Medicaid Enterprise Systems Pharmacy Benefit Services (NASPO, Georgia)

This state and local contracting opportunity is for Medicaid Enterprise Systems Pharmacy Benefit Services, being procured through a NASPO ValuePoint contract led by the State of Georgia. The RFP is seeking proposals for pharmacy benefit services to support the state's Medicaid program. Key deliverables include claims processing, pharmacy network management, prior authorization services, and reporting and analytics. Qualified respondents must demonstrate extensive experience in Medicaid pharmacy benefit administration, as well as capabilities in care management, member services, and data integration. The RFP outlines detailed technical and operational requirements, and responses will be evaluated based on factors such as experience, approach, innovation, and cost-effectiveness. The solicitation is open from February 6 to March 28, 2024, with a bidders' conference scheduled for February 20.

This NASPO ValuePoint contract is open to all qualified vendors, with no set-aside designations or restrictions on the types of organizations that can respond. The incumbent vendor is not specified. The contract's total value is dependent on the state's Medicaid enrollment and utilization, but the RFP does not provide a specific budget range.