This Solicitation opportunity from Maryland was posted on November 19, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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MHCC 25-01 Actuarial Consulting - Elimination of Step Therapy for Metastatic Cancer Side Effect Tre

Closed

BPM047406State & Local

Submission Closed12/04/2024, 12:00:00 AM UTC

Contract Overview

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

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NAICS: 524292

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RFP-746-2500000254-4 | Financial Mgmt. for PDS in 1915(c)HCBS Waiver Programs C5684

Solicitation # RFP-746-2500000254-4

The Commonwealth of Kentucky is soliciting proposals for Financial Management Services (FMS) to support Participant Directed Services (PDS) within 1915(c) Home and Community-Based Services (HCBS) Waiver Programs. The selected vendor will be responsible for providing comprehensive financial management and ensuring a seamless transition from the incumbent provider. Project management methodologies must adhere to PMI standards, and the vendor is required to maintain staffing levels at 90% or more of the agreed-upon Project Staffing Plan. Key deliverables include monthly performance report cards and claims files delivered every other Friday. Proposals must be submitted electronically via the Kentucky Vendor Self Service site by December 9, 2026, divided into separate technical, cost, and proprietary documents. Award decisions are based on a ranking of technical and cost evaluations, with a 15% point preference granted to qualified bidders. The contract requires strict adherence to federal and state regulations, including certifications against debarment, compliance with the Kentucky Civil Rights Act, and the maintenance of cyber insurance or performance bonds. Security is paramount, with a requirement to notify the Department for Medicaid Services of any suspected data breaches within 30 minutes of discovery. Payment is processed within 30 working days of invoice acceptance.

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712589: Third Party Liability Claims Administrator Services

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The City of Chicago Department of Law is soliciting proposals for Third Party Liability Claims Administrator Services under solicitation number 54879. The selected contractor will provide general claims administration, inside claims specialist services, and outside claims adjuster services, with a primary focus on managing tort claims. Key responsibilities include conducting physical inspections, securing evidence, and providing litigation support. The contract is structured as a Blanket Purchase Agreement with a base term of 60 months and options for two 12-month extensions or a single 24-month extension. Performance is measured by strict processing timelines, requiring routine claims to be resolved within 70 days and complex claims within 182 days, with a mandatory 80 percent adherence rate. Proposals are due by December 18, 2026, and will be evaluated based on professional and technical competence (70 percent), the implementation and management plan (20 percent), and the schedule of compensation (10 percent). Several pass/fail criteria apply, including financial stability, insurance compliance, and the submission of a sexual harassment policy affidavit. The contractor must provide on-site coverage Monday through Friday from 8:00 am to 6:00 pm and Saturdays from 8:00 am to 12:00 noon. Additionally, the City will provide a 100,000 dollar Claims Payment Fund for the contractor to manage and replenish monthly. Compliance with MBE, WBE, and VBE goals is required, and the contractor must adhere to stringent data protection requirements for all protected information.

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TRICARE Medicare Eligible Program Second Generation (TMEP2)

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The TRICARE Medicare Eligible Program Second Generation (TMEP2) is a full and open competitive acquisition issued by the Defense Health Agency to provide health care claims processing, customer support, and administrative services for dual-eligible Medicare and TRICARE beneficiaries. The scope of work covers medical services received across the United States, Puerto Rico, Guam, the US Virgin Islands, American Samoa, and the Northern Mariana Islands. This Firm Fixed-Price contract features a potential total period of performance of 8.5 years, consisting of a 12-month transition-in period, seven 1-year healthcare delivery periods, a 12-month transition-out period, and a possible 6-month extension of services. The government will utilize a best value trade-off source selection process, where technical approach and past performance are equal in importance and collectively significantly more important than price. A rating of acceptable for small business participation is required for award eligibility. Key requirements include CMMC Level 2 certification, adherence to FedRAMP Moderate security standards for cloud providers, and the implementation of a Quality Assurance Surveillance Plan to monitor performance metrics. Proposals must be submitted electronically via DoD SAFE by December 03, 2026, at 5 p.m. MST, organized into six separate electronic volumes.

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Vehicle Assistance and Claims AdministratorThe Vehicle Assistance and Claims Administrator subcontract, issued by the US Embassy Paris for the Department of State, involves providing roadside assistance and third-party insurance claims management for prime contractors in France. The selected provider will manage assistance for 112 vehicles, settle third-party claims, and recover expenses related to personnel and equipment. Key deliverables include the resolution of claims, the recovery of funds, and detailed documentation of all roadside assistance events. To be eligible, the contractor must possess a Kbis registration and appoint a Project Manager who is fluent in both English and French. The work will be performed in Paris, France, under NAICS code 524292. Responses for this opportunity are due by November 6, 2026.

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Announcement of RFP for Retirement Plan Administration and Record Keeping Services

Solicitation # LC26028

Lane County is seeking proposals from qualified firms to provide comprehensive administration, record keeping, education, and investment-related services for its 457 Deferred Compensation Plans and 401(a) Defined Contribution Plan. The primary objectives of this solicitation are to enhance participant retirement outcomes, improve education and communication, and implement robust online transaction capabilities. Additionally, the County aims to reduce expenses, evaluate competitive pricing structures, and streamline administrative functions through automation and integrated reporting. Interested parties must request solicitation documents from the designated consultants by November 12, 2026, at 5:00 PM. The final deadline for proposal submissions is November 20, 2026. The selected firm will be expected to ensure an orderly transition of assets and services while maintaining a strong working relationship with the Deferred Compensation Advisory Committee.

