnover materials. Amendment 5 corrects the Cost Proposal Worksheet and adds Readiness Reviews as an as-needed deliverable, with the worksheet showing an estimated maximum of three readiness-review reports per contract year. Offerors must ensure their proposals use the corrected worksheet and incorporate all amendments.

Official sources: Mississippi Division of Medicaid Procurement and Mississippi procurement detail RFx 3160008164.

Source verificationOfficial government source · www.ms.govAtlas last verified this record September 19, 2026. Always use the funder's current application materials, amendments and portal instructions as the controlling source.View source and application materials ↗