MoDOT and MSHP Medical Plan and Pharmacy Consulting

The Missouri Department of Transportation (MoDOT) and Missouri State Highway Patrol (MSHP) are requesting proposals for pharmacy consulting services to the Medical and Life Insurance Plan, with proposals due July 20, 2026 at 2:00 p.m. Central Time through MissouriBUYS powered by MOVERS (electronic submission only). The contract runs from January 1, 2027 through December 31, 2029, with two optional one-year renewal periods at MHTC's sole discretion.

The scope includes prescription drug benefit utilization management, pharmacy benefits manager (PBM) vendor oversight, plan design assistance, and clinical case management services. The Plan is self-insured for medical and pharmacy benefits and currently covers approximately 5,100 MoDOT employees plus additional MSHP members. Pharmacy costs totaled $30.3 million in calendar year 2025. The incumbent consultant and current PBM vendor CarelonRx are identified; medical coverage runs through Anthem.

Pricing must be submitted as a firm fixed rate on a per-subscriber-per-month (PSPM) basis as a blended rate without staff-level or expertise breakdown, plus an hourly rate for special projects. Historical enrollment data (Appendix A) shows active subscribers averaging 6,598 monthly in 2025 and non-Medicare retired subscribers averaging 1,588 monthly.

Evaluation criteria are experience and expertise (30 points), qualifications of key personnel (30 points), proposed method of performance (20 points), and proposed fee (20 points). Offerors must maintain general liability insurance of not less than $600,000 per occurrence and $4 million aggregate, business automobile liability coverage, and workers' compensation insurance. Required exhibits include pricing, worker eligibility verification, lawful presence affidavit (for sole proprietorships or partnerships), and Anti-Discrimination Against Israel Act certification. Questions were due July 2, 2026. Amendment 1 was issued July 7, 2026 with clarifications on deliverables and expectations.