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Nevada State Pharmacy Benefit Manager

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Solicitation # HHS0017240

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Employee Benefits- Life/STD/FSA/HSA/COBRA

Solicitation # 27-011CH-32RFP

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RFP-2026-21 Voluntary Benefits, Section 125 Flexible Benefit Plan, Enrollment and Related Employee Services

Solicitation # RFP-2026-21

Harnett County Schools is soliciting proposals under RFP-2026-21 for a qualified partner to provide voluntary employee benefits, Section 125 Flexible Benefit Plan administration, and related enrollment and support services. The scope of work includes the coordination of voluntary insurance benefits such as dental, vision, disability, and life insurance, as well as the administration of medical and dependent care flexible spending accounts. The selected provider will be responsible for open enrollment delivery, employee education, telemedicine services, and critical administrative tasks including payroll deduction files, billing reconciliation, and IRS-compliant nondiscrimination testing and tax filings. The contract will be awarded to the lowest responsible and responsive bidder based on the total base bid, though the agency may also consider overall value, service quality, and employee impact. Proposers must submit three signed physical copies and one electronic PDF copy via thumb drive by November 13, 2026. Required documentation includes a detailed pricing schedule, implementation and transition plans, North Carolina licenses, and various certifications regarding non-collusion, conflict of interest, E-Verify compliance, and the Iran Divestment Act. Vendors must also provide evidence of cybersecurity and privacy controls and adhere to North Carolina Department of Labor safety standards. Payment terms are set at net 30 days following the receipt of a correct invoice.

Harnett County Board of Education

POSTED

10 days ago

DEADLINE

in 15 days

AI Contract Overview

The Maryland Health Care Commission is seeking a contractor to analyze and recommend the elimination of step therapy requirements imposed by health insurers, nonprofit health service plans, and health maintenance organizations for treatments related to metastatic cancer and its associated side effects. Since metastatic cancer has no known cure, treatment focuses on prolonging life and alleviating symptoms, often involving multiple drugs to manage side effects such as pain, nausea, fatigue, and immune system issues. Currently, some health plans enforce step therapy protocols that require patients to undergo initial, often less effective or less appropriate treatments before receiving the prescribed optimal therapy, leading to delays, increased stress, and potentially adverse health outcomes for patients. The removal of these step therapy barriers aims to streamline access to necessary medications, reduce treatment delays, and improve patient quality of life by allowing oncologists to directly prescribe the most suitable drugs without navigating complex prior authorization processes involving documentation from patients, families, and healthcare providers. The contract, valued between $500,000 and $1,500,000, is issued by the Maryland Department of Health and is set to be posted in November 2024, with responses due by early December 2024. The project emphasizes a comprehensive review of current step therapy policies and their impact on metastatic cancer treatment, with the goal of informing policy changes that prioritize patient well-being and treatment efficacy. The selected contractor will work closely with the Maryland Boards & Commissions Department of Health, and contact for inquiries is Andrea Allen. The initiative aligns with broader efforts to improve healthcare delivery and reduce unnecessary treatment barriers for cancer patients within Maryland.

General Info

Agency

Maryland Boards & Commissions Department of Health - Administration

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Place of Performance

MD, USA

Set-Aside

NONE

Documents

MHCC 25-016 Actuarial Consulting on Elimination of Step Therapy for Metastatic Cancer

rfp

High

MHCC 25-016 Financial Proposal Form

bid-schedule

High

AI Contract Breakdown

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Timeline

PhaseClosed

PostedNov 19

Solicitation

Response DeadlineDec 4

Deadline has passed

Submission Closed

12/04/2024, 12:00:00 AM UTC

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Organization & Contact Information

AgencyMaryland Boards & Commissions Department of Health - Administration

Contacts1 person available

OfficeN/A

Organization / AgencyMaryland Boards & Commissions Department of Health - Administration

Office AddressN/A

Contacts

Andrea ALLEN

contact@example.gov

Full Description

The Maryland Health Care Commission (MHCC) seeks a Contractor to conduct an analysis that requires health insurers, nonprofit health service plans, and health maintenance organizations to eliminate step therapy for associated conditions and side effects of treatment for Metastatic Cancer. While Metastatic Cancer does not have any known cures, some treatments can prolong life and reduce symptoms. Many of the treatments come with side effects, including severe pain, nausea, fatigue, lymphedema, issues with white blood cell counts, and more. Often, oncologists and other physicians treat patients struggling with various drugs that control the side effects of the treatments. In some instances, health plans apply step therapy on drugs that control the side effects of metastatic cancer treatment. For health plans, the impetus for step therapy—and the integration of pharmacy benefit managers (PBMs) and treatment pathways into the care process—is to lower costs, improve quality of life, and ensure that patients receive the most preferred cost-effective therapy. There are sometimes negative consequences as patients may have to ‘step’ through several treatments before the health plan authorizes what the treating oncologist believes is the optimal drug for controlling side effects. The step-therapy process to treat a metastatic cancer patient often entails the patient, the patient's family, the oncology pharmacy, and the oncologist submitting documentation supporting the use of a specific agent for the patient. The removal of step therapy may help eliminate the delays, stress, and negative health outcomes for patients.