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Workers’ Compensation Cost Containment and Pharmacy Benefit Management (PBM) Services

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BPM007467State & Local

Contract Overview

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

AI Contract Overview

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The Arizona Department of Administration, State Procurement Office, is soliciting proposals under solicitation BPM007467 to establish one or more mandatory statewide contracts for Workers’ Compensation Cost Containment and Pharmacy Benefit Management (PBM) Services. The selected contractor will support the State's self-administered Workers’ Compensation Program by providing 24/7 nurse triage, utilization review, bill review and PPO network management, and comprehensive PBM services including retail network management and claim adjudication. All services must be managed using the State's Origami Risk RMIS. Key requirements include maintaining a 24/7 toll-free claim intake line, performing annual on-site audits of at least 3% of contracted pharmacies, and providing a full-time customer service representative based in Phoenix, Arizona. Proposals are due by November 5, 2026, and must be submitted via the State's eProcurement system. Awards will be granted to responsible offerors whose proposals are deemed most advantageous based on the experience and capacity of the offeror, the proposed method of approach, and cost. The contract requires strict adherence to HIPAA regulations, Arizona state laws, and the AZRAMP cybersecurity framework. Pricing must be firm and fixed, with specific mandates such as a $9,000 cap on medical bill review fees and free clinician screening for hospital bills exceeding $5,000. The State maintains the discretion to award multiple contracts and will utilize them on an as-needed basis without guaranteed spending.

General Info

Arizona seeks proposals for statewide workers’ compensation cost containment and pharmacy benefit services.

Agency

Arizona Department of Administration

NAICS

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

Place of Performance

AZ, USA

Set-Aside

NONE

Documents

15

BPM007467 Attachment 10 - Information Security Program Disclosure and Attestation

DOCX, High priority: read this first1 page · specifications
High

BPM007467 Attachment 11 - Business Associates Addendum (HIPAA)

DOCX, High priority: read this firstbaa
High

BPM007467 Attachment 1 - Offer and Acceptance Form

DOCX, High priority: read this first1 page · offer-and-acceptance
High

BPM007467 Attachment 3 - Key Personnel

DOCX, High priority: read this first3 pages · past-performance
High

BPM007467 Attachment 4 - Letter of Insurability

DOCX, High priority: read this first1 page · specifications
High

BPM007467 Attachment 5 - Organization Profile

DOCX, High priority: read this first1 page · supporting-document
High

BPM007467 Attachment 6 - Proposed Subcontractors

DOCX, High priority: read this first1 page · supporting-documents
High

BPM007467 Attachment 7 - Experience and Capacity Response

DOCX, High priority: read this first2 pages · past-performance
High

BPM007467 Attachment 9 - Method of Approach

DOCX, High priority: read this firstspecifications
High

BPM007467 Pricing Sheet - Workers’ Compensation and PBM Services

XLSX, High priority: read this first24 pages · specifications
High

BPM007467 Solicitation Attachment 8 - References

DOCX, High priority: read this first1 page · past-performance
High

BPM007467 - Workers’ Compensation Cost Containment and PBM Services

PDF, High priority: read this firstrfp
High

BPM007467 Workers’ Compensation Cost Containment and PBM Services RFP Instructions

PDF, High priority: read this firstrfp
High

BPM007467 Attachment 2 - Confidential Information Designation

DOCX, Low priority2 pages · supporting-document
Low

BPM007467 Solicitation Attachment 13 - Medical File for Repricing.zip

ZIP

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Timeline

PhaseSolicitation
Posted

Solicitation

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Submission deadline

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Organization & Contact Information

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AgencyArizona Department of Administration
Contacts1 person available
OfficeN/A
Organization / AgencyArizona Department of Administration
Office AddressN/A
Contacts
Simon AlvarezProcurement Officer
contact@example.gov
+1 (555) 000-0000

Full Description

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The Arizona Department of Administration, State Procurement Office (the State), as authorized under A.R.S. § 41-2501 et seq. is seeking to establish one or more mandatory statewide contracts, to provide Workers’ Compensation Cost Containment and Pharmacy Benefit Management (PBM) Services.
The State anticipates awarding contract(s) with the intent to secure service coverage statewide. Whether or not it actually enters into any contracts, how many contracts it enters into, and how the work is awarded between those contracts are all at the State’s discretion. Furthermore, the State will use any awarded contracts on an as-needed basis, with no guarantee as to its actual spending under them.
There will be an optional Pre-Offer Conference on Wednesday, October 14, 2026 at 11:00 AM (MST). To join via computer, please follow the link: meet.google.com/gnd-opyx-jhh. To join via phone, please call in at (‪US‬)‪+1 218-301-2717‬ PIN: ‪327 301 866#‬.

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