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This Solicitation opportunity from Department Of Defense was posted on August 20, 2021. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

TRICARE Pharmacy Services, 5th Generation (TPharm5)

Closed
HT940220R0002Federal

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

Active Opportunities Like This One

NAICS: 524114
New
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The Rhode Island Executive Office of Health and Human Services is soliciting proposals from qualified Managed Care Organizations to administer the RIteSmiles 4-ALL Medicaid Managed Care Dental Program. The contract establishes a three-year base period from July 1, 2027, through June 30, 2030, with the possibility of three additional one-year renewals. The selected contractor will be responsible for comprehensive dental program functions, including the implementation of Initial Health Assessments for new members within 90 days of enrollment, integrated care coordination, case management, and the maintenance of a Quality Management/QI Committee. Performance is governed by NCQA standards, the RI Medicaid Dental Services Coverage Manual, and federal regulations including 42 CFR § 438.208(c)(3). The award process involves a multi-phase evaluation starting with a pass/fail screening of mandatory qualifications. Technical proposals are scored on a 1-4 scale across 185 items, requiring a minimum score of 85% to advance to the Impact Small Business Enterprise evaluation phase, where bidders can earn up to six additional points. Compliance requirements are extensive, encompassing HIPAA privacy and security rules, the Anti-Kickback Act of 1986, and various non-discrimination statutes such as Title VI of the Civil Rights Act and the Americans with Disabilities Act. Proposals must be submitted in four separate PDF files, with a combined page limit of 250 pages for the business and technical volumes.
State of Rhode Island

POSTED

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DEADLINE

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NAICS: 524114
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Health Insurance for Locally Employed Staff
Solicitation # 19MY3027R0001
The U.S. Embassy Kuala Lumpur is soliciting proposals for health insurance coverage for its locally employed staff, including non-temporary direct hires, Personal Services Agreements, and Personal Services Contracts within Malaysia. The contract consists of a one-year base period beginning April 1, 2027, with four one-year renewal options. The government seeks off-the-shelf plans that meet specific minimum benefit levels, including 100 percent coverage for hospitalization and emergency services, and 80 percent for ambulance and outpatient services. Official Residence Expense staff are covered via a separate rider. Award will be granted to the responsible offeror providing the lowest priced, technically acceptable proposal, with a tie-breaker based on the most generous profit-sharing credit plan. Technical acceptability requires a valid management plan, relevant past performance, and licensing or accreditation by the Government of Malaysia or another government with the capacity to provide benefits in-country. Proposals must be submitted electronically by November 20, 2026, and must include a completed SF-1449, pricing schedules, and proof of SAM registration. The use of subcontractors is prohibited, and the prime contractor must maintain a permanent business address in Malaysia. Payments will be made monthly in Malaysian Ringgit, except for eligible American citizens who may receive U.S. dollars.
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DEADLINE

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NAICS: 524114
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Group Medicare Advantage Plan
Solicitation # 2000004432
Fairfax County Public Schools is soliciting sealed proposals under solicitation 2000004432 to establish a contract for a fully insured Medicare Advantage plan providing medical and vision benefits for eligible retirees and their dependents. Effective January 1, 2028, the plan will operate alongside a self-insured Employer Group Waiver Plan with a Wrap prescription drug program administered by SilverScript. The contract will be awarded to the offeror providing the best proposal based on a combined evaluation by a Selection Advisory Committee and an IT Committee. Qualified offerors must manage at least 100,000 covered lives within their Medicare Advantage book of business and comply with all Centers for Medicare and Medicaid Services requirements. The pricing structure is based on a per-member-per-month basis, requiring guaranteed premium quotes for 2028 through 2030, as well as allowances for implementation, renewal support, audits, and communications. A gain-sharing agreement based on a defined Loss Ratio will also be implemented. Key administrative requirements include the assignment of a dedicated account executive, adherence to strict cybersecurity and data privacy standards, and compliance with accessibility mandates such as the ADA and Section 508. Proposals must be submitted electronically via the Euna Procurement portal by November 6, 2026, and must include a separate cost proposal and a signed non-disclosure agreement to access specific attachments.
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POSTED

9 days ago

DEADLINE

in 17 days

General Info

Contract Value

$23,596,175

NAICS

524114 - Direct Health and Medical Insurance Carriers

Place of Performance

CO

Set-Aside

NONE

Award Issued Date

Documents

9

HT940220R0002 Amendment 000003

PDF, High priority: read this first262 pages · amendment
High

HT940220R0002 Amendment 00001

PDF, High priority: read this first264 pages · amendment
High

HT940220R0002 Amendment 00002

PDF, High priority: read this first264 pages · amendment
High

HT940220R0002 Amendment 00004

PDF, High priority: read this firstamendment
High

HT940220R0002 Amendment 00005

PDF, High priority: read this first261 pages · amendment
High

HT940220R0002 - TPharm5 RFP

PDF, High priority: read this first259 pages · rfp
High

J-6+CDRLS+rev+1.zip

ZIP

TPharm5+Attachments+-+Beta+SAM+rev+5.zip

ZIP

TPharm5+Data+Pkgs+-+BetaSAM+rev1.zip

ZIP

AI Contract Breakdown

Uniform Contract Format

Contract not broken down yet

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Timeline

16 updates
PhaseClosed
Posted

special-notice

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Response deadline changed from Jan 17, 2020 to Apr 20, 2020. The notice description changed.

