Mississippi Procurement Portal #3160008035

Mississippi State Department of Health Seeks Third-Party Administrator for Ryan White Part B Program

The Mississippi State Department of Health is seeking a qualified organization to serve as the Third-Party Administrator (TPA) for the Ryan White Part B Program. - Scope of Services: - Comprehensive administration of insurance and pharmacy benefits, rebate and 340B program management, reporting and analytics, AIDS Drug Assistance Program (ADAP) review, clinical program management (including prior authorization and formulary management), and eligibility/data management for Ryan White Part B enrollees - Distribution and management of up to 7,000 client cards per month (totaling up to 84,000 annually) - Monthly support services for insurance benefit management, brokerage/enrollment, pharmacy benefit management, and rebate administration - Notable Requirements: - Strict compliance with HIPAA and HITECH regulations - Information security aligned with NIST SP 800-53 Rev. 5 - Cloud data residency within the continental United States - Cloud providers must have SOC 2 Type II or FedRAMP Moderate accreditation - Detailed business associate agreement terms required - No specific OEMs or vendors are named; the opportunity is open to qualified third-party administrators - Place of performance is the Mississippi State Department of Health, primarily in Jackson, MS - The contract is initially for 12 months, with options to renew annually for up to five years

Description

The Mississippi State Department of Health (MSDH) is soliciting sealed bids for the Ryan White Part B Third Party Administrator (TPA) Implementation. The successful bidder will be responsible for key areas including Insurance Benefit Management, Pharmacy Benefit Management, Rebate Administration, Program 340B Administration, Reporting and Analytics, AIDS Drug Assistance Program Review of Domains, Clinical Programs including prior authorization and formulary management, and Ryan White Part B Enrollee Eligibility including Data Management. Bids must be submitted electronically by 11:00 AM CST on May 29, 2026. The procurement is categorized under personnel services non-IT and is open for responses.

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