WTO Notice TPL RFR.pdf
PDF 90 KB Posted
- Attached to
- 26EHSKWTPLIIRFR: RRF for Third Party Liability Health Insurance Investigations and Recovery Claims
- Solicitation number
- BD-26-1039-EHS01-ASHWA-122275
- Issued by
- Massachusetts
About this file
This document is a Notice of Upcoming Procurement issued by the Massachusetts Executive Office of Health and Human Services (EOHHS), announcing a Request for Responses (RFR) for Third Party Liability (TPL) Health Insurance Investigations, Claims Recovery, and Premium Assistance Health Insurance Investigations Modules. The procurement is scheduled to be issued in January 2026 and seeks to contract with one or more qualified vendors to perform two primary TPL activities: (1) conducting health insurance investigations for cost avoidance and to identify/recover MassHealth claims payments from liable third parties, and (2) performing health insurance investigations and maintenance to ensure the cost-effectiveness of MassHealth Premium Assistance programs.
The procurement is covered by the World Trade Organization Government Procurement Agreement and will be posted on COMMBUYS, the state's procurement platform. Prospective respondents are advised to monitor COMMBUYS for all procurement updates and can establish an account on www.commbuys.com to receive notifications. The document emphasizes that potential bidders should not contact EOHHS directly with questions and are responsible for tracking amendments and the complete bid posting through the COMMBUYS platform. The procurement aims to ensure fairness, non-discrimination, and equal treatment in the government procurement process.
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Text version
NOTICE OF UPCOMING PROCUREMENT
EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES
Request for Responses
For
THIRD PARTY LIABILITYHEALTH INSURANCE INVESTIGATIONS,
CLAIMS RECOVERY AND PREMIUM ASSISTANCE
HEALTH INSURANCE INVESTIGATIONS MODULES
Document Number: 26EHSKWTPLIIRFR
27 October, 2025
This is an announcement only. The Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS) intends to issue a Request for Responses (RFR) to solicit proposals from qualified vendors to perform third party liability (TPL) health insurance investigations and to provide claims recovery services. EOHHS seeks to contract with one or more qualified vendors to perform one or both of the following TPL activities:
(1) third party health insurance investigations for cost avoidance purposes and to identify and recover MassHealth claims payments from the liable third party; and (2) third party health insurance investigations and maintenance to ensure the cost effectiveness of the MassHealth Premium Assistance programs.
The RFR is scheduled to be issued in January 2026. All additional announcements about the procurement, including the RFR, will be posted on COMMBUYS.
This procurement is covered by the World Trade Organization Government Procurement Agreement, established on January 1, 1996, to encourage worldwide trade by ensuring fairness, non-discrimination, and equal treatment of laws, regulations and procedures in the government procurement process.
Please do not contact EOHHS with questions about the anticipated procurement.
Prospective respondents are solely responsible to monitor this site for amendments to this announcement, if any, and for the complete Bid posting, if any. Prospective respondents may monitor the site through publicly accessible search and browse tools or through COMMBUYS’ email notification and record tracking tools by ensuring the commodity codes associated with this record are included in the commodity codes section of their COMMBUYS profile.
Prospective respondents may elect to subscribe to COMMBUYS immediately or wait until they have reviewed the complete Bid posting, including the solicitation document and its amendments, if any. Prospective respondents who elect to establish a COMMBUYS account must select the Register link on www.commbuys.com and complete the online subscription process.
http://www.commbuys.com/
File details come from the government source that posted it. Updated .