This Solicitation opportunity from Nebraska was posted on December 13, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Third-party administrator to process payments for claims/ invoices for an incarcerated individual(s) healthcare service

Closed

120174 O3State & Local

Submission Closed01/22/2025, 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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Request for Proposal - Third Party Administrative and Actuarial Services

Solicitation # 2025-RFP-127

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Announcement of RFP for Retirement Plan Administration and Record Keeping Services

Solicitation # LC26028

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Medicaid Medication Risk Reduction Initiative

Solicitation # RFP-2027-DMS-01-MEDIC

The New Hampshire Department of Health and Human Services, Division of Medicaid Services, is soliciting proposals for a statewide Medicaid Medication Risk Reduction Initiative (MMRRI). This program will be led by New Hampshire licensed clinical pharmacists to reduce medication-related problems, adverse drug events, polypharmacy, over-prescribing, and risks associated with opioids and behavioral health medications. The selected vendor will implement a technology solution to analyze pharmacy claims and encounter data to identify high-risk beneficiaries, conduct comprehensive medication reviews, and generate actionable medication safety reports for patients and providers. The contract has an anticipated total funding value of approximately 33,553,391 dollars, distributed across five budget periods through September 2031, and is supported by federal funds under the Rural Health Transformation Program. Key performance requirements include a guaranteed positive return on investment by the end of the third contract year, measured by a reduction in total cost of care on a per member per month basis. Vendors must possess at least three years of experience in pharmacy data analysis and medication review. Award decisions will be based on a point system evaluating technical and cost responses, with a minimum technical score of 1,600 points required to avoid disqualification. The contractor must adhere to strict data security standards, including maintaining an Information Security Management System and ensuring all data processing occurs within the United States. Compliance with Title VI of the Civil Rights Act, the Americans with Disabilities Act, and 2 CFR Part 200 is mandatory. Proposals are due by October 28, 2026, and must be submitted as separate technical and cost documents.

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DAS Behavioral Health Third-Party Administrator RFP

Solicitation # SRC0000040548

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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 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.

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COBRA Administration, Retiree Billing & FSA Administration

Solicitation # RFP 2435

The Township of Wayne, New Jersey, issued Request for Proposal RFP 2435 to secure a qualified organization for comprehensive COBRA Administration, Retiree Billing, and Flexible Spending Account (FSA) Administration services. With an effective start date of January 1, 2027, the selected vendor will manage notice generation, election tracking, premium administration, and direct billing for retirees, as well as provide regulatory compliance support and vendor integration. The contract duration is up to two years, with the possibility of two additional one-year extensions. Proposals must be submitted electronically via the ProcureNow portal by October 29, 2026, at 11:00 am. Award selection may be based on the lowest responsive bid or a points-based evaluation focusing on qualifications, method statement, history and experience, resource availability, and references. Mandatory submission requirements include a Statement of Ownership Disclosure, a notarized Non-Collusion Affidavit, and certifications regarding affirmative action and prohibited activities in Russia, Belarus, and Iran. The successful contractor must maintain specific insurance coverages, including a minimum of 1,000,000 dollars for Business Automobile and Umbrella liability, and at least 2,000,000 dollars per occurrence for certain data losses. Additionally, the vendor must ensure strict adherence to HIPAA regulations and New Jersey state statutory requirements.

Purchasing Division

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7 days ago

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AI Contract Overview

The State of Nebraska's Department of Correctional Services is seeking proposals from qualified bidders to serve as a third-party administrator responsible for processing payments related to healthcare claims and invoices for incarcerated individuals. The contract aims to ensure efficient management of healthcare service payments on behalf of the Nebraska Department of Correctional Services and the Nebraska Board of Parole. While the contract is not exclusive, the State retains the right to engage other providers for similar services in the future. The solicitation, identified as number 120174 O3, was posted on December 13, 2024, with a response deadline of January 22, 2025. The project is estimated to have a contract value ranging from $500,000 to $2,000,000 and falls under NAICS code 524292, which pertains to claims processing and administration services. Interested parties can access additional details through the provided online link.

General Info

Agency

Nebraska Department of Correctional Services (DCS) on behalf of the Nebraska Board of Parole (NBOP)

NAICS

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

Place of Performance

NE, USA

Set-Aside

NONE

Documents

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Timeline

PhaseClosed

PostedDec 13

Solicitation

Response DeadlineJan 22

Deadline has passed

Submission Closed

01/22/2025, 12:00:00 AM UTC

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Organization & Contact Information

AgencyNebraska Department of Correctional Services (DCS) on behalf of the Nebraska Board of Parole (NBOP)

ContactsNo contacts available

OfficeN/A

Organization / Agency

Nebraska Department of Correctional Services (DCS) on behalf of the Nebraska Board of Parole (NBOP)

Office AddressN/A

ContactsNo contact information available

Full Description

The State of Nebraska (State), Department of Correctional Services, is issuing this solicitation for a service contract for the purpose of selecting a qualified bidder to process payments for claims/invoices for an incarcerated individual(s) healthcare services on behalf of NDCS. A more detailed description can be found in Section V. The resulting contract may not be an exclusive contract as the State reserves the right to contract for the same or similar services from other sources now or in the future.