# South Dakota Medicaid PACT (Primary Accountable Care Transformation) Vendor RFP

The awarded vendor will support South Dakota Medicaid in transforming primary care reimbursement under the Primary Accountable Care Transformation (PACT) model: (1) Reimbursement design — actuarial support to design a population-based alternative payment methodology replacing primary care E&M billing with a monthly Prospective Primary Care Payment, plus methodology for ongoing updates; (2) Provider value-based quality payments — a quality-based payment methodology tied to provider performance on HEDIS or other quality measures, funding yearly value-based payments; (3) Population health and case management tools — a recipient rewards program and investment in case management/population health infrastructure to support the model, plus facilitation of stakeholder engagement meetings. Requested funding: $62,735,000 over five years. This single vendor RFP covers all three facets — reimbursement design, VBQ payments, and population health/case management tooling are described as one integrated scope of work, not separate solicitations.

## Key facts

- Status: Closed
- Type: RFP
- Issued by: South Dakota Department of Social Services (DSS) — Division of Medical Services (South Dakota)
- Posted: 2026-02-25
- Application due: 2026-10-03
- Funding: $62.7M
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://doh.sd.gov/press-releases/state-of-south-dakota-announces-first-round-of-rural-health-transformation-requests-for-proposals/

## Eligibility

Vendor/consultant RFP (not a provider grant) — open to qualified actuarial/health-policy consulting organizations able to design and implement a Medicaid alternative payment model.

## Application package and source documents

- [SD - 2026 - South Dakota Medicaid PACT (Primary Accountable Care Transformation) Vendor RFP (South Dakota PACT source)](https://www.ruralcarejourney.com/api/documents/88933385-dfd1-4489-972b-7a3653b0bf8f/file) (primary) — official: https://doh.sd.gov/media/myqhbizp/rht-medicaid-pact.pdf
- [SD - 2026 - State of South Dakota Announces First Round of RHT Requests for Proposals (SD DOH press release naming PACT (Feb 25, 2026))](https://www.ruralcarejourney.com/api/documents/377a90d4-831a-4797-8fa6-a724d5a3ae01/file) — official: https://doh.sd.gov/press-releases/state-of-south-dakota-announces-first-round-of-rural-health-transformation-requests-for-proposals

More South Dakota RHTP activity: https://www.ruralcarejourney.com/states/sd (markdown: https://www.ruralcarejourney.com/states/sd.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/south-dakota-medicaid-pact-primary-accountable-care-transformation-vendor-rfp--172b189bf1 — data as of 2026-09-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.