This Solicitation opportunity from Texas was posted on November 7, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Third Party Health Insurance Verification and Reimbursement Collection

Closed

HHS0015137State & Local

Submission Closed12/10/2024, 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: 561330

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N/A

AI Contract Overview

The Texas Department of State Health Services (DSHS) is seeking a contractor to recover funds through subrogation or third-party reimbursement rights related to payments made for medications provided by the AIDS Drug Assistance Program (ADAP), which is part of the Texas HIV Medication Program (THMP). The program, established in 1987, supplies HIV treatment medications to low-income, uninsured, or underinsured individuals living with HIV, and also manages related assistance programs such as the State Pharmacy Assistance Program and the Texas Insurance Assistance Program. The procurement process will be managed by HHSC PCS, including the publication of the RFP, communication with vendors, and review of responses. The contract resulting from this solicitation will initially last one year, with the possibility of extension for up to four additional years and an optional one-year extension to address operational needs. The procurement process includes key dates such as a pre-proposal webinar on November 13, 2024, a deadline for questions on November 14, 2024, and submission of responses by December 10, 2024. The evaluation period is scheduled for January 2025, with an anticipated contract award in April 2025 and a start date in May 2025. The contract value is estimated between five and fifteen million dollars, and interested vendors can find more information and register through the provided online link. The primary contact for this solicitation is Erin Silva, reachable via email or phone.

General Info

Agency

Texas Department of State Health Services

NAICS

561330 - Professional Employer Organizations

Place of Performance

TX, USA

Set-Aside

NONE

Documents

HHS0015137 RFP for Third Party Health Insurance Verification and Reimbursement Collection

rfp

High

ESBD_382339_1731006516873_Exhibits A-H1.zip

ESBD_382339_1731006562422_Exhibits I-P.zip

AI Contract Breakdown

Uniform Contract Format

Contract not broken down yet

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Timeline

PhaseClosed

PostedNov 7

Solicitation

Response DeadlineDec 10

Deadline has passed

Submission Closed

12/10/2024, 12:00:00 AM UTC

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Organization & Contact Information

AgencyTexas Department of State Health Services

Contacts1 person available

OfficeN/A

Organization / AgencyTexas Department of State Health Services

Office AddressN/A

Contacts

Erin Silva

contact@example.gov

+1 (555) 000-0000

Full Description

Executive SummaryThe Departmentof State Health Services (DSHS) is seeking a Contractor to recover money undera subrogation or third-party reimbursement right held by DSHS arising frompayment of medical expenses, specifically medications provided by the AIDS DrugAssistance Program (ADAP). HHSC PCS willadminister the procurement process for this Solicitation, which includes RFPpublication, handling of communications from vendors, as well as managing thereceipt of Solicitation Responses for review and evaluation.Scope of WorkThe Texas HIVMedication Program (THMP), which has been in existence since 1987, providesmedications for the treatment of HIV and its related complications forlow-income Texans. The THMP is the official ADAP for the State of Texas. ADAPis a federally funded DSHS state administered program authorized under Part Bof Title XXVI of the Public Health Service Act as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009.In addition to the ADAP, THMP also oversees the State Pharmacy AssistanceProgram which coordinates with Medicare clients to help pay premiums and drugco-pays; and the Texas Insurance Assistance Program, which wraps around privateinsurance to help pay premiums and drug co-pays.ADAP providesapproved medications to low-income, uninsured, or underinsured people livingwith HIV who have no other means to obtain these necessary and/or life-savingmedications. To qualify for medications for any of the three programs,potential clients who meet eligibility criteria must complete an applicationfor assistance. Contract TermTheinitial term of any Contract resulting from this Solicitation will be for aperiod of one (1) year. DSHS, at its sole option, may extend anyContract awarded pursuant to this Solicitation for up to four (4) additionalyears. Followingthe base term and any allowable renewals or extensions, DSHS may extend anyresulting Contractfor not more than one additional option period to address immediate operationalor service delivery needs. If the resulting Contract does not include a definedoption period, the extension is limited to one year. Optional/Pre-proposal ConferenceWebinarInformation:Attendees must register for the webinar at the followinglink:https://attendee.gotowebinar.com/register/2609482383084081499** After registration, participants will receive anotheremail withthe actual link to the webinar. ** Scheduleof Events EVENT DATE/TIME Date of Release November 7, 2024 Pre-proposal Conference and HSP Training Attendance is Optional November 13, 2024, at 10:00 a.m. Central Time Deadline for Submitting Questions or Requests for Clarification November 14, 2024, at 3:00 p.m. Central Time Tentative Date Responses to Questions or Requests for Clarification Posted on ESBD November 21, 2024 Deadline for courtesy HSP review November 26, 2024, at 3:00 p.m. Central Time Deadline for Submission of Solicitation Responses [NOTE: Responses must be RECEIVED by HHSC by the deadline.] December 10, 2024, at 10:30 p.m. Central Time Evaluation Period January 2025 Anticipated Notice of Award April 2025 Anticipated Contract Start Date May 2025