Specifications include, but are not limited to: The State of South Dakota Department of Social Services (DSS) is issuing this RFI is to solicit information from vendors to implement a third-party administrator (TPA) solution for Medicaid expansion recipients that includes prior authorization (PA), medical, behavioral health, and personal care provider claims processing and payment, customer service supports for both Medicaid providers and Medicaid Expansion recipients, and data analytics and reporting. The current information systems used by DSS staff are comprised of multiple applications running within mainframe and clientserver-based platforms, multiple spreadsheets and databases, and unstructured documents. Some of these systems are maintained and supported by the State’s Bureau of Information and Telecommunications (BIT); others are maintained within DSS. For example, the TPA may need to exchange information with systems used by other programs within DSS, including but not limited to the State’s mainframe for MMIS, and the Benefits Eligibility and Enrollment System (BEES), and the Provider Enrollment and Credentialing System (PECS). This information exchange must occur with the DSS data warehouse at the start of the contract. There may be additional data exchange needed when the BEES and PECS systems are fully implemented, which is expected later in 2023. n November 2022, South Dakota voters approved Constitutional Amendment D, which requires the State to implement expansion of the Medicaid program for adults ages 18 to 64 with incomes up to 138% of the federal poverty level (FPL). An estimated 52,000 South Dakotans will be eligible for Medicaid expansion. The Amendment requires DSS to begin eligibility determinations and enrollment for expansion as of July 1, 2023.