RFP 26-0023 Third-Party Administrative Services for the Community Care Program/Muscogee County

Columbus Consolidated Government's Finance Department is soliciting proposals through Request for Proposals (RFP) No. 26-0023 for Third-Party Administrator (TPA) services to manage the Community Care Program serving medically underserved residents in Muscogee County, Georgia. The procurement seeks a qualified TPA firm to provide comprehensive administrative services including claims processing, eligibility verification, documentation maintenance, provider support, and monthly reporting to the City for medical, pharmaceutical, and mental health services such as acute inpatient and outpatient hospital care, diagnostic services (x-ray and laboratory), primary medical care, mental and behavioral health services, emergency dental services, and transportation. Respondents must demonstrate at least five years of experience administering healthcare-related programs in Georgia and must maintain specified insurance coverage including Errors and Omissions ($1,000,000 per occurrence/$3,000,000 aggregate), General Liability ($1,000,000), Cyber Liability, and Workers' Compensation as required by Georgia law. The evaluation committee will score proposals using weighted criteria: qualifications and experience (30%), client work history (30%), management summary (10%), recommendations (10%), program support services (10%), and cost proposal (10%). Proposals are due February 20, 2026, at 5:00 PM Eastern time via electronic submission through DemandStar, with award contingent upon Columbus City Council approval and made to the responsible offeror whose proposal is most advantageous to the City. The initial contract term is one year with options to renew for four additional twelve-month periods, with fixed pricing for the initial term and subsequent price escalation requests capped at 5% annually, subject to approval based on budget constraints and price comparisons.

The RFP does not identify any specific set-aside designations or disadvantaged enterprise restrictions, and no incumbent vendor or current contractor information is noted in the procurement documents. Respondents must comply with all federal, state, and local laws including HIPAA, E-Verify requirements, and drug-free workplace policies, and must provide a notarized E-Verify Affidavit confirming federal work authorization program registration, a Conflict of Interest Affidavit, and three client references attesting to quality of services on similar contracts. Funding for this initiative is provided through property taxes levied specifically for the Community Care Program to ensure access to quality healthcare for medically underserved residents whose total yearly household income falls below 125% of the federal poverty guidelines. The RFP does not specify an explicit award value or budget range in the available documentation. Either party may terminate the contract with 60 days' prior written notice, providing flexibility in the contractual relationship between Columbus Consolidated Government and the selected TPA.