Department Of Health And Human Services Tender

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.