QLV27007040 proposals are due November 4, 2026 (past) at 11:00 AM EST. Vendor Q&A ran from October 2, 2026 at 11:15 AM EDT through October 16, 2026 at 2:00 PM EDT. A non-mandatory pre-bid conference was October 15, 2026 at 10:00 AM EST. The initial contract period begins January 1, 2028.
Last verified 19 days ago
Last verified 19 days ago · unknown because not verified in the latest monitoring run
Rhode Island executes Amendment 21 to the three Medicaid managed-care contracts
EOHHS executed Amendment 21 to the Medicaid Managed Care Services agreements with Neighborhood Health Plan of Rhode Island, UnitedHealthcare of New England, and Tufts Health Public Plans. Each standalone amendment was entered into on July 1, 2026, and each underlying agreement is dated March 1, 2017. Each full contract states the period March 1, 2017 to June 30, 2022 with seven one-year option periods. The Division of Purchases legacy bid search returned no solicitation rows.
Precapture analysis
Amendment 21 keeps the three incumbent Medicaid Managed Care Services contracts in force under the March 1, 2017 agreements. The retrieved legacy bid search contains no solicitation rows. Questions, proposal, award, and go-live dates are absent from the documents PrecaptureBot retrieved on October 27, 2026.
Rhode Island executes Amendment 21 to the three Medicaid managed-care contracts 7
Rhode Island posts QLV27007040 for the FIDE-SNP program, proposals due November 4, 2026 (past)
Ocean State Procures solicitation QLV27007040 is titled Fully Integrated Dual Eligible Special Needs Plan Program (FIDE-SNP). The solicitation states that the Rhode Island Executive Office of Health and Human Services is seeking proposals and that questions go to the Division of Purchases eProcurement site. It states a start of October 02, 2026 at 11:00:00 AM EDT, an end of November 04, 2026 at 11:00:00 AM EST, vendor Q&A from October 02, 2026 at 11:15:00 AM EDT through October 16, 2026 at 2:00:00 PM EDT, a non-mandatory pre-bid conference on 10/15/2026 at 10:00 AM EST, and an initial contract period beginning January 1, 2028 for one year with up to five additional 12-month periods.
Precapture analysis
Neighborhood Health Plan of Rhode Island is an incumbent on the Medicaid Managed Care Services contract. QLV27007040 is a separate EOHHS solicitation to qualify managed-care organizations for the FIDE-SNP program, so the November 4, 2026 (past) proposal deadline is a timing item for this plan.
Neighborhood Health Plan of Rhode Island · Medicaid Managed Care Services · incumbent · source · as of 2026-10-27
UnitedHealthcare of New England · Medicaid Managed Care Services · incumbent · source · as of 2026-10-27
Tufts Health Public Plans · Medicaid Managed Care Services · incumbent · source · as of 2026-10-27
Plans in this market
Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.
Transportation Broker (Non-Emergency Medical Transportation)
Plan
CMS parent
Parent
Region
2024 enrollment
2024 share
Change from prior reporting year, calculated
Share change, calculated
Trend
LogistiCare
LogistiCare
LogistiCare
Statewide
not reported
not reported
not reported
not reported
2016: 277,378; 2017: 278,402
Logisticare, Inc.
LogistiCare
LogistiCare
Statewide
not reported
not reported
not reported
not reported
2018: 267,396
Plan operations (CMS MCPAR)
Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.
Medicaid Managed Care Program (Rhode Island) - 2024
1,363
500
36.7% calculated
0
56.4%
63.8%
Tufts Health Public Plan
Point32Health
Medicaid Managed Care Program (Rhode Island) - 2024
64
31
48.4% calculated
8
5.1%
5.8%
UnitedHealthcare of New England
unmatched
Medicaid Managed Care Program (Rhode Island) - 2024
252
84
33.3% calculated
29
26.8%
30.3%
UnitedHealthcare Insurance Company (UHIC)
UnitedHealth
RIte Smiles Program (Rhode Island) - 2024
237
62
26.2% calculated
0
41.1%
100%
Sanctions (2024)
Plan
Parent
Topic
Date
Corrective action plan
Remediation status
Tufts Health Public Plan
Point32Health
Other, specify (Failure to comply with Mainstreaming clause in the contract.)
