TPA Services for HMO
Closed State & local contract opportunity Posted
- Solicitation number
- ITN-02183
- State
- Florida
- Responses due
Opportunity facts
- Jurisdiction
- NIGP codes
- UNSPSC codes
- 80101512 Actuarial consulting services
- 84131600 Life and health and accident insurance
- 84131602 Health or hospitalization insurance
- 85101700 Health administration services
- 85101706 Traditional healthcare services
- 85101707 Health system evaluation services
- 85121502 Primary care physician consultation services
Opportunity details come from vendor.myfloridamarketplace.com. Updated .
About this opportunity
The State of Florida, Department of Management Services' Division of State Group Insurance is issuing an Invitation to Negotiate (ITN) to establish a contract for Third Party Administrative (TPA) Services for Health Maintenance Organization (HMO) coverage. The Department is seeking Replies from interested Respondents to provide TPA services, including claims processing and adjudication, customer service, network management, reporting, and clinical program management, effective January 1, 2024. The contract term is anticipated to run for three (3) years, with up to three (3) one-year renewal options. The ITN outlines detailed requirements and specifications for the requested services, including network access, pharmacy network management, clinical and quality care programs, wellness programming, member services and administration, and ongoing support. Respondents must submit comprehensive technical and cost proposals addressing all components of the scope of work by the September 27, 2022 deadline. The Department will evaluate all responsive proposals and make an award to the Respondent(s) deemed most advantageous.
The ITN does not specify any set-aside designations or restrictions on the types of organizations that can respond. The current incumbent providers are not identified, but the Department indicates it is open to responses from qualified Respondents. The solicitation covers the State of Florida, Leon County, and the City of Tallahassee, but does not provide any listed award values or budget ranges for the contract.
Opportunity text
ADDENDUM 4: Timeline Addendum
ADDENDUM 3: Timeline Addendum
ADDENDUM 2: Updated Procurement Officer
ADDENDUM 1: QUESTIONS AND ANSWERS AND REVISED ATTACHMENTS ARE POSTED BELOW.
The State of Florida, Department of Management Services' Division of State Group Insurance (Department) is issuing this solicitation to establish a contract for Third Party Administrative (TPA) Services for Health Maintenance Organization (HMO) coverage and invites interested Respondents to submit Replies.
Files
| File | Type | Posted |
|---|---|---|
| HMO_Attachment B - Technical.xlsx | XLSX spreadsheet | |
| HMO_Attachment E -Draft Contract.pdf | ||
| HMO_Attachment G - Benefits Doc_HMOSPD_2022.pdf | ||
| HMO_Attachment H - Data Use Agreement.pdf | ||
| Revised Attachment E -Draft Contract.pdf | ||
| DMS-2223-072_Addendum No. 1.pdf | ||
| HMO Addendum No. 2.pdf | ||
| HMO_Attachment A - Administrative Requirements_07.27.2022.xlsx | XLSX spreadsheet | |
| HMO_Attachment D - Cost_09.12.2022.xlsx | XLSX spreadsheet | |
| Revised Attachment A - Administrative Requirements_9.9.22.xlsx | XLSX spreadsheet | |
| Revised Attachment B - Technical_9.9.22.xlsx | XLSX spreadsheet | |
| Addendum No. 4.pdf | ||
| DMS-2223-072 HMO ITN.pdf | ||
| Revised Forms 5b and 6b.pdf | ||
| Addendum No. 3.pdf | ||
| Attachment H2 - Data Use Agreement.pdf | ||
| HMO_Attachment C - Network.xlsx | XLSX spreadsheet | |
| HMO_Attachment D - Cost.xlsx | XLSX spreadsheet | |
| HMO_Attachment F - BAA.pdf | ||
| Questions and Answers HMO.pdf |
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