T3110 Bid Amendment 6 5.19.2026.pdf

This is a bid amendment issued by the State of New Jersey's Department of the Treasury, Division of Purchase and Property to all interested bidders for Bid Solicitation #26DPP01218 regarding T3110 - Medical and Pharmacy Claims Reviewer, Data Management and Technical Services. The amendment extends the quote submission due date from June 2, 2026 to June 30, 2026 at 2:00 p.m. Eastern Time. The underlying solicitation seeks a contractor to provide medical and pharmacy claims review services for approximately 15 million medical claims annually covering approximately 770,000 lives for the State Health Benefits Commission and School Employees' Health Benefits Commission. The services include real-time, electronic, line-by-line claim reviews, data aggregation, analytics, and comprehensive reporting and consulting services to ensure billing accuracy, payment responsibility, contract compliance, and clinical appropriateness. The contract term is five years with potential two-year extensions.

Evaluation criteria are based on the total contingency percent for medical claims review and the all-inclusive technology fee per script for pharmacy claims review. The solicitation includes small business set-aside options and requires vendors to submit a completed State-Supplied Price Sheet, mandatory forms, and comply with detailed information security requirements, including submission of a comprehensive Third-Party Information Security Questionnaire covering 30 distinct control areas, security plans, privacy policies, SOC2 Type II audit reports, and information about subcontractors handling state data. The procurement is mandated by P.L. 2019, Chapter 143 and P.L. 2016, Chapter 67. Answers to bidder electronic questions will be posted in a subsequent bid amendment. All other instructions, terms, and conditions of the original bid solicitation remain unchanged.