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This Sources Sought opportunity from Department Of Veterans Affairs was posted on September 10, 2020. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

R408--WSNC Pharmacy Benefit Mgmt 1st-Fill Prescription (Rx) Svcs

Closed
36C26020R0080Federal

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292
New
SLED
RFP-746-2500000254-4 | Financial Mgmt. for PDS in 1915(c)HCBS Waiver Programs C5684
Solicitation # RFP-746-2500000254-4
The Commonwealth of Kentucky Cabinet for Health and Family Services, Department for Medicaid Services, is soliciting proposals for Financial Management Services (FMS) to support Participant-Directed Services (PDS) across five 1915(c) Medicaid waiver programs: Acquired Brain Injury, ABI Long Term Care, Home and Community Based, Michelle P. Waiver, and Supports for Community Living. Serving approximately 15,640 participants, the selected vendor will be responsible for critical operational tasks including electronic visit verification, claims processing, payroll, tax assistance, and financial reporting. The contract requires a seamless transition from the current vendor and mandates adherence to PMI standards for project management. Technical requirements include integration with the Kentucky Online Gateway for identity and access management using SAML 2.0, OIDC/OAuth 2.0, and WS-Fed protocols. Vendors must comply with Commonwealth Office of Technology standards, ensuring all data remains within the contiguous United States and adheres to HIPAA, HITECH, and GDPR regulations where applicable. Performance is strictly monitored through pre-operational and operational report cards, with monetary penalties ranging from 100 to 10,000 dollars for non-compliance in areas such as call center support, billing accuracy, and disaster recovery. Additionally, the vendor must maintain cyber insurance or a performance bond and notify the agency of any suspected data breaches within 30 minutes of discovery. Proposals are evaluated based on technical and cost criteria, with a 15 percent preference given to qualified bidders. The final deadline for submission via the Kentucky Vendor Self Service site is December 9, 2026, with an anticipated contract start date of April 1, 2027. Awardees must certify they are not debarred from federal or state contracts and agree to maintain staffing levels at 90 percent or more of the agreed-upon Project Staffing Plan.
275 E.Main St.,Fkt, Ky

POSTED

about 19 hours ago

DEADLINE

in about 1 month
NAICS: 524292
New
SLED
712589: Third Party Liability Claims Administrator Services
Solicitation # 54879
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.
Department of Law

POSTED

1 day ago

DEADLINE

in about 2 months
NAICS: 524292
New
Federal
TRICARE Medicare Eligible Program Second Generation (TMEP2)
Solicitation # HT940226R0001
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.
Defense Health Agency

POSTED

1 day ago

DEADLINE

in about 1 month
NAICS: 524292
New
SLED
DAS Medical Plan Third-Party Administrator
Solicitation # SRC0000038100
The State of Ohio, through the Department of Administrative Services, is soliciting proposals for one or more Third-Party Administrators (TPA) to manage medical health benefits for approximately 103,000 covered lives. The selected contractor(s) will be evaluated by region and must administer the existing Ohio Med PPO, Ohio Med Select, and Ohio Med HDHP plan designs without exception. The contract term runs from the date of signature through June 30, 2030, with the contractor assuming responsibility for all claims incurred on or after July 1, 2027. Key responsibilities include seamless data integration with pharmacy, behavioral health, and population health management vendors, as well as daily reconciliation of plan accumulators. The procurement process requires a two-part electronic submission via OhioBuys, consisting of a technical proposal and a separate cost proposal. Mandatory requirements include agreement to existing plan designs and the execution of a nondisclosure agreement to access specific provider data. Pricing is structured around per employee per month (PEPM) administrative services only (ASO) fees, with additional costs for file feeds, communications, and disease management. Performance is monitored through strict Service Level Agreements (SLAs), including a requirement to mail ID cards within five days of enrollment. Contractors must also provide a Benefits Fund of $75,000 per awarded region for the initial three-year period and maintain compliance with State IT policies and HIPAA regulations via a Business Associate Agreement.
Administrative Services

