New Mexico HCA RFQ OmniCaid Operations, Maintenance, and Enhancements 2025
New Mexico Health Care Authority | State of New MexicoState · Santa Fe, NM- Due
- Feb 12, 2026
- Deadline passed
- Posted
- Dec 12, 2025
- Primary contact
- Jerid Ortiz
The 30-second brief
The New Mexico Health Care Authority (HCA) is requesting technical service quotes for an IT project to transfer its Medicaid claims processing and adjudication services and financial services application (OmniCaid) to a standalone environment as part of a modular Medicaid Management Information System (MMIS).
OmniCaid Deliverable Requirements, Schedule Requirements, Staffing Requirements, Communication Requirements, Transition Requirements, Document Management Requirements, Claims Management Requirements, Data Management Requirements, Reporting Requirements, System Requirements, Disaster Recovery and Business Continuity Requirements, Interface Requirements, Testing Requirements, Training Requirements, Financial Service Requirements, Security Requirements, Certification Requirements
Overall Service Approach, Statement of Work (SOW), Schedule, and Responses to the Requirements Section (Max: 30 points possible), Transition Planning (Max:20 points possible), Total Cost (Max: 30 points possible), Relevant Qualifications, Past Performance, and Experience (Max: 20 points possible)
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Summary
The New Mexico Health Care Authority (HCA) is requesting technical service quotes for an IT project to transfer its Medicaid claims processing and adjudication services and financial services application (OmniCaid) to a standalone environment as part of a modular Medicaid Management Information System (MMIS).
EVALUATION CRITERIA
9- Overall Service Approach
- Statement of Work (SOW)
- Schedule
- Responses to the Requirements Section (Max: 30 points possible)
- Transition Planning (Max:20 points possible)
- Total Cost (Max: 30 points possible)
- Relevant Qualifications
- Past Performance
- Experience (Max: 20 points possible)
REQUIRED DELIVERABLES
17- OmniCaid Deliverable Requirements
- Schedule Requirements
- Staffing Requirements
- Communication Requirements
- Transition Requirements
- Document Management Requirements
- Claims Management Requirements
- Data Management Requirements
- Reporting Requirements
- System Requirements
- Disaster Recovery and Business Continuity Requirements
- Interface Requirements
- Testing Requirements
- Training Requirements
- Financial Service Requirements
- Security Requirements
- Certification Requirements
REQUIRED ATTACHMENTS
5- Cover Letter
- Two Page Summary Profile
- General Quote
- Staffing Model Page
- Price Quote Page
REQUIRED STAFFING
Technical Business Analyst, Technology Implementation Manager
- Submit to
- [email protected]
- Scope location
- Santa Fe, New Mexico
- Reported agency
- New Mexico Health Care Authority
Questions about this RFQ
How do I respond to this RFQ from New Mexico Health Care Authority | State of New Mexico?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is February 12, 2026. The solicitation specifies required deliverables that must be addressed in your response. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: [email protected]. For questions, contact Jerid Ortiz.
Can small businesses or minority-owned firms bid on this RFQ?
Most government agencies, including New Mexico Health Care Authority | State of New Mexico in NM, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFQ submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Jerid Ortiz. Questions and answers are typically shared with all prospective bidders.
What staffing is required for this project?
This solicitation outlines specific staffing requirements. The required roles include: Technical Business Analyst, Technology Implementation Manager. Proposers should demonstrate relevant qualifications and experience for each required role.
What are the key deliverables?
The solicitation specifies the following deliverables: OmniCaid Deliverable Requirements, Schedule Requirements, Staffing Requirements, Communication Requirements, Transition Requirements, Document Management Requirements, Claims Management Requirements, Data Management Requirements, Reporting Requirements, System Requirements, Disaster Recovery and Bus. Proposals should clearly address how each deliverable will be met.
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What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Overall Service Approach, Statement of Work (SOW), Schedule, and Responses to the Requirements Section (Max: 30 points possible), Transition Planning (Max:20 points possible), Total Cost (Max: 30 poin..." Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from New Mexico Health Care Authority | State of New Mexico?
All active and historical solicitations from New Mexico Health Care Authority | State of New Mexico are tracked and searchable. As a state agency, New Mexico Health Care Authority | State of New Mexico regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What documents are required to bid on this RFQ?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: Cover Letter, Two Page Summary Profile, General Quote, Staffing Model Page, Price Quote Page. Additionally, proposals should address staffing requirements as outlined in the solicitation. Review the full document from New Mexico Health Care Authority | State of New Mexico for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Santa Fe, New Mexico. Review the full solicitation for detailed scope requirements.