Third Party Liability (TPL)

The purpose of this solicitation is to acquire information technology and business operations Services needed to support the South Carolina Department of Health and Human Services (SCDHHS) as it operates the State’s Medicaid program and other health benefit programs. These Services, supplies, and equipment are intended to support Third Party Liability (TPL) and Fund Recovery, as well as supporting Work and any program administered by SCDHHS pursuant to the Individuals with Disabilities Education Act Part C.


The purpose of the TPL Contract is to:
• Replace the existing TPL contract with no lapse in services.
• Reduce overall cost of Medicaid by:
o Capturing sufficient third-party insurance information from applicant/ member sources at the time of eligibility determination and re-determination.
o Identifying and verifying all available sources that could identify the existence of other health insurance coverage.
o Providing timely and accurate transfer of costs to third-party payers.
o Recovering payments that were/are the responsibility of third-party payers and from estates that have Medicaid liabilities.
o Enhancing HIPP to maximize SCDHHS savings through this program.
o Implementing a comprehensive TPL solution that improves the functioning and integration of TPL services within SCDHHS’ Medicaid and IT enterprises.

For links to the complete solicitation, attachments and amendments, when and if posted, follow the link at http://webprod.cio.sc.gov/SCSolicitationWeb/contractSearch.do?solicitnumber=5400011811.

All questions must be directed to the Procurement Officer identified on the Cover Page of the solicitation.