2023-03-01
Yes
Yes, remediated
Award history
Rhode Island Medicaid Managed Care Services RFP24003614: cancelled. Rhode Island Medicaid Managed Care Services (RFP24003614). Status recorded from the retrieved documents: cancelled. Named awardees in confirmed excerpts: Neighborhood Health Plan of Rhode Island, United Healthcare of New England, Inc..
rfp QLV27007040: posted. 2026-10-02 (past). Ocean State Procures solicitation QLV27007040 seeks proposals for the Rhode Island FIDE-SNP program. It states a start of October 02, 2026 at 11:00:00 AM EDT and an end of November 04, 2026 at 11:00:00 AM EST. This is a posted solicitation, not an RFI and not a forecast. The stored text does not name a plan or an awardee. This catalog does not record a later notice that the solicitation closed or that an award followed. Rhode Island. No plan is named on the record. A solicitation or early procurement signal is on the record. The solicitation started Oct 2, 2026 (past); questions were due Oct 16, 2026 (past); the solicitation ended Nov 4, 2026 (past).
Coverage: not_collected. Source receipts: 1 changed at 2026-11-15T10:15:31+00:00. Sources and dates
Contract amendments
executed_amendment 21: 2026-07-01. Neighborhood Health Plan of Rhode Island. EOHHS Amendment No. 21 with Neighborhood Health Plan of Rhode Island is the standalone instrument for Medicaid Managed Care Services. The header prints Effective Date July 1, 2026. The instrument is made and entered into on July 1, 2026. Those are separate phrases that fall on the same day. The underlying agreement is dated March 1, 2017. Section 3.01.04, as amended, still says the agreement will be effective from March 1, 2017 through June 30, 2022 with seven one-year option periods. The amendment inserts EPSDT beneficiary rights into required information and deletes section 3.07.03 Fraud and Abuse. This file is the amendment instrument. It is not the March 1, 2017 base agreement and it is not a policy bulletin. No posted date is printed on the instrument. The stored excerpt does not include a dollar figure.
executed_amendment 21: 2026-07-01. UnitedHealthcare of New England. EOHHS Amendment No. 21 with UnitedHealthcare of New England is the standalone instrument for Medicaid Managed Care Services. The header prints Effective Date July 1, 2026. The instrument is made and entered into on July 1, 2026. Those are separate phrases that fall on the same day. The underlying agreement is dated March 1, 2017. Section 3.01.04, as amended, still says the agreement will be effective from March 1, 2017 through June 30, 2022 with seven one-year option periods. The amendment inserts EPSDT beneficiary rights into required information and deletes section 3.07.03 Fraud and Abuse. This file is the amendment instrument. It is not the March 1, 2017 base agreement and it is not a policy bulletin. No posted date is printed on the instrument. The stored excerpt does not include a dollar figure.
executed_amendment 21: 2026-07-01. Tufts Health Public Plans. EOHHS Amendment No. 21 with Tufts Health Public Plans is the standalone instrument for Medicaid Managed Care Services. The header prints Effective Date July 1, 2026. The instrument is made and entered into on July 1, 2026. Those are separate phrases that fall on the same day. The underlying agreement is dated March 1, 2017. Section 3.01.04, as amended, still says the agreement will be effective from March 1, 2017 through June 30, 2022 with seven one-year option periods. The amendment inserts EPSDT beneficiary rights into required information and deletes section 3.07.03 Fraud and Abuse. This file is the amendment instrument. It is not the March 1, 2017 base agreement and it is not a policy bulletin. No posted date is printed on the instrument. The stored excerpt does not include a dollar figure.
Coverage: blocked. Source receipts: 3 unchanged at 2026-11-15T10:57:15+00:00. Sources and dates
Medicaid policy
Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.
Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.
Coverage not_collected.
No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy
Federal Register SPA disapproval hearing notices (2015 or later): 0
Plan financials
No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.
