RFP-790-2700000038-2 | Pharmacy Benefit Claims Monitoring

The Commonwealth of Kentucky Personnel Cabinet and Department of Employee Insurance are seeking qualified vendors through RFP-790-2700000038 to provide Pharmacy Benefit Claims Monitoring services for the Kentucky Employees Health Plan. This initiative aims to ensure accurate billing and payment of pharmacy claims for approximately 150,000 insured employees and retirees in accordance with plan designs and contractual terms. The selection process includes a detailed questionnaire to evaluate vendor experience, staffing credentials, and organizational structure, while the cost proposal requires vendors to specify their fees as a percentage of the savings achieved. To maintain strict compliance with HIPAA regulations, the contract requires a Business Associate Agreement to govern the handling and protection of Protected Health Information for all plan members. The solicitation is managed by the Personnel Office of Secretary in Frankfort, Kentucky, with a response deadline of September 11, 2026. Primary contact for this effort is Alexa Perry.