SD RHT — Medicaid PACT Reimbursement Design (26RFP-26-08RHT-008)

26RFP-26-08RHT-008 is an actuarial and consulting vendor contract for designing the payment methodology for South Dakota's Medicaid Primary Accountable Care Transformation (PACT) model. The contractor will develop population-based alternative payment methodology for primary care, quality-based payment framework, recipient rewards program design, and stakeholder engagement strategy.

This is Initiative 5 (Medicaid Primary Accountable Care Transformation), with a 5-year total of $62.74 million. PACT is scheduled to pilot in 2027 and launch January 1, 2028.

This is a consulting/actuarial contract — healthcare delivery organizations are not the target applicant. The PACT model being designed will benefit Medicaid-enrolled primary care clinics, RHCs, FQHCs, and tribal partners in 2027-2028, but those providers are not applicants to this design solicitation.