Behavioral Health Assessment and Feasibility Study

Health Care Authority

Buyer seeks a professional organization to conduct a study on the merits, feasibility, costs, and likely enrollment in a proposed new Medicaid waiver. This waiver would serve individuals with serious mental illness or substance dependency who experience regular confinement in county jails or intensive overuse of emergency services. The study must analyze the current Medicaid service array, potential alternatives under federal authority, and factors influencing care access and coordination. The assessment must be completed prior to New Mexico's January 2026 legislative session.

• 7/1/2025 - Issue RFP
• 7/8/2025 - Acknowledgement of Receipt Form Due
• 7/8/2025 - Deadline to Submit Written Questions
• 7/18/2025 - Response to Written Questions
• 7/30/2025 - Proposal Due Date

• Expertise in behavioral health services
• Experience with federal waivers (Section 1115, 1915c)
• Knowledge of Medicaid State Plans
• Data analysis and trending capabilities
• Experience in statistics and economics
• Actuary expertise in healthcare service financing

• Conduct structured analysis of current Medicaid service array
• Analyze potential alternatives under federal authority
• Assess factors influencing access and coordination of care
• Study feasibility of new Medicaid waiver for serious mental illness
• Analyze costs and likely enrollment of proposed waiver
• Evaluate service needs for justice-involved individuals
• Assess factors affecting behavioral health crisis services utilization
• Examine integration of services across health systems
• Develop financing and service delivery models
• Prepare final recommendations and implementation plan