This is a Request for Proposals (RFP) from the New Mexico Health Care Authority (HCA) for Fiscal Intermediary Agent (FIA) services for the Brain Injury Services Fund (BISF) program. The selected contractor will be responsible for the financial administration, payment processing, and provider network management for BISF-funded home and community-based services (HCBS). The contract term will be 12 months, with the option for three additional annual renewals, not to exceed four years in total. Proposals must be submitted electronically by May 2, 2026, at 4:00 PM MST/MDT. The FIA will not provide direct participant services or determine eligibility. Offerors may submit proposals for both FIA and Service Coordination Agency (SCA) RFPs, but can only be awarded one. Key responsibilities include developing and managing a specialized provider network, processing payments, managing fiscal operations, and reporting to HCA. The BISF program operates as a payer of last resort. Mandatory requirements include a signed Letter of Transmittal, Campaign Contribution Disclosure Form, and Statement of Assurances. Financial stability and compliance with federal and state regulations are crucial. The evaluation will be based on technical specifications (administration, performance, quality assurance, references) and cost proposal.
The proposal due date is May 2, 2026, by 4:00 PM MST/MDT.
The bid notice does not explicitly detail payment terms for the contractor, but mentions that invoices must be received by the agency no later than fifteen (15) days after the termination of the fiscal year in which the services were delivered.
The award will be made to the responsible offeror whose proposal is most advantageous to the state, taking into consideration the evaluation factors, which include technical merit and cost.
Offerors must demonstrate experience in fiscal management, developing and administering a specialized network of providers, and possess subject matter knowledge of brain injury. They must also demonstrate sufficient operational capacity and financial stability.
The procurement code imposes civil, misdemeanor, and felony criminal penalties for its violation. New Mexico criminal statutes also impose felony penalties for bribes, gratuities, and kickbacks.
The bid notice does not require sample submissions.
The protest deadline is 15 days after the contract award.
The estimated total value for the fiscal intermediary services is $917,****.
