South Carolina Sfaa Sfaa #5400029905

South Carolina Medicaid Pharmacy Benefit Services Solicitation

South Carolina is seeking a vendor to provide comprehensive Pharmacy Benefit Services (PBS) for its Medicaid program, managed by the Department of Health and Human Services in Columbia, SC. - Government Buyer: - South Carolina Materials Management Office (on behalf of SCDHHS) - Vendors/OEMs: - No specific OEMs or vendors named in the solicitation - Products/Services Requested: - Pharmacy Benefit Services (PBS) covering: - Claims adjudication - Benefit plan support - Prior authorization - Drug utilization review - Drug rebate management (fee-for-service and managed care organizations) - Value-based drug rebate services - Security assessments and compliance documentation - Pricing and references - Unique/Notable Requirements: - Compliance with federal and state regulations - Adherence to NIST AI Risk Management Framework for any AI/ML components - Strict data privacy controls - Comprehensive deliverables management process - Robust risk management and project management - Standard amendments for commercial off-the-shelf software - South Carolina contract and tax compliance - No specific product part numbers or quantities provided; focus is on service delivery and compliance.

Description

This solicitation is for Pharmacy Benefit Services (PBS) to be delivered to Columbia, South Carolina. The procurement is managed by the Materials Management Office. The submission deadline for proposals is September 1, 2026, at 11:00 AM. The solicitation includes various attachments detailing requirements, certifications, pricing tables, risk management plans, and phase summary checklists relevant to the project.

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