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  5. ›Managed Care, PPO, and PBM Networks for Workers…

Missouri Department of Transportation·Missouri

Managed Care, PPO, and PBM Networks for Workers Compensation Services

Closes 6/23/2026$5M – $15MRequest for Proposal
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Description

The Missouri Department of Transportation is seeking proposals from qualified offerors to provide Managed Care, PPO, and PBM Networks for Workers Compensation Services. The contract period will be from the date of the fully executed resulting agreement through June 30, 2029, with up to two one-year renewal periods or any portion thereof. The services to be provided include PPO network of medical providers for treatment of work-related injuries, PBM network, and case management for the Missouri Highway and Transportation Commission Self-Insurance Plan. * The contract will be awarded to a single vendor per category. * The vendor will be required to provide a fee proposal and certify that their prices have been arrived at independently without collusion. * The vendor will be required to comply with all applicable state and federal laws, including those related to drug-free workplaces and non-discrimination. * The vendor will be required to provide insurance coverage for not less than the following limits of liability: General Liability, Business Automobile Liability, and Missouri State Workers' Compensation coverage. * The vendor will be required to submit a proposal that includes all necessary exhibits and certifications. * The vendor will be evaluated based on their experience, expertise, and reliability, as well as their proposed method of performance and overall clarity and quality of their proposal.

Attached files

Contact

Logan Wilbers(Buyer)

[email protected]

Key dates

Opened
5/15/2026
Closes
6/23/2026
Duration
39 months

Last updated

Details

Type
Request for Proposal
Industry
Healthcare and Medical Services
NAICS
524114
Solicitation №
MODOT 0000000252SL,2

Budget estimate

$5,000,000 – $15,000,000

The budget for this opportunity is likely to be substantial, given the scope of services being procured. The contract period is for approximately 39 months, with up to two one-year renewal periods or any portion thereof. The services to be provided include PPO network of medical providers for treatment of work-related injuries, PBM network, and case management for the Missouri Highway and Transportation Commission Self-Insurance Plan. The annual volume of workers' compensation claims is approximately 750, with 111 including lost time in 2025. The estimated annual utilization for PPO services is approximately 7,600 bills for review, with 70% in-network. The annual pharmacy volume is approximately 1,033 prescriptions, with associated spending of $378,656 in 2025. Given these factors, a reasonable estimate for the budget for this opportunity could be in the range of $5 million to $15 million per year, depending on the specific services provided and the fees associated with those services.

AI estimate from the solicitation

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