POSTED

1 day ago

DEADLINE

in 15 days
NAICS: 524292
New
SLED
TPA Workers' Compensation
Solicitation # 127-2026
The Southwest Ohio Regional Transit Authority (SORTA), also known as Cincinnati Metro, is soliciting proposals for a Third-Party Administrator (TPA) to manage its self-insured Workers' Compensation program. The scope of work includes comprehensive claims administration, medical management, cost containment, legal support, and regulatory compliance in accordance with Ohio Bureau of Workers' Compensation and Ohio Industrial Commission requirements. Additionally, the selected vendor will provide safety consulting, OSHA/VSSR review services, and various reporting deliverables, including quarterly claims reports and bi-weekly payment forecasts. The contract is intended to begin in March 2027 and utilizes a firm-fixed price structure for a five-year term. Proposals must be submitted electronically via the OpenGov portal by November 4, 2026, and must be divided into two volumes to keep pricing separate from technical and business qualifications. Evaluation will be based on a points-based system focusing on price, project approach, and firm and staffing qualifications, specifically looking for public-sector or transit-related experience. Award decisions will be made based on the most advantageous proposal to SORTA. The successful contractor must adhere to NET 30 payment terms and comply with various federal and state non-discrimination and equal employment opportunity regulations.
Human Resources

POSTED

2 days ago

DEADLINE

in 6 days
NAICS: 524292
SLED
Pharmacy Drug Benefits
Solicitation # HHS0017240
The Texas Department of State Health Services (DSHS) is soliciting proposals under solicitation number HHS0017240 for a Pharmacy Benefits Manager (PBM) to support the Texas HIV Medications Program (THMP). The selected PBM will act as a secondary payor to manage prescription drug benefits, premium payments, and copayments through three primary programs: the State Pharmacy Assistance Program (SPAP) for Medicare Part D costs, the Texas Insurance Assistance Program (TIAP) for medication copayments and COBRA premiums, and the Texas Insurance Assistance Program-PLUS (TIAP-PLUS) for private and federal marketplace plan assistance. The scope of work involves processing medication claims and monthly invoice premium payments, with historical data indicating the management of over 15,000 claims for approximately 2,764 participants. The contract features an initial one-year term with the possibility of four additional one-year extensions and one final option period at the discretion of DSHS. Award selection is based on best value, evaluated through a weighted scoring system consisting of the Project Workplan (45%), Cost Proposal (35%), and Qualifications and Experience (20%). Proposals must be submitted by November 19, 2026, via either USB drive or an online bid room. Requirements include a narrative proposal limited to 40 pages, a separate Excel-based cost proposal, and a VetHUB Subcontracting Plan. The contract is governed by Texas Government Code Section 2155.144 and incorporates various HHS uniform terms, additional provisions, and a Data Use Agreement.
Department of State Health Services

POSTED

8 days ago

DEADLINE

in 21 days
NAICS: 524292
SLED
DAS Behavioral Health Third-Party Administrator RFP
Solicitation # SRC0000040548
The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a Third-Party Administrator to manage its self-insured Behavioral Health Benefit Plan. Starting July 1, 2027, the selected contractor will provide administrative services for approximately 43,800 employees and 104,600 total lives. Key responsibilities include managing eligibility, claims history, prior authorizations, utilization management, and data integration with the State's data warehouse. The contract runs from the date of signature through June 30, 2030, with the possibility of a one-month discretionary renewal and further mutual renewals for up to four additional years. To be eligible, offerors must be NCQA accredited and comply with the Mental Health Parity and Addiction Equity Act. The evaluation process is based on a total score derived from technical requirements, cost, and presentations, with the highest-ranking responsible offeror recommended for award. Financial terms utilize a not-to-exceed unit cost fee structure, and the contractor must provide a Benefits Fund of at least 150,000 dollars. Strict compliance is required regarding HIPAA through a Business Associate Agreement, State IT policies, and secure data transfer protocols via SFTP. Proposals must be submitted electronically through the OhioBuys portal, consisting of separate technical and cost volumes.
Administrative Services