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Notice updated

Notice type changed from Special Notice to Presolicitation. Response deadline changed from Apr 20, 2020 to Oct 15, 2020. The notice title changed. NAICS code changed from 446110 to 524114. The notice description changed. The point of contact changed.

Type Changed

Presolicitation → Solicitation

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Response Deadline

Deadline has passed

Notice updated

Notice details unchanged. Attachments may have changed.

Submission Closed

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Organization & Contact Information

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AgencyDepartment Of Defense → Defense Health Agency
Contacts2 people available
OfficeAURORA, CO, 80011, USA
Office AddressAURORA, CO, 80011, USA
Contacts
Hilary Meckel
Dwight Bonham

Full Description

Show more
20201002 Amendment 00005 This amendment makes changes to the RFP document as well as attachments as listed in the amendment. Amendment 5 to HT940220R0002 includes revisions made to Section B - SUPPLIES OR SERVICES AND PRICES/COSTS, Section C - STATEMENT OF WORK, Section G - CONTRACT ADMINISTRATION, Section H - SPECIAL CONTRACT REQUIREMENTS, Section L - INSTRUCTIONS, CONDITIONS & NOTICES TO OFFERORS and Section M - EVALUATION FACTORS FOR AWARD. Attachment L-25 is amended. Amendment 5 also extends the proposal due date to 1200 Hrs Mountain Time on 10/23/2020. ************************************************************************** 20200929 Amendment 00004 This amendment makes changes to the RFP document as well as attachments as listed in the amendment. Amendment 4 to HT940220R0002 includes revisions made to Section G - CONTRACT ADMINISTRATION, and to Section L - INSTRUCTIONS, CONDITIONS & NOTICES TO OFFERORS. Amendment 4 also includes Government responses to additional questions about the solicitation which have been submitted by interested parties. ************************************************************************** 20200914 Amendment 00003 This amendment makes changes to the RFP document as well as attachments as listed in the amendment. Amendment 3 to HT940220R0002 includes revisions made to Section L - INSTRUCTIONS, CONDITIONS & NOTICES TO OFFERORS. Amendment 3 also includes Government responses to questions about the solicitation which have been submitted by interested parties (Attachment L-30). ************************************************************************** 20200901 Amendment 00002 This amendment makes changes to the RFP document as well as attachments as listed in the amendment. It also provides details for the Pre-Proposal Conference scheduled for 9/2/2020 at 11:00am MDT (See Attachment L-31) Amendment 2 to HT940220R0002 includes revisions made to Section B - SUPPLIES OR SERVICES AND PRICES/COSTS, Section C - STATEMENT OF WORK, Section G - CONTRACT ADMINISTRATION, Section H - SPECIAL CONTRACT REQUIREMENTS, Section I - CONTRACT CLAUSES, and Section L - INSTRUCTIONS, CONDITIONS & NOTICES TO OFFERORS. Also included in Amendment 2 are Government responses to questions about the solicitation submitted by interested parties, and a notice announcing the TPharm5 Pre-Proposal Conference. ************************************************************************** 20200810 Amendment 00001 This amendment makes changes to the RFP document as well as attachments as listed in the amendment. Amendment 00001 to HT940220R0002 includes revisions made to Section C - STATEMENT OF WORK, Section F - DELIVERIES OR PERFORMANCE, Section G - CONTRACT ADMINISTRATION, Section H - SPECIAL CONTRACT REQUIREMENTS, Section I - CONTRACT CLAUSES, Section J - LIST OF ATTACHMENTS, Section K - REPRESENTATIONS & CERTIFICATIONS, Section L - INSTRUCTIONS, CONDITIONS & NOTICES TO OFFERORS, and Section M - EVALUATION FACTORS FOR AWARD. ************************************************************************** This is the official release of the Request for Proposal (RFP) for the TRICARE Pharmacy, 5th Generation (TPharm5) requirement. TPharm5 is the continuing requirement to provide pharmacy benefits for the Military Health System (MHS) by providing access to prescription medications through a retail pharmacy network, dispensing prescriptions through a mail order pharmacy (MOP), and adjudicating Military Treatment Facility (MTF) prescriptions with all other prescriptions using a central patient profile reflecting transactions at all points of service using full and open competition. Potential offerors may submit questions by email to dha.buckley.acquis-procure.mbx.tpharm5@mail.mil Questions must be submitted no later than 1600 MDT on August 12, 2020. Questions and answers will be posted publically on the same RFP posting, if applicable. A virtual pre-proposal conference will be hosted on September 2, 2020. More details to follow. Potential offerors may request confidential and protected information at this time. The ordering instructions for confidential and protected information are located in Attachment L-1. Potential offers may submit these requests by email to dha.buckley.acquis-procure.mbx.tpharm5@mail.mil All responsible sources may submit a proposal. Proposals are due 1600 MDT, October 16, 2020. To receive emails concerning the status of this solicitation, interested parties are strongly encouraged to register as vendors on www.beta.SAM.gov and then sign up as interested vendors for solicitation HT940220R0002. It is the responsibility of the prospective offeror to review this site regularly for updates.

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