This Solicitation opportunity from Kentucky was posted on September 14, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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RFP-746-2700000006-2 | External Independent Third-Party Review (C6102)

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RFP-746-2700000006-2State & Local

Submission Closed09/30/2026, 06:00:00 PM 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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DAS Healthcare Navigation Services

Solicitation # SRC0000040927

The State of Ohio Department of Administrative Services is soliciting proposals for a contractor to provide comprehensive healthcare navigation services for approximately 103,000 members. The primary objective is to improve the quality of care and reduce overall costs by simplifying access to care, increasing engagement in existing programs, and improving healthy outcomes. The scope of work includes providing guidance on healthcare benefits, supporting provider selection and appointment scheduling, assisting with claims and billing, and offering cost transparency tools. The selected contractor must integrate with existing Third Party Administrators and HR technology platforms and provide data insights via reporting capabilities. The contract utilizes a not-to-exceed unit cost fee structure with an initial term running from the date of signature through June 30, 2030, with potential renewals for up to four years. To qualify, offerors must meet a mandatory requirement of having provided navigation services to at least one public sector self-insured employer with at least 25,000 covered lives within the past five years. Award selection is based on the highest total score combining technical, cost, and presentation evaluations, provided a minimum technical threshold is met. The contractor must adhere to strict service level agreements, including answering calls within 20 seconds and maintaining 99.9 percent web portal availability, while complying with State IT policies and HIPAA regulations via a Business Associate Agreement.

Administrative Services

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Q517--PHARMACY BENEFITS SERVICES | WICHITA |

Solicitation # 36C25527Q0015

The Department of Veterans Affairs, Network Contracting Office 15, is soliciting quotations to establish a single-award, Indefinite Delivery/Indefinite Quantity (IDIQ) contract with fixed unit pricing for Pharmacy Benefit Services. This contract supports the First Fill Prescription Voucher Program at the Robert J. Dole VA Medical Center in Wichita, Kansas, including its associated Community Based Outpatient Clinics and Home-Based Primary Care programs. The program is designed to provide eligible Veterans with first or urgent fill prescriptions, typically limited to a 10-day supply or 14 days for antibiotics, in scenarios where VA pharmacies are impractical, such as after telehealth appointments or emergency room visits. The period of performance is scheduled from January 4, 2027, to January 3, 2030. This procurement is a total set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB), and all offerors must be registered in the SBA VetCert database to be considered. The selected contractor must maintain a geographically accessible pharmacy network with 24-hour and extended holiday coverage, adhere to VA-provided emergency medication formulary lists, and maintain strict HIPAA and Privacy Act compliance. Award will be based on best value, with technical capability and past performance combined being weighted more heavily than price. Quotations must include a dispensing fee per prescription, a discount from the Average Wholesale Price, and an administration fee per prescription, and must be submitted electronically to the contracting officer by November 23, 2026.

255-NETWORK Contract Office 15 (36C255)

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Flexible Spending Accounts (FSA) Administration Services RFP Number: UA 27P0036MOS

Solicitation # 225712

The University of Alaska has issued Request for Proposals No. 27P0036MOS seeking qualified vendors to provide Flexible Spending Accounts (FSA) Administration Services. This solicitation was officially issued on October 30, 2026, and all relevant documentation, including potential amendments and award notices, is hosted on the University's Bonfire hub portal. Interested parties must adhere to a strict timeline, with the deadline for submitting questions set for November 18, 2026, at 5:00 PM AKDT. Final proposals must be submitted by November 25, 2026, at 12:00 PM AKDT. The University specifies that proposals must be submitted through the designated portal, as any submissions sent via fax or other unauthorized methods will be rejected as non-responsive.

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

Solicitation # 27-011CH-32RFP

The Tempe Union High School District is soliciting proposals under RFP 27-011CH-32RFP for the administration of employee benefits for the plan years spanning July 1, 2027, through June 30, 2032. The scope of work includes Basic and Voluntary Life and Accidental Death and Dismemberment, Short-Term Disability, Flexible Spending Accounts, Health Savings Accounts, and COBRA administration. Key requirements include the provision of a 24/7 participant website, comprehensive online reporting for the District, and the waiver of pre-existing condition limitations for initially enrolled employees and dependents. The District intends to ensure that no employees suffer a loss of benefits during a carrier transition and requires a master contract that eliminates active-at-work restrictions or deferred effective dates. Proposals must be submitted via the OpenGov portal by November 19, 2026, with questionnaires and financial tabs provided exclusively in Excel format. The award will be based on a point formula system evaluating responsiveness, qualifications, cost, and past performance, with the possibility of multiple awards by individual product lines. Technical proposals must score at least 500 out of 1000 points to proceed to price evaluation. Contractual terms include Net 30 payment terms, a five-year records retention requirement, and compliance with various federal and state laws, including the Americans with Disabilities Act and Arizona Revised Statutes. Implementation must be completed 60 days prior to open enrollment, with the implementation manager providing support for 45 days following the July 1 effective date.

