Scope: Implement and operate a fee-for-service pharmacy benefit system, including claims adjudication, payments, prior authorizations, and provider/member support.
Pharmacy services: Manage drug and medical supply rebates, preferred drug lists, drug utilization reviews, pharmacy audits, reimbursement rates, and reporting.
Technology: Include data migration, system integrations, HIPAA compliance, NCPDP D.0/F6 support, hosting, maintenance, and disaster recovery.
Local staffing: Maintain an office within downtown Indianapolis bounded by North, South, East, and West Streets, with dedicated key personnel and the service desk based there.
Experience: At least six combined years supporting Medicaid pharmacy benefit administration across two or more states; subcontractor experience does not count toward this minimum.
Term and pricing: Four years with two optional one-year extensions. Separate implementation and operating costs, and identify pricing adjustments for expanded pharmacy benefit coverage.
The basics
Due
January 8, 2027 82 days left
Where
Indiana
Posted on
in.gov
Solicitation
27-88864
What the solicitation documents require
We read the solicitation documents for this bid (10 documents, 205 pages). Each item shows the file and page it came from. Check the original documents and any addenda before you bid.
Insurance
Commercial general liability with limits not less than $700,000 per person and $5,000,000 per occurrence; State named additional insured. (Att B - Sample Contract.docx, p. 13)
Automobile liability for owned, non-owned and hired autos, not less than $700,000 per person and $5,000,000 per occurrence. (Att B - Sample Contract.docx, p. 13)
Provide a certificate of insurance before the contract starts, plus proof of workers' compensation coverage meeting IC ยง 22-3-2. (Att B - Sample Contract.docx, p. 14)
Complete the Attachment D Cost Proposal template, filling only yellow cells, with hourly rates entered across all time periods for each Staff Position. (Att D - Cost Proposal Template.xlsx, p. 1)
XL Eagle