Delaware Department of Health and Social Services #HSS-27-009

Delaware Seeks Pharmacy Benefit and Information Management Services for ADAP

This opportunity involves the Delaware Department of Health and Social Services seeking a vendor to provide pharmacy benefit and information management services for the Ryan White AIDS Drug Assistance Program (ADAP). - Government Buyer: - Delaware Department of Health and Social Services - OEMs and Vendors: - No specific OEMs or vendors are named in the solicitation - Products/Services Requested: - Comprehensive pharmacy benefit and information management services - Electronic client eligibility administration - Coordination of benefits (ensuring primary and secondary insurance are billed before ADAP) - Statewide retail pharmacy network management - Electronic claims processing compliant with NCPDP standards - Fiscal intermediary services for pharmacy payments - Up-to-date formulary management for network pharmacies - Technical support for program members - Electronic reporting and data management to meet grant requirements - Unique or Notable Requirements: - Supplier diversity plan and written inclusion policy - Data transfer disclosures - Detailed technical and operational plans (change management, continuity of operations, data conversion, network architecture, training, testing, deployment, user documentation) - Compliance with all requirements in the RFP and appendices

Description

This solicitation is a Request for Proposal (RFP) for comprehensive pharmacy benefit and information management services related to the Ryan White AIDS Drug Assistance Program (ADAP). The scope includes client eligibility administration, coordination of benefits, statewide retail pharmacy network management, claims processing, formulary management, technical support for program members, and reporting and data management. The program requires electronic management of client eligibility, billing coordination with primary and secondary insurance, and fiscal intermediary services for approved prescriptions. Detailed scope and requirements are provided in the RFP and appendices.

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