The proposed bill seeks the approval of the Council of the District of Columbia for a contract with Maximus US Services, Inc. valued at $3,505,646 for the operation and maintenance of the Provider Data Management System (PDMS) from January 7, 2025, to January 6, 2026. This contract is essential for ensuring that healthcare providers meet eligibility requirements for the District's Medicaid program. The contract is exempt from competition due to Maximus's proprietary ownership of the PDMS and includes an option for an additional year at a higher amount of $3,598,902, reflecting inflation. The contractor has a proven track record with the District since 2016 and is required to allocate 35% of the contract amount to local, small, or disadvantaged business enterprises.
Additionally, the bill outlines various operational requirements for the contractor, including maintaining system functionality, conducting provider screenings, and ensuring compliance with federal regulations. It emphasizes the importance of a secure web portal for provider interactions and mandates that contractors adhere to specific employment practices, including hiring District residents and complying with non-discrimination laws. Significant changes in the bill include the deletion of previous provisions regarding rights in data, replaced with new language clarifying ownership of project deliverables. The bill also establishes comprehensive insurance requirements for contractors and revises the dispute resolution process to ensure timely claims handling. Overall, the bill aims to enhance the efficiency and integrity of the Medicaid provider enrollment process while ensuring compliance with regulatory standards.