Consumer-Reported Verification Data Sources for State Medicaid Eligibility Determination
Overview
Buyer
Place of Performance
NAICS
PSC
Set Aside
Original Source
Timeline
Qualification Details
Fit reasons
- NAICS alignment with historical contract wins in similar service areas.
- Scope strongly matches core technical capabilities and delivery model.
Risks
- Past performance thresholds may require one additional teaming partner.
- Potential clarification needed on staffing minimums before bid/no-bid.
Next steps
Validate eligibility requirements, assign capture owner, and schedule partner outreach to confirm teaming strategy before submission planning.
Quick Summary
The Centers for Medicare & Medicaid Services (CMS) is issuing a Request for Information (RFI) for Consumer-Reported Verification Data Sources to support state Medicaid eligibility determinations. This RFI is for market research to inform the development of the EMMY (Eligibility Made Easy) platform, an API-based data exchange infrastructure. CMS is particularly interested in authoritative payroll and employment verification data for the Working Families Tax Cut Act (WFTCA) requirements, and broader capabilities in educational, asset, financial, and identity verification. Responses are due April 17, 2026.
Purpose & Scope
CMS is developing the EMMY platform to provide state Medicaid agencies with standardized access to trusted third-party data sources for eligibility verification. This RFI seeks industry capabilities across several data domains:
- Immediate Need: Authoritative payroll and employment verification data to support Medicaid eligibility and prepare for WFTCA community engagement verification requirements (effective January 2027).
- Broader Interest: Market intelligence on educational enrollment, asset and financial, and identity verification data. CMS is also interested in vendors offering integrated platforms for multiple data types.
The RFI requests information on:
- Company and capability overview, including experience with public benefits programs.
- Data sources, coverage (geographic/demographic), quality, freshness, accuracy, and reliability.
- Technical integration, API architecture, data exchange standards, federal security/compliance (including FedRAMP), scalability, and availability.
- Support for consent workflows and compliance with privacy laws (FCRA, FERPA, GLBA).
- Commercial pricing models and cost structures.
- Market, technical, or regulatory challenges.
Contract & Timeline
- Type: Request for Information (RFI) / Sources Sought
- Set-Aside: None (Market Research Only)
- Response Due: April 17, 2026, 5:00 PM Eastern Time
- Published: March 27, 2026
- Agency: Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services
Important Notes
This is an RFI ONLY and does not constitute a solicitation or commitment to award a contract. Responses are voluntary, and no reimbursement will be provided. Questions regarding this RFI will not be answered; vendors should address assumptions or clarifications within their written response. Vendors are encouraged to respond to the areas most relevant to their capabilities.