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Clinical & Pharmacy Policy Support

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State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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The Clinical and Pharmacy Policy Support subcontract for the New Mexico Human Services Department involves providing specialized clinical and pharmacy expertise to prime contractors managing Health Care Authority Medicaid program operations. The selected provider will be responsible for developing clinical guidelines for Medicaid beneficiaries and offering professional guidance on pharmacy policy and clinical standards to ensure high-quality care delivery. Due to the nature of the work, the contractor must maintain secure environments for handling Protected Health Information and execute a Business Associate Agreement in compliance with HIPAA and the HITECH Act. This engagement focuses on the delivery of critical clinical policy recommendations and the establishment of comprehensive pharmacy guidelines to support state healthcare operations.

General Info

Subcontract for clinical and pharmacy policy expertise supporting New Mexico Medicaid program operations.

Documents

This scope was carved out of 27-630-8000-0012.

The full solicitation package (11 documents), including the RFP, is on the prime solicitation, not on this scope.

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Professional Services for Medicaid Policy and Program Support

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Organization & Contact Information

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AgencyNew Mexico Human Services Department
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Provides clinical and pharmacy expertise for prime contractors on Health Care Authority (HCA) Medicaid program operations. Develops clinical guidelines for Medicaid beneficiaries and provides professional guidance on clinical standards and pharmacy policy. Requires secure environments for handling Protected Health Information (PHI) and a signed Business Associate Agreement (BAA) per HIPAA/HITECH Act. Delivers clinical policy recommendations and pharmacy guidelines.

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