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Michigan Department of Technology, Management and Budget - Procurement·Michigan

Pharmacy Claims Processing and PBA Services

Closes 2/2/2026$10M – $50MRequest for Proposal
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Description

The State of Michigan is seeking a contractor to provide Pharmacy Claims Processing and Pharmacy Benefits Administrator (PBA) Services for the Michigan Department of Health and Human Services (MDHHS). The contractor will be responsible for processing pharmacy claims, administering a Medicaid manufacturer rebate program, and providing related services. The contract is expected to begin on October 1, 2026, and will last for 36 months. The contractor must have experience with Medicaid claims processing and manufacturer rebate administration, and must comply with all applicable federal and state laws and regulations. • The contractor will be responsible for processing pharmacy claims and administering a Medicaid manufacturer rebate program. • The contractor must have experience with Medicaid claims processing and manufacturer rebate administration. • The contractor must comply with all applicable federal and state laws and regulations. • The contract is expected to begin on October 1, 2026, and will last for 36 months. • The contractor must provide detailed information about their company, including their experience, certifications, and compliance with labor and environmental laws.

Attached files

Contact

Marissa Gove(Solicitation Manager)

[email protected]

(517) 449-8952

Key dates

Opened
1/8/2026
Questions due
1/5/2026
Closes
2/2/2026
Duration
36 months

Last updated

Details

Type
Request for Proposal
Industry
Healthcare and Medical Services
NAICS
923110
Solicitation №
RFP-171-260000000347-2

Budget estimate

$10,000,000 – $50,000,000

The budget for this contract is estimated to be between $10 million and $50 million per year, based on the scope of work and the fact that the contract is for 36 months. The actual budget will depend on the specific services provided and the number of claims processed. The State of Michigan has a large Medicaid population, and the contractor will be responsible for processing a significant number of claims. The contractor's experience and efficiency in processing claims, as well as their ability to negotiate rebates with manufacturers, will also impact the budget.

AI estimate from the solicitation

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