This week, our In Focus section reviews the Request for Proposals (RFP) issued by the Commonwealth of Kentucky’s Cabinet for Health and Family Services (CHFS) to rebid the existing Medicaid managed care contracts set to expire on June 30, 2015. As of January 2015, more than 1.08 million Kentucky Medicaid members were enrolled in one of five managed care organizations (MCOs). The RFP incorporates a number of contractual changes to improve contract oversight and administration, including changes proposed by advocates and other stakeholders. Compared to similar RFPs in other states, however, the Kentucky RFP has several unusual features. First, the timeline for responses is very short, with proposals due on May 5, 2015, just over three weeks after the RFP release date. Second, there are significantly different proposal requirements for incumbent versus non-incumbent bidders. Finally, little information is provided on how proposals will be scored, particularly in light of the differing requirements for incumbent and non-incumbent bidders.