Third-Party Administrator Services

The buyer requires a vendor to provide third-party administrator and pharmacy benefits management services, including managing client enrollment and maintaining a statewide pharmacy network with a mail-order option. The scope includes claims adjudication, coordination of benefits, point-of-sale processing, an electronic claims processing infrastructure, a sufficient data system, issuing benefit cards, and operating a toll-free customer service line from 8:00 a.m. to 5:00 p.m., Monday through Friday. Only onshore USA organizations are eligible to bid, and the work will be performed offsite. Applicants must submit questions by November 4, 2026, and digital responses can be submitted online or via email. The buyer seeks proposals for the budget, and the contract term will be for one year.