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Dental Program Customer Service and Call Center Operations

Open
State & Local

Contract Overview

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

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This subcontract for Dental Program Customer Service and Call Center Operations supports the Illinois Department of Healthcare and Family Services by managing inbound and outbound call center activities. The contractor is responsible for providing beneficiary support for dental benefits and assisting with provider program navigation, ensuring all inquiry resolutions are handled efficiently. Operations are based in Springfield, Illinois, and require strict adherence to HIPAA compliance for the management of Protected Health Information. The service delivery involves the use of IVR systems and CRM software to maintain operational support for prime contractors.

General Info

Subcontract for Illinois dental program call center operations and beneficiary support in Springfield.

Place of Performance

Springfield, IL, 62704, USA

Set-Aside

NONE

Documents

This scope was carved out of 26-478HFS-DIREC-B-51894.

The full solicitation package (3 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

26-478HFS-DIREC-B-51894 | Sole Source: Dental Program for Fee-For-Service Customers

AI Contract Breakdown

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Timeline

Posted

subcontract

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Organization & Contact Information

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AgencyIllinois → Director
ContactsNo contacts available
OfficeN/A
Organization / AgencyIllinois → Director
Office AddressN/A
ContactsNo contact information available

Full Description

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Operates a customer-facing call center for prime contractors on Illinois Department of Healthcare and Family Services (HFS) projects. Manages inbound and outbound call center operations, provides beneficiary support regarding dental benefits, and offers provider program navigation. Requires HIPAA compliance for handling Protected Health Information (PHI) using IVR systems and CRM software. Delivers operational call center support and inquiry resolution.

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Same NAICS industry code

NAICS: 561422
New
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Solicitation # BPM057936
Solicitation BPM057936 is a request for comprehensive call center operational support services for the Maryland Health Benefit Exchange. The contractor will be responsible for managing customer service representatives, team leads, and supervisors to handle consumer inquiries via phone, live chat, and secure messaging. A critical component of the scope is ensuring staffing and production readiness for the annual Open Enrollment period, which typically runs from November 1 to January 15. The contract includes a base period of three years starting approximately July 1, 2027, and ending June 30, 2030, with two optional one-year renewal extensions. The award will be granted to the responsible offeror whose proposal is deemed most advantageous to the State, with technical factors receiving greater weight than financial factors. Evaluation criteria prioritize the technical response and work plan, staff qualifications, offeror capabilities, and economic benefit to Maryland. Required key personnel include a Project Director, Account Manager, Operations Manager, Training Manager, Quality Assurance Manager, and Workforce Manager. Pricing is structured around a monthly operational fixed fee and a fixed unit price per handled call. Proposals must be submitted via the eMMA portal by December 17, 2026, using a two-part double envelope submission process. The technical proposal must be strictly separated from the financial proposal to avoid rejection. Mandatory documentation includes various attachments, a performance bond, and certificates of insurance. The contract also emphasizes strict adherence to COMAR 21.06.09 for invoicing and requires a detailed Problem Escalation Procedure and annual technology readiness reviews every August.

POSTED

6 days ago

DEADLINE

in about 1 month
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