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Employee Benefits- Medical/Rx/EAP RFP

Solicitation # 27-012CH-32RFP

Tempe Union High School District #213 is soliciting proposals under RFP 27-012CH-32RFP for the provision of comprehensive employee health benefits, including Third-party Administrator (TPA) services for medical claims, bundled Pharmacy Benefit Management (PBM), and an Employee Assistance Program (EAP). The procurement covers plan years from July 1, 2027, through June 30, 2032, with an initial contract term starting March 15, 2027, and ending March 14, 2028, followed by up to four one-year renewals. The scope includes claims administration, network access, clinical case management, and the potential addition of a qualified High Deductible Health Plan. Key deliverables include bilingual educational materials and attendance at four annual Open Enrollment meetings in Tempe, Arizona. The contract is governed by Arizona Law and the Arizona School District Procurement Code, requiring contractors to maintain records for five years and comply with the Americans with Disabilities Act and the Affordable Care Act. Award decisions will be based on a point formula system evaluating technical responsiveness, qualifications, cost, and past performance, rather than price alone. Bidders must provide comprehensive general liability insurance of at least 1 million dollars per occurrence and 2 million dollars aggregate. All direct services must be performed within the United States. Proposals must be submitted via the OpenGov portal by November 19, 2026, with specific requirements for Excel-formatted questionnaires and PDF documentation.

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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 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, as well as compliance with Commonwealth Office of Technology standards and HIPAA regulations via a Business Associate Agreement. Vendor performance will be 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. Security is a high priority, requiring immediate data breach notification within 30 minutes of discovery and the maintenance of cyber insurance or performance bonds. Proposals are evaluated based on technical and cost criteria, with a 15 percent preference given to qualified bidders. The final deadline for proposal submission is December 9, 2026, with an anticipated contract start date of April 1, 2027. Payments are processed within 30 working days of invoice acceptance, provided all specific documentation and Personal Service Contract forms are submitted.

275 E.Main St.,Fkt, Ky

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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.

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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

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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 Contractors to serve as Third-Party Administrators (TPA) for its self-insured medical plans, including Ohio Med PPO, Ohio Med Select, and Ohio Med HDHP. The selected Contractor(s) will be evaluated by region and will be responsible for administering existing plan designs for approximately 103,000 covered lives starting July 1, 2027. Key responsibilities include the seamless delivery of medical health benefits, daily reconciliation of plan accumulators with behavioral health and prescription drug contractors, and the integration of data feeds with pharmacy, population health management, and data warehouse vendors. The contract term runs from the date of signature through June 30, 2030, with the State maintaining the option for one-month renewals. Proposals are evaluated based on a maximum of 8,800 points, with a mandatory requirement that the Contractor administer existing plan designs without exception. Financial terms include monthly ASO fees paid Net 30 and claims reimbursement within ten business days, with claims billed no more than weekly via ACH. Contractors must provide a Benefits Fund of 75,000 USD per awarded region for the initial three-year period and at least 25,000 USD per region for subsequent renewals. Performance is monitored through strict Service Level Agreements, including a 100 percent success rate for mailing ID cards within five days of enrollment. Additionally, Contractors must comply with State IT policies, HIPAA regulations via a Business Associate Agreement, and maintain licensure with the Ohio Department of Insurance.

Administrative Services

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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.

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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.

Lane County

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9 days ago

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in 19 days

AI Contract Overview

Solicitation RFP 746 2700000006 is a request for a Personal Service Contract issued by the Commonwealth of Kentucky's Cabinet for Health and Family Services, Department for Medicaid Services. The contract seeks a qualified provider to conduct External Independent Third-Party Reviews (EITPR) of adverse final decisions made by Managed Care Organizations regarding Medicaid provider appeals. The scope of work involves performing approximately 7,200 clinical reviews annually, covering medical necessity, administrative, and pharmacy determinations. The selected contractor must issue final decisions within 30 calendar days of receiving appeal materials and provide detailed review summaries and regular monthly, quarterly, and annual reports. The procurement process utilizes a weighted evaluation system totaling 1,600 points, consisting of a technical proposal (1,000 points), a cost proposal based on an all-inclusive rate per decision (400 points), and potential oral presentations (200 points). Technical proposals must score at least 600 points to avoid elimination. Key requirements include strict HIPAA compliance for protecting electronic protected health information, the maintenance of cyber insurance or a performance bond, and adherence to federal and state Medicaid regulations. The contractor is also required to implement a formal Standard Operating Procedure for the credentialing of clinicians and ensure all personnel are not ineligible to participate in federal healthcare programs.