POSTED

8 days ago

DEADLINE

in 15 days
NAICS: 524292
SLED
Employee Benefits- Life/STD/FSA/HSA/COBRA
Solicitation # 27-011CH-32RFP
The Tempe Union High School District is soliciting proposals under solicitation number 27-011CH-32RFP to secure a provider for the administration of employee benefits, including Basic and Voluntary Life and Accidental Death and Dismemberment, Short-Term Disability, Flexible Spending Account, Health Spending Account, and COBRA administration. The intended contract period runs from July 1, 2027, through June 30, 2032. Key requirements include the waiver of pre-existing condition limitations for initially enrolled employees and dependents, the elimination of active-at-work restrictions, and a guarantee that no employee suffers a loss of benefits during a carrier change. The selected vendor must provide a designated account management team, bilingual educational materials, and attendance at four days of annual open enrollment meetings in Tempe, Arizona. The award process utilizes a point formula system across three phases: initial evaluation, vendor interviews, and a best and final offer. Evaluation factors include responsiveness, cost, and past performance, with a minimum of 500 technical points required to proceed to price evaluation. The District intends to award the least number of vendors necessary, with contracts potentially awarded by individual product lines. Proposals must be submitted via the OpenGov portal by November 19, 2026. The contract is subject to Arizona Revised Statutes and School District Procurement Rules, featuring a zero-tolerance gift policy and net 30-day payment terms. Implementation must be completed 60 days prior to open enrollment, with a required 45-day support period following the July 1 effective date.
Business Services

POSTED

9 days ago

DEADLINE

in 21 days
NAICS: 524292
SLED
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

General Info

NAICS

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

Place of Performance

See Attachment A, WA

Set-Aside

NONE

Documents

2

36C26020R0080.docx

DOCX

Attachment+A+-+WSNC+Medical+Facilities.doc

DOC

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Timeline

PhaseClosed
Posted

Sources Sought

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyDepartment Of Veterans Affairs → 260-NETWORK Contract Office 20 (36C260)
Contacts1 person available
OfficeVANCOUVER, WA, 98661, USA
Office AddressVANCOUVER, WA, 98661, USA
Contacts
Erik K. BergContracting Officer (III)

Full Description

Show more
CONTINUATION PAGE The Veterans Health Administration Western States Network Consortium (WSNC) is seeking interested sources to provide Pharmacy Benefit Management First-Fill Prescription (Rx) Services. Contractors must be able to provide service for one or more Networks (VISN 17, VISN 19, VISN 20, VISN 21 and VISN 22) listed in Attachment B. NAICS/Size: 524292/$35M Potential contractors shall provide, at a minimum, the following information to Erik K. Berg at contact@example.gov no later than 23 September, 2020. 1) Offeror s name, address, point of contact, phone number, and e-mail address. 2) Business type, size, and company's DUNS number. 3) If you have a current GSA contract, please provide the contract number. The capabilities statement for these sources sought is not a Request for Proposal (RFP), Quote (RFQ) or Invitation for Bid (IFB), nor does it restrict the Government to an ultimate acquisition approach. Responses received will assist the Government in determining the appropriate acquisition strategy. The Government may or may not issue a solicitation as a result of this notice. No telephone inquiries will be accepted.

More opportunities from Department Of Veterans Affairs → 260-NETWORK Contract Office 20 (36C260)

Same awarding agency

NAICS: 238220
New
Federal
J041--White City B249 SE HVAC Repair
Solicitation # 36C26027Q0102
Solicitation 36C26027Q0102 is a total set-aside for certified Service-Disabled Veteran-Owned Small Businesses (SDVOSB) issued by the Department of Veterans Affairs. The contract requires the repair of a Mitsubishi R-410A comfort-cooling system (Serial 07W0090) located on the southeast side of Building B249 at the VA Southern Oregon Rehabilitation Center and Clinics in White City, Oregon. The scope of work includes leak detection, brazing repairs with nitrogen purge, refrigerant recovery, evacuation to less than 500 microns, and recharging the system to nameplate requirements. The contractor must provide a detailed service report documenting the root cause, repair actions, and compliance with EPA Section 608 and VHA ICRA/PCRA controls for occupied healthcare facilities. The period of performance is 30 calendar days from the Notice to Proceed. Award will be granted to the responsible offeror whose proposal is most advantageous to the government, considering price and other specified factors. Key regulatory requirements include adherence to OSHA 29 CFR 1910.147 for lockout/tagout and 29 CFR 1910.333 for electrical safety. Payments will be processed via Electronic Funds Transfer, and invoices must be submitted electronically through the Tungsten Network. Offerors must provide their Unique Entity Identifier and maintain firm pricing for 60 calendar days from the response deadline of November 10, 2026.
Plumbing, Heating, and Air-Conditioning Contractors

