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This Solicitation opportunity from California was posted on January 30, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Third-Party Administrator (TPA) Services for CalAIM Healthcare Initiatives

Closed
26-20State & Local

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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Solicitation # RFP-746-2500000254-4
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275 E.Main St.,Fkt, Ky

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about 19 hours ago

DEADLINE

in about 1 month
NAICS: 524292
New
SLED
712589: Third Party Liability Claims Administrator Services
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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
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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

POSTED

1 day ago

DEADLINE

in about 1 month
NAICS: 524292
New
SLED
DAS Medical Plan Third-Party Administrator
Solicitation # SRC0000038100
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Administrative Services

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1 day ago

DEADLINE

in 15 days
NAICS: 524292
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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.
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.
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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

AI Contract Overview

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The County of Shasta, through its Department of Support Services Purchasing Unit, is soliciting quotations for Third-Party Administrator (TPA) services to support healthcare claims processing for individuals under the supervision of the Shasta County Probation Department. This initiative aligns with the CalAIM Justice Involved Reentry program, aiming to enhance healthcare access and coordination for justice-involved populations in compliance with federal, state, and local regulations. The County seeks a qualified partner who can provide efficient, cost-effective claims administration while ensuring adherence to all regulatory requirements. Responses to this solicitation, identified as RFQ number 26-20, are due by February 27, 2026, and inquiries can be directed to the designated County contacts in Redding, California. This contract opportunity specifically focuses on managing the healthcare claim submissions related to Medi-Cal services in a justice-involved context, emphasizing compliance, accuracy, and timeliness to optimize healthcare delivery and outcomes for this vulnerable population. The County will be partnering with a TPA capable of navigating the complexities of healthcare claims within the legal constraints and operational demands of the probation environment. The service provider will be paid according to terms established in the contract, with provisions for proper billing, invoicing, and potential contract termination based on funding or cause, facilitating a structured and accountable service relationship. This procurement reflects Shasta County's commitment to improving reentry success through integrated healthcare services administered via a streamlined third-party system.

General Info

Shasta County seeks TPA for healthcare claims processing supporting justice-involved Medi-Cal recipients.

Documents

2

Personal Services Agreement - County of Shasta

PDF, High priority: read this first18 pages · contract-document
High

RFQ 2620 Third-Party Administrator Services for CalAIM Healthcare Initiatives

PDF, High priority: read this first17 pages · rfq
High

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Timeline

PhaseClosed
Posted

Solicitation

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyCalifornia → Purchasing Department
Contacts2 people available
OfficeRedding, CA, 96001, USA
Office AddressRedding, CA, 96001, USA
Contacts
Jessica MooreAgency Staff Services Analyst II - Confidential
Lynne DavisAgency Staff Services Analyst II - Confidential

Interested Companies (3)

Kaiser PermanenteOakland, CA
Alinea HealthBrea, CA
Kings ViewFresno, CA

Full Description

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The County of Shasta, through its Department of Support Services, Purchasing Unit, invites responses to a Request for Quotation (RFQ) to provide Third-Party Administrator (TPA) services for healthcare services associated with individuals under the supervision of the Shasta County Probation Department as part of CalAIM (California Advancing and Innovating Medi-Cal) Justice Involved Reentry Initiative. The County seeks a partner that can deliver efficient, compliant, and cost-effective administration of healthcare claims submission with adherence to all applicable federal, state, and local regulations.

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NAICS: 238320
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Interior & Exterior Painting - Maintenance
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NAICS: 315250
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PURCHASE OF BAND UNIFORMS
Solicitation # 26/27-0011
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Cut and Sew Apparel Manufacturing (except Contractors)

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NAICS: 541620
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Consulting Services for the Preparation of the 7th Cycle Shasta County Housing Element Update and Mandated General Plan Amendments
Solicitation # 27-13
Shasta County, California, has issued solicitation 27-13 for professional consulting services to prepare the 7th Cycle Housing Element Update and associated mandated General Plan Amendments. The project focuses on the planning period from April 15, 2028, to April 15, 2036, and requires the consultant to manage a comprehensive participation program, assess housing needs, and conduct environmental reviews in compliance with the California Environmental Quality Act (CEQA) and state housing laws. The contract is intended for an initial term of two years, with a possible one-year extension. The selection process is based on the best interest of the County rather than the lowest cost, with the highest-ranked respondent entering negotiations. Applicants must certify compliance with all specifications, maintain a price hold for 90 days after the December 4, 2026, deadline, and warrant that they are not debarred via SAM.gov. Required certifications include business status disclosures and, for non-profits, documentation regarding independent directors and financial forms. Contractual obligations include strict adherence to non-discrimination laws, the Americans with Disabilities Act, and WCAG standards for any created websites. Insurance requirements may include sexual abuse or molestation coverage and hangarkeepers liability. Payment is processed electronically via ACH, county credit card, or virtual credit card within 30 days of receiving an approved itemized invoice. The consultant must also comply with HIPAA regulations through a Business Associate Agreement and maintain all necessary professional licenses and permits.
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