Medicare Part D Claims Switching services for HHSC

The Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) are seeking competitive bids to establish contract(s) for Medicare Part D claims switching services. The required services include claims switching, pre and post editing, eligibility searches, and mapping services for 22 state-operated pharmacies. Respondents must meet minimum experience requirements and provide references, and HHSC will evaluate responses based on ability to meet specifications, delivery requirements, and price. The initial contract term is from the date of award until August 31, 2024, with two potential one-year renewal options. The response deadline is November 8, 2023, and the anticipated contract start date is October 30, 2023.

The contract opportunity is open to vendors across the state of Texas, with specific jurisdictions including Travis County and the City of Austin. The solicitation indicates there may be set-asides or preferences for certain types of vendors, such as Texas-based businesses or those owned by service-disabled veterans. While the current vendor's contract has expired, HHSC has not provided details on the incumbent or the contract's value. HHSC has a defined budget for these services, but the exact funding amount and source are not specified in the provided materials.