Oregon Health Authority - RFP for NCQA-certified HEDIS measurement vendor - S-44300-00017084 (2026)
Oregon Health AuthorityState · Salem, OR- Due
- Nov 6, 2026
- 9 days left
- Posted
- Sep 29, 2026
- Contract term
- 5 years
- Primary contact
- Enrique Rodriguez
- (503) 569-8279
The 30-second brief
The Oregon Health Authority seeks an NCQA-certified vendor to produce, certify, and report approximately 30 HEDIS and 14 non-HEDIS measures for the Oregon Health Plan. The scope includes data ingestion of claims and enrollment data, measure calculations, quality control reviews, reporting to OHA, CCOs, and CMS, and maintaining HIPAA and state security compliance. The contract has an initial term of 5 years with renewal options up to a cumulative maximum of 10 years. Proposals are due by November 6, 2026, and a pre-proposal conference is scheduled for October 8, 2026. Evaluation criteria include organizational profile, experience and capabilities, key persons, solution security requirements, solution work requirements, SLAs, live demonstration, and cost.
Project Management Plan, Communication Plan, Data Ingestion Reports, Final Measure Calculation Results with QC Checklists, Quarterly HEDIS Reports, Annual CMS Report, Draft Measure Inventory, Draft and Final Non-HEDIS Results, Quality Control Summary, Quarterly Non-HEDIS Reports, Annual NCQA Certification Proof, Annual HIPAA Compliance Attestation
Proposer Organizational Profile (100 Points), Experience and Capabilities (300 Points), Key Persons, Organizational Chart and Subcontractors (200 Points), Solution Security Requirements (200 Points), Solution Work Requirements (1000 Points), SLAs (200 Points), Live Demonstration Evaluation (1000 Points), Cost & Contracting Flexibility Evaluation (1000 Points)
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Summary
The Oregon Health Authority seeks an NCQA-certified vendor to produce, certify, and report approximately 30 HEDIS and 14 non-HEDIS measures for the Oregon Health Plan.
The scope includes data ingestion of claims and enrollment data, measure calculations, quality control reviews, reporting to OHA, CCOs, and CMS, and maintaining HIPAA and state security compliance. The contract has an initial term of 5 years with renewal options up to a cumulative maximum of 10 years. Proposals are due by November 6, 2026, and a pre-proposal conference is scheduled for October 8, 2026. Evaluation criteria include organizational profile, experience and capabilities, key persons, solution security requirements, solution work requirements, SLAs, live demonstration, and cost.
EVALUATION CRITERIA
REQUIRED DELIVERABLES
12- Project Management Plan
- Communication Plan
- Data Ingestion Reports
- Final Measure Calculation Results with QC Checklists
- Quarterly HEDIS Reports
- Annual CMS Report
- Draft Measure Inventory
- Draft and Final Non-HEDIS Results
- Quality Control Summary
- Quarterly Non-HEDIS Reports
- Annual NCQA Certification Proof
- Annual HIPAA Compliance Attestation
REQUIRED ATTACHMENTS
10- Proposer Information and Certification Sheet (Attachment C)
- Reference Check Forms (Attachment D)
- Price Proposal Form (Attachment E)
- COBID Certification / Outreach Plan (Attachment F)
- Responsibility Inquiry (Attachment G)
- Solution Work Requirements (Attachment H)
- Service Level Agreements (Attachment I)
- Solution Security Requirements (Attachment J)
- Digital Accessibility Narrative (Attachment K)
- Disclosure Exemption Affidavit (Attachment B)
- Submit to
- https://oregonbuys.gov/
- Duration
- 120 months
- Scope location
- Portland, Oregon
Questions about this RFP
How do I respond to this RFP from Oregon Health Authority?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is November 6, 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: https://oregonbuys.gov/. For questions, contact Enrique Rodriguez.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Oregon Health Authority in OR, 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 RFP 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 Enrique Rodriguez at (503) 569-8279. Questions and answers are typically shared with all prospective bidders.
What are the key deliverables?
The solicitation specifies the following deliverables: Project Management Plan, Communication Plan, Data Ingestion Reports, Final Measure Calculation Results with QC Checklists, Quarterly HEDIS Reports, Annual CMS Report, Draft Measure Inventory, Draft and Final Non-HEDIS Results, Quality Control Summary, Quarterly Non-HEDIS Reports, Annual NCQA Certifi. 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: "Proposer Organizational Profile (100 Points), Experience and Capabilities (300 Points), Key Persons, Organizational Chart and Subcontractors (200 Points), Solution Security Requirements (200 Points),..." Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from Oregon Health Authority?
All active and historical solicitations from Oregon Health Authority are tracked and searchable. As a state agency, Oregon Health Authority regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 5 years. Contract terms may include renewal options.
Is this solicitation still open for submissions?
Based on the posted deadline of November 6, 2026, this solicitation appears to still be accepting submissions. Deadlines may change through amendments or addenda, so always verify the current status directly with the issuing agency before preparing your response.
What documents are required to bid on this RFP?
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: Proposer Information and Certification Sheet (Attachment C), Reference Check Forms (Attachment D), Price Proposal Form (Attachment E), COBID Certification / Outreach Plan (Attachment F), Responsibilit. Review the full document from Oregon Health Authority for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Portland, Oregon. Review the full solicitation for detailed scope requirements.