This week, our In Focus section reviews Montana’s proposed Medicaid expansion waiver and third-party administrator request for proposals (RFP). In late April, 2015, Montana Governor Steve Bullock signed into law Senate Bill 405, establishing the Montana Health and Economic Livelihood Partnership (HELP) Program, with the goal of expanding Medicaid coverage to more than 70,000 residents. On July 1, 2015, the state issued a RFP for a third-party administrator (TPA) to administer the HELP Program, and on July 7, 2015, published a proposed 1115 Demonstration waiver for public comment. The state is aiming for a short turnaround on implementation, hoping to begin enrollment and coverage as early as January 1, 2016.