DATA ANALYTICS

The Developmental Disabilities Administration (DDA) is seeking a contractor to provide a data analytics capability designed as a Maryland Department of Health enterprise asset that is secure, scalable, and seamlessly integrates data that improve visibility into claims and program activity, identify anomalies and emerging risks, develop practical analytical tools [...]

The purpose of this solicitation is to procure a cloud-based data analytic model solution that is scalable and securely transform State-held data into explainable insights and actionable findings. The solution must be compliant with all federal, State and MDH regulations.

The Maryland Department of Health, Developmental Disabilities Administration (DDA), requires a Contract for data analytics support and tool development to ensure financial and programmatic efficiency of Maryland's developmental disabilities service system. DDA administers a large and complex Medicaid funded program that has experienced rapid expenditure growth, structural budget pressure, increased service complexity, and heightened expectations for transparency, accountability, and program performance.

The Contractor shall design, develop, configure, implement, and support a Data Analytics function that converts DDA claims, utilization, service, program, financial, and related State-held data into actionable intelligence supporting program integrity, accountability, operational improvement, policy development, and executive decision-making.

The Contractor shall implement the JCR three-tier claims analytics framework while maintaining State review and due-process safeguards. Analytical flags support administrative review and program improvement and shall not, by themselves, constitute final determinations of wrongdoing.

Project Goals

• Establishment of a fully operational, three-tier claims analytics framework incorporating deterministic rules, statistical outlier modeling, and network analysis across DDA data assets.
• Timely, proactive detection and validation of emerging risks, system anomalies, and billing irregularities requiring administrative or programmatic action.
• Delivery of actionable analytical products, tools, and dashboards designed to support executive decision-making, operational oversight, and system enhancement.
• Enhanced integration and comparative evaluation across disparate State-held data sources to illuminate complex relationships obscured within standalone files.
• Creation of fully documented, explainable, and repeatable analytical workflows structured for long-term maintenance and modification by State personnel.
• Deployment of a sustainable, State-controlled capability structured to accommodate new analytical use cases, data sources, and future enterprise expansion.

Three-tier approach

• Tier 1 – Rules-Based Analysis: Use deterministic or rules-based methods to identify identifiable conditions, inconsistencies, or patterns that warrant review.
• Tier 2 – Statistical and Pattern Analysis: Use appropriate statistical, comparative, predictive, or other analytical techniques to identify patterns that may not be apparent through deterministic rules.
• Tier 3 – Relationship and Network Analysis: Use relationship, network, multidimensional, or other appropriate analytical methods to identify connections and patterns that may not be evident when individual claims or records are reviewed separately.

To submit a proposal, offerors must first register on emma.maryland.gov. We recommend registering in advance to become acquainted with the site.

A Contract will be awarded in accordance with the Competitive Sealed Proposals method under COMAR 21.05.03. Multiple or alternate Proposals will not be accepted.

**Contract Type:** Firm Fixed Price.

**Contract Duration:** One (1) base year with no option periods.

An overall Minority Business Enterprise (MBE) or Disadvantaged Business Enterprise (DBE) subcontract participation goal of **7%** of the total contract dollar amount, including all renewal option terms, if any, has been established for this procurement. This solicitation includes a VSBE participation Goal of **1%**.

The Offeror must document in its Proposal that it satisfies the Minimum Qualifications, including a minimum of three (3) years of demonstrated experience within the past five (5) years providing data analytics services. The Offeror shall provide at least two (2) client references and complete *Attachment L – Reference Checks*.

Offerors shall submit their Financial Proposal on the Financial Proposal Form. Do not alter the Financial Proposal Form or the Proposal may be determined to be not reasonably susceptible of being selected for award.