Medicare Part D Claims Switching Processing

The contract entails the electronic switching and processing of Medicare Part D claims for 21 pharmacies operated by the Health and Human Services Commission in Texas, requiring accurate validation, precise routing to the designated Prescription Drug Plans, and timely confirmation of successful claim processing. This subcontract is focused on ensuring seamless and compliant transmission of claims data across the Medicare Part D system, with strict emphasis on accuracy, efficiency, and reliability in handling pharmacy-specific transactions. The work involves interfacing with multiple PDP systems to guarantee that claims are directed correctly and processed without delay or error. The solicitation was posted on August 3, 2026, with a response deadline of August 17, 2026, at 4:30 PM. It falls under NAICS code 518210, indicating it relates to data processing, hosting, and related services. The contract is managed under the Texas agency of the Health and Human Services Commission, with no specific set-aside designation or place of performance details provided beyond the operational scope tied to the 21 HHSC pharmacies. Interested parties must respond through the designated Texas SMARTBUY portal to meet the requirements outlined in this subcontract opportunity.