This Solicitation opportunity from Mississippi was posted on April 28, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Ryan White Part B Third Party Administrator (TPA) Implementation

Closed

3160008035State & Local

Submission Closed05/29/2026, 04:00:00 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

New

SLED

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Health, Pharmacy, Dental, Vision and Stop Loss Coverage Employee Benefits Plan

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Medical Claims Administration and Member SupportThis subcontract for Medical Claims Administration and Member Support focuses on providing comprehensive medical claims administration for prime contractors associated with the Hidalgo County Head Start Program in Texas. The scope of work includes executing claims adjudication and processing, managing customer service, and overseeing care management. Additionally, the contractor is responsible for coordinating with data warehouse vendors and independently selected Direct Primary Care providers to ensure seamless operational integration. Key deliverables under this agreement include the provision of processed claims reports, member support services, and the delivery of administrative data feeds. The project falls under NAICS code 524292 and is managed through the Head Start Program. Interested parties should note the response deadline of September 23, 2026.

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Medical Claims Processing and Payment Accuracy Review

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General Liability Third Party Administration Services

Solicitation # LACDA26-067

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AS- Procurement (AS-P)

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DEADLINE

Solicitation # Notice_Of_Intent_PBM

The Department of Homeland Security, through U.S. Immigration and Customs Enforcement and the ICE Health Service Corps, intends to award a sole source modification of contract 70CDCR26C00000003 to Ardent Group, LLC. This action is for the continued provision of Pharmacy Benefit Management support. The government has determined that Ardent Group is the only responsible source capable of meeting the requirements within the necessary timeframe, citing authority under FAR Class Deviation 25-11. This notice is not a solicitation for proposals, but interested parties may submit information regarding their capabilities to the government by September 14, 2026. The primary North American Industry Classification System code for this requirement is 524292. The government maintains full discretion over whether to proceed with the sole source award or move toward a competitive procurement process based on the responses received.

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Solicitation # STATE 0000000551SL

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Solicitation # RFP-12-2027

Multnomah County is seeking a qualified independent contractor to perform comprehensive medical, prescription, and dental claims audits and operational assessments for its self-funded health plans. The primary goals of this engagement are to ensure fiscal accountability, verify compliance with plan documents, and identify opportunities for cost recovery and process improvement. The selected vendor will be responsible for conducting audits at the County's discretion, implementing robust quality assurance and error-checking protocols, and providing a knowledge transfer plan, including training sessions for County staff. The contract may have a term of up to five years, with payment terms set at Net 30. Proposals are due by September 23, 2026, via the Multco Marketplace Supplier Portal. Evaluation is based on cost, expertise, methodology, innovation, and alignment with County needs, with a specific emphasis on responsible business practices, including energy conservation and living wage standards. High priority is placed on HIPAA compliance for data security and the integration of equity-focused principles to identify health plan disparities. The County strongly encourages participation from minority-owned, women-owned, and emerging small businesses. Award will be granted to the responsible proposer whose proposal is deemed most advantageous, with the highest-scoring responsive bidder entering negotiations for final contract terms.

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LoSAP Plan Administrator (Core Service)This subcontract for the LoSAP Plan Administrator involves providing comprehensive administrative and fiduciary services for the Length of Service Award Program for prime contractors on Prince William County benefit projects. The selected provider will be responsible for managing participant records, verifying benefit eligibility, processing claims, and preparing necessary governmental reports. To ensure compliance and security, the contractor must utilize secure databases for the protection of personally identifiable information and maintain a fiduciary status with an AM Best Rating of A- VIII or higher. The opportunity is categorized under NAICS code 524292 and is associated with the Prince William County BU in Virginia. Interested parties must submit their responses by October 6, 2026, to be considered for the delivery of managed plan operations and the filing of required reports.

Prince William County BU

POSTED

23 days ago

DEADLINE

in 24 days

AI Contract Overview

The Mississippi State Department of Health is seeking to implement a Third-Party Administrator (TPA) to manage the complex administrative functions of its Ryan White Part B program, which provides essential medical and support services for individuals living with HIV/AIDS. The TPA will help streamline processes such as insurance benefit management, pharmacy claims, rebate administration, clinical program oversight, and eligibility determinations. This initiative aims to reduce administrative burdens, improve compliance with relevant laws and regulations, enhance the quality of services offered to program enrollees, and promote better reporting outcomes. The solicitation, posted by the Office of Communicable Disease in Mississippi, invites qualified vendors to propose solutions for the TPA implementation by the deadline of May 29, 2026. The project acknowledges challenges like timing, vendor coordination, and resource management but emphasizes the potential benefits of increased operational efficiency and improved health outcomes. Key contacts for this contract include the Director of HIV Services and the Contracts/Subgrants Manager at MSDH, ensuring stakeholder engagement throughout the process. The effort reflects a strategic move to optimize program performance and better serve Mississippi’s HIV/AIDS community.

General Info

Mississippi seeks TPA to manage Ryan White Part B program, improving services and compliance by 2026.

Agency

Mississippi → Office of Communicable DiseaseView Agency

NAICS

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

Place of Performance

MS, USA

Set-Aside

NONE

Documents

(2)

2026__BAA_1063e.pdf

PDF

Ryan White Part B Third Party Administrator _TPA_ Implementation.pdf

PDF

AI Contract Breakdown

Uniform Contract Format

Timeline

PhaseClosed

PostedApr 28

Solicitation

Response DeadlineMay 29

Deadline has passed

Submission Closed

05/29/2026, 04:00:00 PM UTC

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Organization & Contact Information

AgencyMississippi → Office of Communicable Disease

Contacts2 people available

OfficeJackson, MS, 39216, USA

Organization / Agency

Mississippi → Office of Communicable Disease

View Agency Profile

Office AddressJackson, MS, 39216, USA

Contacts

Antonio WilliamsDirector, HIV Serivces

contact@example.gov

+1 (555) 000-0000

Kristen ConawayContracts/Subgrants Manager

contact@example.gov

+1 (555) 000-0000

Interested Companies (4)

ValHar Solutions

Greenville, MS

American Exchange

Chattanooga, TN

Source Management

Herndon, WA

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Full Description

The Mississippi State Department of Health (MSDH) Ryan White Part B program plays a crucial role in providing medical and support services to individuals living with HIV/AIDS. As the program grows, the complexity of managing insurance benefits, pharmacy claims, rebate administration, clinical programs, and eligibility management increases. Implementing a Third-Party Administrator (TPA) can optimize program efficiency, reduce administrative burden, enhance compliance, and improve health outcomes for our clients. This proposal outlines the benefits of adopting a TPA and the scope of work required for its successful implementation. The TPA Implementation project is important because a TPA could relieve the program area of burdensome administrative duties. There are, however, challenges to be considered. Timing issues, vendor agreements, and the efficient management of resources. The TPA project also has the potential to be a great success. If the implementation is successfully completed, Mississippi's RWTPA project could realize administrative efficiencies, better reporting outcomes, enhanced quality of services for enrollees, and a higher level of compliance with all rules, regulations and laws related to the overall management of the RWPB program in Mississippi.

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