Health Care Authority Third-Party Administration RFP 2026
New Mexico Health Care Authority | State of New MexicoState · Santa Fe, NM- Due
- May 20, 2026
- Deadline passed
- Posted
- Apr 17, 2026
- Contract term
- 4 years
- Primary contact
- Shashikanth Surkanti
- (505) 618-0369
The 30-second brief
The State of New Mexico Health Care Authority (HCA) is seeking proposals for Third-Party Administration (TPA) services for its Group Health Plans. The scope includes comprehensive administrative, operational, and coordination functions for approximately 60,000 covered lives, covering medical, pharmacy, dental, vision, life, disability, and flexible spending benefits. Services encompass enrollment, eligibility, billing, customer service, Open Enrollment, COBRA, HSA, FSA administration, and website management.
Technical Proposal, Cost Proposal, Letter of Transmittal, Campaign Contribution Disclosure Form, Organizational References Questionnaire
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Summary
The State of New Mexico Health Care Authority (HCA) is seeking proposals for Third-Party Administration (TPA) services for its Group Health Plans.
The scope includes comprehensive administrative, operational, and coordination functions for approximately 60,000 covered lives, covering medical, pharmacy, dental, vision, life, disability, and flexible spending benefits. Services encompass enrollment, eligibility, billing, customer service, Open Enrollment, COBRA, HSA, FSA administration, and website management.
REQUIRED DELIVERABLES
5- Technical Proposal
- Cost Proposal
- Letter of Transmittal
- Campaign Contribution Disclosure Form
- Organizational References Questionnaire
REQUIRED ATTACHMENTS
6- Appendix A
- Appendix B
- Appendix C
- Appendix D
- Appendix E
- Appendix F
- Scope location
- New Mexico
- Reported agency
- Health Care Authority
Questions about this RFP
How do I respond to this RFP from New Mexico Health Care Authority | State of New Mexico?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is May 20, 2026. The solicitation specifies required deliverables that must be addressed in your response. Be sure to include all required attachments as outlined in the solicitation. For questions, contact Shashikanth Surkanti.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including New Mexico Health Care Authority | State of New Mexico in NM, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFP submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Shashikanth Surkanti at (505) 618-0369. Questions and answers are typically shared with all prospective bidders.
What are the key deliverables?
The solicitation specifies the following deliverables: Technical Proposal, Cost Proposal, Letter of Transmittal, Campaign Contribution Disclosure Form, Organizational References Questionnaire. Proposals should clearly address how each deliverable will be met.
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Where can I find more RFPs from New Mexico Health Care Authority | State of New Mexico?
All active and historical solicitations from New Mexico Health Care Authority | State of New Mexico are tracked and searchable. As a state agency, New Mexico Health Care Authority | State of New Mexico regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 4 years. Contract terms may include renewal options.
What documents are required to bid on this RFP?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: Appendix A, Appendix B, Appendix C, Appendix D, Appendix E, Appendix F. Review the full document from New Mexico Health Care Authority | State of New Mexico for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: New Mexico. Review the full solicitation for detailed scope requirements.