POSTED

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DEADLINE

in 12 days
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NAICS: 334513
New
Federal
Boiler Plant O2 Sensor Replacement
Solicitation # 36C26027Q0101
The Department of Veterans Affairs, through the Network Contract Office 20, is conducting market research via a Sources Sought Notice for a firm-fixed price service contract to perform inspection, testing, maintenance, and repair of three model 6888 Rosemount flue gas analyzers. The work will be performed at the VA Southern Oregon Rehabilitation Center and Clinics in White City, Oregon. The primary scope involves replacing internal O2 analyzer components using original equipment manufacturer parts, specifically 18 inch standard cells, 18 inch heater strut assemblies, Hastelloy with Vee Deflectors for service up to 1300 degrees Fahrenheit, and new flange gaskets. The period of performance is six months, with on-site work required during core hours of 7:00 AM to 4:00 PM, Monday through Friday. This opportunity is designated as a total Small Business Set Aside under NAICS code 334513, with a size standard of no more than 750 employees. Qualified sources, including SDVOSB and VOSB entities, must provide company details, SAM.gov UEI numbers, and proof of manufacturer authorization if they are not the OEM. Contractors must employ qualified personnel, maintain general third-party liability insurance per FAR 52.228-5, and adhere to NEC, OSHA, and JCAHO standards. Deliverables include written daily reports to the Deputy Chief Facilities Management and testing documentation provided to the Contracting Officer's Representative. Interested parties are requested to provide a courtesy quote and capability statement to assist the government in evaluating price reasonableness and market availability.
Instruments and Related Products Manufacturing for Measuring, Displaying, and Controlling Industrial Process Variables

POSTED

2 days ago

DEADLINE

in 5 days
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NAICS: 325998
New
Federal
Microbiological media purchase order for Clinical Microbiology laboratory.
Solicitation # 36C26027Q0104
The Department of Veterans Affairs Network Contracting Office 20 is seeking sources for a microbiology testing media purchase order to support the Seattle Division of the VA Puget Sound Medical Center. This requirement covers a wide range of critical supplies for identifying pathogenic organisms in veteran patients, including long shelf-life products like Oxidase and Indole, perishable selective agar, biochemical test kits, and ATCC organisms mandated by the College of American Pathologists for quality control. The contract is structured with a base year running from February 1, 2027, to January 31, 2028, followed by four subsequent one-year option periods ending January 31, 2032. Deliveries are to be made to the Microbiology Lab in Seattle, with weekly shipments typically scheduled for Tuesdays and individual requests fulfilled as available. Due to the perishable nature of many items, the vendor must provide tracking information, and the cost of next-day delivery for all perishable goods must be included in the individual item price. All temperature-liable products require immediate refrigeration upon delivery. Invoicing is processed through the Austin Automated Payment System in Texas, and the vendor must provide SDS sheets for all media upon request. This sources-sought notice specifically looks for capable sources, including qualified SDVOSB/VOSB entities, with a response deadline of November 10, 2026.
All Other Miscellaneous Chemical Product and Preparation Manufacturing

POSTED

2 days ago

DEADLINE

in 12 days
View Details
NAICS: 238220
New
Federal
Z1DA--CON-NRM-668-22-106 Correct Domestic Water System
Solicitation # 36C26027R0014
Solicitation 36C26027R0014 is a negotiated request for proposals for the Department of Veterans Affairs to correct domestic water system deficiencies in Buildings 1 and 12 at the Mann-Grandstaff VA Medical Center in Spokane, Washington. The project is 100% set aside for Service-Disabled Veteran-Owned Small Businesses under NAICS 238220, with an estimated contract magnitude between $1 million and $2 million. The primary objective is to modify hot and cold potable water distribution systems to comply with VHA Directive 1061 for the prevention of scald injuries and Health Care-Associated Legionella Disease. The scope includes all labor, materials, and equipment, with a specific requirement to flush potable water dispensing fixtures twice weekly from installation until final acceptance. The period of performance is 275 calendar days from the Notice to Proceed. The government will utilize a Best Value tradeoff process for award, prioritizing technical experience and past performance over cost. Technical evaluations will favor offerors with demonstrated experience in phasing and Infection Control Risk Assessment (ICRA) within 24-hour operational emergency rooms. Proposals must be submitted in three separate volumes—Technical, Past Performance, and Price—by November 23, 2026. Awardees must provide performance and payment bonds, adhere to Davis-Bacon Act wage determinations, and comply with Buy American requirements. Additionally, the contractor must maintain strict confidentiality regarding sensitive information and provide a one-year warranty on all materials and installation.
Plumbing, Heating, and Air-Conditioning Contractors

POSTED

2 days ago

DEADLINE

in about 1 month
View Details

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