Tender Details

Title	Pharmacy Benefit Administration for Claims Processing, Drug Rebate and Pharmacy Clinical Services (Pba Services) Tender Notice International Competitive Bidding
Country	United States of America
Language	English
Organization	DEPARTMENT OF HEALTH AND HUMAN SERVICES
Published Date	20.05.2024
Deadline Date	02.12.2024
Overview	Pharmacy Benefit Administration for Claims Processing, Drug Rebate and Pharmacy Clinical Services (Pba Services) Description This RFP is a re-release of RFP MED-25-009. This replacement RFP includes substantial changes from the original RFP to better align with the Agency-s goals for this procurement, as well as to correct flaws in the original RFP. Bidders should be careful to review the RFP in its entirety before submitting a Bid Proposal.The purpose of this Request for Proposals (RFP) is to solicit proposals that will enable the Department of Health and Human Services (Agency) to select the most qualified Bidder to provide Pharmacy Benefit Administration (PBA) services for Claims Processing and Pharmacy Clinical Services. PBA services are necessary to support several critical functions, including Point-of-Sale (POS) claims adjudication, automated and manual Prior Authorization (PA), Provider and Member communications, Drug Rebate, Utilization Management (UM), Clinical support, and Reporting and Analytics for the fee-for-service (FFS) population of Iowa Medicaid, as well as managed care program oversight. DEPARTMENT OF HEALTH AND HUMAN SERVICES WIC 400 W King St Ste 300 Division of Public and Behavioral Health Department of Health Human Services State of Nevada Carson City, NV 89703 US Email: DPBHFiscal@health.nv.gov Phone: (775)684-0170 Alt. Reference: 957 sclark2@dhs.state.ia.us Tender Notice International Competitive Bidding RFP MED-25-013 United States of America GT-101440870
NAICS	Other Direct Insurance (except Life Justice Justice Other Justice Direct Insurance (except Life Direct Life International Management Other Justice Agencies
CPVS	Supports Other services Administration, defence and social security services Radio, television, communication, telecommunication and related equipment Manuals
UNSPSC	Population Drug cases Case making services IP phones Suction pump, manual
Regions	APEC Countries North America Northern America
Sectors	Environment and Pollution-Recycling Automobiles and Auto Parts Bridges and Tunnels Postal and Courier Services Roads and Highways-Bridge Law and Legal Printing and Publishing Services Cement and Asbestos Products Railways-Rail-Railroad Construction Energy-Power and Electrical Computer Hardwares and Consumables Construction Materials Marine
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Title
Pharmacy Benefit Administration for Claims Processing, Drug Rebate and Pharmacy Clinical Services (Pba Services) Tender Notice International Competitive Bidding
Country
United States of America
Language
English
Organization
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Published Date
20.05.2024
Deadline Date
02.12.2024
Overview
Pharmacy Benefit Administration for Claims Processing, Drug Rebate and Pharmacy Clinical Services (Pba Services) Description This RFP is a re-release of RFP MED-25-009. This replacement RFP includes substantial changes from the original RFP to better align with the Agency-s goals for this procurement, as well as to correct flaws in the original RFP. Bidders should be careful to review the RFP in its entirety before submitting a Bid Proposal.The purpose of this Request for Proposals (RFP) is to solicit proposals that will enable the Department of Health and Human Services (Agency) to select the most qualified Bidder to provide Pharmacy Benefit Administration (PBA) services for Claims Processing and Pharmacy Clinical Services. PBA services are necessary to support several critical functions, including Point-of-Sale (POS) claims adjudication, automated and manual Prior Authorization (PA), Provider and Member communications, Drug Rebate, Utilization Management (UM), Clinical support, and Reporting and Analytics for the fee-for-service (FFS) population of Iowa Medicaid, as well as managed care program oversight. DEPARTMENT OF HEALTH AND HUMAN SERVICES WIC 400 W King St Ste 300 Division of Public and Behavioral Health Department of Health Human Services State of Nevada Carson City, NV 89703 US Email: DPBHFiscal@health.nv.gov Phone: (775)684-0170 Alt. Reference: 957 sclark2@dhs.state.ia.us Tender Notice International Competitive Bidding RFP MED-25-013 United States of America GT-101440870
NAICS
Other Direct Insurance (except Life Justice Justice Other Justice Direct Insurance (except Life Direct Life International Management Other Justice Agencies
CPVS
Supports Other services Administration, defence and social security services Radio, television, communication, telecommunication and related equipment Manuals
UNSPSC
Population Drug cases Case making services IP phones Suction pump, manual
Regions
APEC Countries North America Northern America
Sectors
Environment and Pollution-Recycling Automobiles and Auto Parts Bridges and Tunnels Postal and Courier Services Roads and Highways-Bridge Law and Legal Printing and Publishing Services Cement and Asbestos Products Railways-Rail-Railroad Construction Energy-Power and Electrical Computer Hardwares and Consumables Construction Materials Marine
URL
Download Document
Share