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  5. ›Pharmacy Claims Processing and PBA Services

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 vendor to provide Pharmacy Claims Processing and Pharmacy Benefits Administrator (PBA) services for the Michigan Department of Health and Human Services (MDHHS). The scope of work includes claims processing, manufacturer drug rebate administration, and related services. The vendor must have experience with Medicaid Management Information Systems (MMIS) certification and compliance with federal and state laws, rules, and regulations. The contract is expected to begin on October 1, 2026, and will last for 36 months. The evaluation criteria include technical evaluation, pricing, and experience. • The vendor must demonstrate experience with projects of similar size and scope to the Department's. • The vendor must provide a detailed response to each question in the Vendor Questions Worksheet. • The vendor must complete and submit the Confidential Treatment Form with their proposal. • The vendor must agree to the attached Contract Terms and Insurance Requirements.

Attached files

Contact

Marissa Gove(Solicitation Manager)

[email protected]

(517) 449-8952

Key dates

Opened
12/15/2025
Questions due
1/5/2026
Closes
2/2/2026
Projected award
10/1/2026
Duration
36 months

Last updated

Details

Type
Request for Proposal
Industry
Healthcare and Medical Services
NAICS
923110
Solicitation №
RFP-171-260000000347-1

Budget estimate

$10,000,000 – $50,000,000

The estimated budget for this opportunity is between $10 million and $50 million. This estimate is based on the scope of work, which includes claims processing and manufacturer drug rebate administration for the Michigan Department of Health and Human Services. The actual budget may vary depending on the vendor's experience, pricing, and performance. Factors that may influence the likely payment range include the number of claims processed, the complexity of the rebate administration, and the level of service required.

AI estimate from the solicitation

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